Director of RCM Services

🕒 il y a 1 jour

☕ Washington – Distant

infoinfo

💵 $150 000 - $180 000 / an

⏰ Temps Plein

🔴 Expert

👔 Directeur

🗣️🇺🇸🇬🇧 Anglais requis

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Toujours ouverte sur le site de Practice by Numbers. Vérifiée il y a 19 minutes.

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Practice by Numbers

51 - 200 employés

Fondée en 2015

🏥 Santé

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Practice by Numbers est une plateforme logicielle qui propose une suite tout-en-un dédiée aux opérations, au marketing, aux paiements, aux communications et à l’analytics pour les cabinets dentaires et les organisations de services dentaires (DSO). PbN inclut notamment des outils d’analytics pour le cabinet et l’activité, de gestion de la relation patient (rappels, texting bidirectionnel, portails), de prise de rendez-vous en ligne synchronisée avec le PMS, un système téléphonique VoIP (PbN Voice), une réceptionniste IA et des fonctionnalités d’IA pour les opérations, le traitement des paiements (y compris des options sans frais), les formulaires digitaux et l’enregistrement sur borne, la vérification des garanties d’assurance, ainsi que des outils de marketing dentaire. La solution s’adresse aux cabinets indépendants, aux groupes multisites, aux DSO, aux office managers, aux chirurgiens-dentistes et aux agences marketing. Elle met l’accent sur la prise de décision fondée sur les données, l’automatisation des workflows et l’engagement des patients.

Description

• Build the RCM business from the ground up, including the service, organization, operating standards and revenue growth strategy • Provide the full revenue cycle service covering insurance verification, claims, payment posting, denial management, appeals and patient-balance follow-up • Design and build the US customer-facing team and India delivery operation • Hire the Senior Manager of RCM Operations in India and jointly recruit, train and establish the first delivery team in Gurgaon • Define US/India responsibilities, decision authority, handoffs, escalation paths, support hours, time-zone coverage and staffing requirements • Create operating playbooks, SOPs, training materials and management routines • Own RCM revenue, grow adoption among existing software customers and develop service proposals and pricing • Lead practice-level financial reviews and identify billing and collection opportunities • Build workflows and service standards for verification, claims, posting, denials, appeals and patient collections • Act as coding and escalation authority for CDT, clinical documentation, narratives, attachments and appeals • Own relationships with the first RCM clients and hold delivery teams accountable for service commitments • Own core metrics including attach rate, denial rate, first-pass acceptance, accounts receivable over 90 days and net collections • Travel substantially to Gurgaon for hiring, training and setup, including several trips during the first year

🎯 Exigences

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, Health Information Management or a related field (required) • 8+ years in dental revenue cycle management, including leading a team of 200 or more or managing a large portfolio of practices • Demonstrated revenue growth within an existing customer base • Hands-on CDT expertise, including the ability to review a clinical note and assess whether the documentation supports the coding • Detailed knowledge of PPO plan design, including annual maximums, waiting periods, frequency limits, downgrades, missing-tooth clauses and replacement clauses • Daily working experience in at least two of Dentrix, Eaglesoft, Open Dental and Ascend • Direct experience hiring, training or running an offshore delivery team in India or a comparable market, with operational ownership beyond vendor oversight • Strong writing skills for SOPs, appeal letters and training material, and the ability to design processes with automation in mind • Ability and willingness to meet the significant India travel requirement • DSO or group-practice central billing experience (preferred) • Establishing a service or delivery center from scratch (preferred) • Familiarity with hiring in India (preferred)

🏖️ Avantages

• Performance bonus • May be eligible for equity • Medical, dental, and vision coverage • 401(k) with company match • Paid time off • Paid holidays • Maternity and parental leave

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