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Director of Revenue Cycle Management

đź•’ June 12

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AnswersNow

11 - 50 employees

🏥 Healthcare

đź’Ľ Consulting

⚕️ Healthcare Insurance

đź’° $11M Series A on 2023-02

Healthcare • Consulting • Healthcare Insurance

AnswersNow is a company dedicated to providing virtual autism support for families everywhere. They offer ABA therapy on an engaging virtual platform, aiming to make support accessible without a waitlist, and they work with all major insurance carriers including Medicaid. The company tailors their evidence-based care to address the specific needs and priorities of each family. Their team includes board-certified behavior analysts (BCBAs) with extensive training, who provide one-on-one expert support through their proprietary digital platform, allowing for therapy sessions to be conducted in a family-friendly environment. AnswersNow's mission is to empower families with flexible, quality care and to make the world more inclusive for individuals with autism.

đź“‹ Description

• Own the strategy, performance, and scalability of the end-to-end revenue cycle, including authorizations, claims management, denial prevention, payment posting, and A/R operations. • Own key RCM performance metrics including net collection rate, denial rate, clean claim rate, cash collections, and days in A/R. • Lead initiatives to improve revenue capture, reduce reimbursement leakage, and optimize financial outcomes. • Collaborate with Product and Engineering teams to automate workflows, improve system integrations, and enhance operational efficiency. • Collaborate with Clinical Operations and Credentialing teams to ensure payer readiness, enrollment accuracy, and operational alignment. • Develop executive dashboards and reporting that provide visibility into financial and operational performance. • Contribute to organizational planning by forecasting operational needs and identifying opportunities for scalable growth. • Lead root-cause investigations into revenue cycle challenges and implement sustainable corrective actions. • Build, mentor, and develop a high-performing revenue cycle organization focused on accountability, continuous improvement, and collaboration. • Partner with executive leadership to establish and execute the long-term revenue cycle strategy supporting company growth objectives.

🎯 Requirements

• 7+ years of progressive healthcare revenue cycle management experience. • 3+ years of leadership experience, ideally within behavioral health, ABA, mental health, telehealth, or closely related healthcare settings. • Deep understanding of commercial insurance, Medicaid, telehealth reimbursement, and multi-state payer operations. • Demonstrated success improving KPIs such as denial rates, net collection rates, clean claim rates, and A/R performance. • Experience building or scaling RCM operations in a high-growth or startup environment. • Strong analytical skills with experience leveraging data to identify root causes and drive operational improvements. • Experience partnering cross-functionally with Product, Engineering, Finance, and Operations teams. • Familiarity with healthcare technology platforms, billing systems, EHRs, and reporting tools. • Proven ability to lead, develop, and retain high-performing teams. • Excellent communication, prioritization, and stakeholder management skills.

🏖️ Benefits

• Flexible hours with an async-friendly team culture

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