Senior Director, Revenue Cycle Management

🔥 0 minutes ago

🥔 Idaho, Illinois, +8 more states – Remote

🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote 🧀 Wisconsin – Remote

💵 $150k - $190k / year

⏰ Full Time

🟠 Senior

👔 Director

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Caravel Autism Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2009

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

Consulting • Logistics • Healthcare Insurance

Caravel Autism Health is an organization dedicated to providing comprehensive autism therapy services to children and their families. Their mission is to change lives through expert interventions such as diagnostic evaluations, Applied Behavior Analysis (ABA) therapy, and caregiver collaboration. With a focus on clinical excellence and the utilization of a proprietary technology platform, PathTap™, Caravel Autism Health tracks progress and tailors therapy plans to ensure the best outcomes for every child. They are committed to expanding access to autism health services across various geographical locations, serving families in both urban and rural areas.

📋 Description

• Provide strategic oversight and leadership across the full spectrum of revenue operations • Design and drive scalable workflows in authorizations, billing, accounts receivable, and collections to drive sustainable financial performance • Leverage data-driven insights to steer organizational policy and ensure company-wide compliance • Lead a high-performing team to ensure operational goals align with broader corporate financial objectives and regulatory requirements • Implement company-wide strategies to reduce Days in A/R, improve cash flow, and maximize net collection rates • Ensure the accuracy of payment postings, adjustments, and general ledger reconciliations • Design and oversee robust ABA-specific authorization workflows • Lead collaborative initiatives between clinical, finance, and compliance departments • Manage the strategy for private-pay invoicing and collections • Act as the primary escalation point and negotiator for high-level payer disputes • Govern the institutional application of CPT codes, modifiers, and payer-specific billing rules • Develop proactive systems to detect and recover underpayments • Establish and monitor executive KPIs to evaluate departmental health • Leverage RCM data and EHR reporting tools to identify macro-trends in payer behavior • Direct structured, trend-based denial prevention and appeals workflows • Lead the continuous improvement of the RCM tech stack • Drive the implementation of new payer mandates and system upgrades • Mentor and lead the billing and authorization teams

🎯 Requirements

• High school diploma / GED equivalent required • Bachelor’s degree in business administration, health-related discipline, or equivalent professional experience preferred • Minimum of five years of healthcare, hospital, billing, and collection experience in a supervisory capacity • Extensive knowledge of technologies, specifically spreadsheet and word processing software and hospital and physician billing software • ABA experience preferred • Experience with CentralReach preferred • Experience with Medicaid billing for primary and secondary reimbursement • Experience with physician billing