director revenue manager Remote
Job description
The Opioid Epidemic is a public health crisis with a highly effective but underutilized clinical intervention - millions of Americans are physically dependent on Opioids but only 10% of those likely to have OUD actually access treatment. Bicycle Health addresses this gap by maximizing accessibility, affordability, and overall quality of care by enabling highly qualified clinicians to reach patients broadly and efficiently through our online platform.
The Director, Revenue Cycle Management works with the Chief Financial Officer across diverse stakeholders and cross-functional teams to help drive the direction of Bicycle Health's fast-paced growth from contracting & credentialing through billing & collections.
You can expect to:
- Continuously work to identify areas of improvement and develop processes and documentation for contracting & credentialing and revenue cycle management.
- Contracting & credentialing: investigation and research of new payors, contract application, follow-up procedures, contract resubmissions, CAQH maintenance, credentialing, re-credentialing, etc.
- Revenue cycle management: claims submission, payor follow-up, appeals and resubmissions, rejected claims, write-offs, etc.
- Build out reporting for contracting & credentialing and revenue cycle management KPIs.
- Manage the daily activities and priorities of contracting & credentialing associates as well as billing team members and ensure high levels of employee satisfaction and productivity.
- Train and educate team members on contracting & credentialing and revenue cycle management best practices and industry benchmarks to improve metrics and build team accountability.
- Own end to end claims revenue cycle transformation projects including documentation and coding (optimizing codes Bicycle Health is currently billing, and providing expertise in new codes to be considered under VBC and FFS contracts).
- Partner with the Engineering, Product, and Operations teams to continue to introduce automation to our claims billing processes across value based and fee for service contracts as well as to identify and fix any billing issues that arise.
- Own the entire life-cycle of billing for a new payor from contracting & credentialing to billing and collections.
- Communicate cross-functionally with Marketing, Payor Relations, Clinical Ops, Enrollment Coordination, CSS, etc. to plan and execute upcoming payor launches.
- Project manages the entire Revenue Cycle function, setting up new payment structures as we expand our program offerings.
- Implement new systems for contracting & credentialing as well as for revenue cycle management.
- All other duties as assigned.
Qualities we're looking for:
- At least 5 years of experience in healthcare provider revenue cycle management.
- Expertise in telemedicine billing and coding for SUD/OUD/G Codes.
- Advanced Excel/Google Sheets skills.
- Persistence when working/communicating with payers.
- Experience working cross-functionally with different teams.
- Experience project managing internal projects.
- Working knowledge of industry best practices in Revenue Cycle processes: billing, charge capture, contractual adjustments, third-party reimbursements, and collections and cash management.
- Fundamental knowledge of revenue integrity (i.e. CPT and ICD-10 coding) and documentation requirements for billing and compliance.
- Comfortable working with the ambiguity of a fast-paced startup.
- Exceptional written and verbal communication skills.
- Attention to detail, exceptional organizational and problem-solving skills.
- Certified billing and coding specialist preferred.
- Degree in public health or related degree preferred.
- Consistent access to a private work environment with high speed internet and professionally appropriate surroundings for frequent video conferencing and a workstation setup conducive to remote work needs.
Compensation and Benefits:
- Target Pay Range: $160,000 - 180,000 - Salary to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.
- Health benefits (Medical, Dental and Vision).
- Discretionary time off, paid sick time, holiday pay, paid parental leave
- Talented and fun coworkers who are passionate about addiction treatment.
- The opportunity to be part of a mission driven company and make a difference in patients' lives.
This is a full-time (40hrs per week) remote position.
#LIRemote
About Bicycle Health:
Bicycle Health is a telemedicine group that specializes in the evidence-based treatment of individuals with Opioid Use Disorder using buprenorphine. We've grown our clinical staff of medical providers caring for patients, across 28 states, and we employ a large ancillary staff for support with technologic and administrative needs, clinical and behavioral support, and care coordination. Our innovative model has achieved clinical outcomes that exceed expectations for standard-of-care in-person treatment nationally. Our mission is to increase access to high quality, affordable, convenient and confidential Opioid Use Disorder treatment for all.
Bicycle Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or any other basis forbidden under federal, state, or local law.
