Director of Revenue Cycle Management

🕒 il y a 3 mois

🇺🇸 États-Unis – Télétravail

💵 $110 000 - $150 000 / an

⏰ Temps Plein

🔴 Expert

👔 Directeur

👻 Score fantôme 31%

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🗣️🇺🇸🇬🇧 Anglais requis

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AnswersNow

11 - 50 employés

🏥 Santé

💼 Conseil

⚕️ Assurance santé

💰 €11 000 000 Series A en 2023-02

Healthcare • Consulting • Healthcare Insurance

AnswersNow est une plateforme virtuelle dédiée à la fourniture de thérapie par analyse comportementale appliquée (ABA) pour les familles, rendant un soutien de qualité facilement accessible. L'entreprise offre des soins personnalisés, basés sur des preuves scientifiques, adaptés aux besoins individuels des enfants autistes, en les connectant avec des analystes comportementaux certifiés pour des sessions individuelles. Engagé à autonomiser les familles, AnswersNow garantit que la thérapie peut être conduite dans un cadre confortable et familier, optimisant ainsi l'expérience de soins sans longs délais d'attente.

Description

• Own the strategy, performance, and scalability of the end-to-end revenue cycle, including authorizations, claims management, denial prevention, payment posting, and A/R operations. • Own key RCM performance metrics including net collection rate, denial rate, clean claim rate, cash collections, and days in A/R. • Lead initiatives to improve revenue capture, reduce reimbursement leakage, and optimize financial outcomes. • Collaborate with Product and Engineering teams to automate workflows, improve system integrations, and enhance operational efficiency. • Collaborate with Clinical Operations and Credentialing teams to ensure payer readiness, enrollment accuracy, and operational alignment. • Develop executive dashboards and reporting that provide visibility into financial and operational performance. • Contribute to organizational planning by forecasting operational needs and identifying opportunities for scalable growth. • Lead root-cause investigations into revenue cycle challenges and implement sustainable corrective actions. • Build, mentor, and develop a high-performing revenue cycle organization focused on accountability, continuous improvement, and collaboration. • Partner with executive leadership to establish and execute the long-term revenue cycle strategy supporting company growth objectives.

🎯 Exigences

• 7+ years of progressive healthcare revenue cycle management experience. • 3+ years of leadership experience, ideally within behavioral health, ABA, mental health, telehealth, or closely related healthcare settings. • Deep understanding of commercial insurance, Medicaid, telehealth reimbursement, and multi-state payer operations. • Demonstrated success improving KPIs such as denial rates, net collection rates, clean claim rates, and A/R performance. • Experience building or scaling RCM operations in a high-growth or startup environment. • Strong analytical skills with experience leveraging data to identify root causes and drive operational improvements. • Experience partnering cross-functionally with Product, Engineering, Finance, and Operations teams. • Familiarity with healthcare technology platforms, billing systems, EHRs, and reporting tools. • Proven ability to lead, develop, and retain high-performing teams. • Excellent communication, prioritization, and stakeholder management skills.

🏖️ Avantages

• Flexible hours with an async-friendly team culture

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