Director of Revenue Cycle Management

🔥 2 minutes ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Boulder Care

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Boulder Care is a telehealth company that provides comprehensive, high-quality medical care for substance use disorders such as opioid and alcohol addiction. The company offers a coordinated outpatient care model, including prescriptions for medications like Suboxone, delivered entirely through a secure mobile app. Boulder Care is committed to treating patients with respect and unconditional support, using evidence-based treatments and dedicated care teams. Their goal is to make addiction treatment accessible by accepting various public and private insurance plans. They are partnered with health plans and institutions like Hazelden Betty Ford to enhance the accessibility of their services.

📋 Description

• Lead and optimize Boulder Care's end-to-end revenue cycle operations to maximize cash collections and support sustainable financial performance • Supervise the Revenue Cycle Manager and provide strategic leadership over patient billing, coding, collections, payer operations, revenue integrity, and revenue cycle analytics • Own partnerships with Candid and other technology vendors to optimize system functionality and automate workflows • Oversee charge capture, coding support, claims management, payment posting, denials management, appeals, collections, and revenue integrity • Develop initiatives to improve revenue cycle performance, cash flow, and operational efficiency • Establish revenue cycle goals and KPIs and foster accountability, continuous improvement, and customer service • Advise the Controller and executive leadership on reimbursement trends, payer performance, cash flow optimization, and revenue cycle risks • Monitor dashboards and analytics; analyze revenue, collections, denial rates, aging, reimbursement, and payer performance • Improve net collections and reduce revenue leakage • Partner with Accounting on monthly close, revenue recognition, accounts receivable valuation, allowance methodologies, and audit support • Support budgeting, forecasting, and financial planning for revenue operations • Ensure billing and collection compliance with healthcare regulations, Medicare, Medicaid, payer contracts, HIPAA, internal policies, and GAAP controls • Partner with Compliance and Legal on reimbursement-related regulatory changes • Evaluate workflows and implement Lean or other continuous improvement methodologies • Partner with Product, Engineering, and Technology on automation and system functionality • Oversee third-party billing vendors and outsourced revenue cycle partners • Ensure timely resolution of payer issues and escalated billing concerns • Coach, mentor, and develop revenue cycle leaders and staff; establish expectations and conduct performance evaluations • Build succession plans and support employee development • Collaborate with Accounting, FP&A, Clinical Operations, Credentialing, Provider Operations, Compliance, Product, and Engineering • Support new payer contracts, clinical programs, and operational initiatives • Present revenue cycle performance, strategic initiatives, and operational metrics to Finance leadership and executive management

🎯 Requirements

• 8+ years of progressive healthcare revenue cycle experience • 4+ years of leadership experience managing revenue cycle teams • Strong understanding of healthcare reimbursement methodologies, commercial insurance, Medicare, Medicaid, and value-based reimbursement models • Experience managing denials, collections, payer relationships, and revenue integrity initiatives • Strong financial acumen and ability to interpret operational and financial metrics • Experience with healthcare billing systems and electronic health records (EHRs) • Excellent analytical, communication, leadership, and relationship management skills • Bachelor's degree in Accounting, Finance, Healthcare Administration, Business Administration, or related field preferred • Experience with startups, behavioral health, substance use disorder treatment, or value-based care preferred • Experience with Candid or similar web-based healthcare billing applications preferred • Experience with Athenahealth, Salesforce, or similar healthcare platforms preferred • Knowledge of ASC 606 revenue recognition and GAAP financial reporting preferred • HFMA CRCR, CHFP, or other relevant healthcare revenue cycle certifications preferred • Ability to sit and/or stand for extended periods • Ability to look at a computer screen for extended periods to prepare and analyze data, transcribe information, and read • Final candidates must undergo background checks and provide professional references

🏖️ Benefits

• Comprehensive medical, dental, vision, and short-term disability benefits • Mental Health Services via insurance coverage, including Talkspace and EAP • 4 weeks of vacation accrued per calendar year, increasing to 5 weeks at 2 years of employment • Sick leave accrued at 1 hour for every 30 hours paid • 9 paid holidays per year • 12 weeks of 100% paid parental leave after 6 months of employment • 401(k) retirement savings • Remote-friendly work arrangement • Hardware provided to complete work duties • Opportunity to contribute to meaningful, life-saving work