Senior Director, RCM

🕒 il y a 15 jours

🇺🇸 États-Unis – Télétravail

💵 $175 000 / an

⏰ Temps Plein

🟠 Senior

👔 Directeur

🗣️🇺🇸🇬🇧 Anglais requis

D'où vient cette offre

Publiée sur la page carrières de Daybreak Health, pas via un site d'emploi

Repérée par Remote Rocketship il y a 15 jours

Toujours ouverte sur le site de Daybreak Health. Vérifiée il y a 2 heures.

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Daybreak Health

11 - 50 employés

Fondée en 2019

💼 Conseil

📣 Marketing

🏥 Santé

💰 €10 000 000 Series A en 2022-03

Consulting • Marketing • Healthcare

Daybreak Health est un prestataire de services de santé mentale qui s'associe aux écoles pour offrir des solutions thérapeutiques personnalisées pour les enfants et les familles. Leurs programmes sont entièrement couverts par l'assurance santé, y compris Medicaid et les plans commerciaux, garantissant l'accès au soutien en santé mentale pour les élèves de la maternelle au lycée. En mettant en œuvre des thérapies à distance basées sur des preuves et des thérapies en personne, Daybreak Health vise à améliorer les résultats scolaires et le bien-être général des élèves, favorisant un environnement où les défis liés à la santé mentale peuvent être abordés efficacement.

Description

• Own the revenue cycle end to end, from enrollment through cash, for Medicaid and managed care organizations, outpatient behavioral health, telehealth, and multi-state licensed clinicians • Lead the RCM team and report to the President and Co-Founder • Partner with Finance, Clinical Operations, Product, Engineering, and Credentialing • Manage accounts receivable and denials by identifying root causes in workflows, payer rules, and systems • Run reporting on net collection rate, days in AR, clean claim rate, denial rate, and cost to collect • Own EHR, clearinghouse, and billing platform relationships and configuration • Improve eligibility and benefits verification, patient responsibility, estimates, and upstream revenue workflows • Identify and implement automation and AI for billing, posting, follow-up, and reconciliation with appropriate controls • Partner with Finance on close, accruals, reserves, AR allowance, cash forecasting, and variance explanations • Build compliance practices for confidentiality, EOBs, statements, minor-consent handling, HIPAA, and payer audits • Improve AR, denial and clean claim rates, reporting, automation, forecasting, cross-functional workflows, and audit readiness

🎯 Exigences

• 10+ years in RCM, including 5+ years leading RCM teams • Experience in one or two startups • Deep outpatient behavioral health and Medicaid/MCO billing expertise • Practical, hands-on use of AI and automation to improve how work gets done, with good judgment about where human review still matters • Track record of standing up reporting, automating manual work, and leading system migrations • Comfort owning numbers publicly and being wrong out loud when the forecast misses • Strong executive communication and ability to turn complicated billing findings into clear recommendations with tradeoffs • Ability to influence stakeholders and drive change without direct authority, especially across Clinical Operations, Product, and Engineering

🏖️ Avantages

• Generous equity package • Medical, dental, and vision coverage, with Daybreak covering a significant share of premiums for employees and dependents • Flexible unlimited time off, company holidays, and quarterly mental health days • Fully remote work from anywhere in the United States

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