Revenue Cycle Management Manager

🕒 6 days ago

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Daymark Health

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 2024

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Daymark Health is a supportive cancer care organization that focuses on empowering patients through their cancer journeys. They offer personalized care tailored to individual needs, connecting patients with their primary care physicians, oncologists, and care teams for a seamless experience. Services include in-home care, symptom management, 24/7 support, and navigation of social support resources, ensuring comprehensive assistance throughout the treatment process.

📋 Description

• Own Daymark's Revenue Cycle Operations • Lead end-to-end RCM across all payer types, with primary focus on Original Medicare and value-based contract populations • Establish patient billing workflows including statement generation, cost-sharing communication, and collections processes • Manage the third-party billing vendor relationship • Own the claims and clearinghouse platform, including submission workflows • Establish and track RCM KPIs: clean claim rate, denial rate, days in AR, net collection rate • Support accurate risk adjustment operations • Translate billing and compliance requirements into scalable operational workflows

🎯 Requirements

• Direct experience managing a third-party billing vendor and a claims/clearinghouse platform • Experience with HCC coding, risk adjustment suspecting, and chart review workflows • Familiarity with AI applications in RCM and a genuine interest in applying them • Experience at a startup or high-growth healthcare company is a plus

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development opportunities