Senior Manager, Revenue Cycle

November 24

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Tia

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Healthcare Insurance • Wellness

Tia is a healthcare provider offering comprehensive, compassionate care tailored specifically for women, available both in-person and virtually. With a focus on holistic and integrative health, Tia supports women through their entire health journey, providing services in primary care, gynecology, mental health, acupuncture, skin care, and more. The company emphasizes a patient-centered approach that empowers women, addressing both physical and mental health needs. Tia includes a team of specialized providers, such as OB/GYNs, nurse practitioners, and acupuncturists, and collaborates with top-tier health systems to extend care. The company is committed to providing personalized care solutions that consider the diverse socio-economic and cultural backgrounds of its patients, using an empathetic approach to enhance women's healthcare experiences.

201 - 500 employees

Founded 2017

⚕️ Healthcare Insurance

🧘 Wellness

📋 Description

• Own and elevate the end-to-end Revenue Cycle Management (RCM) function, including coding, billing, and collections, ensuring maximum operational efficiency and financial integrity. • Define and execute the strategic vision for continuous process optimization, leveraging technology and best practices to drive RCM accuracy and financial performance in alignment with Tia’s goals. • Cultivate a high-performing, inclusive, and accountable team culture that inspires both direct reports and cross-functional partners. • Direct all backend RCM operations, from chargemaster management to providing expert guidance on navigating complex rejections, denials, and appeals management. • Lead the end-to-end patient billing and collections strategy, including defining and implementing escalation protocols for outstanding patient balances. • Design, document, and optimize core RCM workflows and process maps (claims submission, follow-up, denials, and appeals) to proactively eliminate friction points and maximize revenue velocity. • Establish and standardize Key Performance Indicators (KPIs) and metrics to deliver executive-level insights into RCM performance and financial health. • Strategically own the design, maintenance, and execution of automated dashboards and regular reporting to effectively monitor and track the health of the RCM funnel. • Conduct data-driven synthesis of trends to proactively identify root causes of payment delays, denials, and variances, translating insights into actionable process improvements. • Serve as a strategic partner to executive leadership, integrating the RCM perspective into short and long-term business planning aligned with company OKRs. • Cultivate and manage critical relationships with market partners and payers to optimize contracts and payment flows. • Act as the primary operational liaison across Clinical, Product, and Finance, ensuring the consistent adoption of best practices for billing, chargemaster maintenance, and accurate revenue forecasting.

🎯 Requirements

• 5+ years of progressive experience in healthcare operations, with comprehensive, expert knowledge of end-to-end Revenue Cycle Management (RCM). • Demonstrated expertise in key RCM components, including payer contracting, provider credentialing, and patient financial engagement. • A proven problem-solver who approaches complex RCM challenges with a highly systematic, analytical, and data-driven methodology. • Exceptional communication and stakeholder management skills, with the demonstrated ability to translate high-level business strategy into a clear, tactical execution plan. • Experienced in performance management framework design, specifically building or partnering on the development of KPIs, dashboards, and reporting for RCM operations.

🏖️ Benefits

• Unlimited vacation • Medical, dental, and vision benefits • Competitive stock option package • 401k program • $300 one-time WFH stipend • $50/month phone and internet reimbursement • Free Tia membership