Director, Revenue Cycle Management

Director, Revenue Cycle Management

The Director, Revenue Cycle Management works with the VP, Revenue Cycle Management and various stakeholders across cross-functional teams to guide Bicycle Health's rapid growth in billing and collections.

Target Pay Range: $150,000-$175,000 + Equity - Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.

Benefits:

• Discretionary PTO + 8.5 days of additional sick time + 10 paid holidays
• Paid parental leave
• 100% Employer Paid Employee Medical, Dental, and Vision Insurance
• Employer Paid STD & LTD
• 401k
• $50 monthly Remote Work Stipend

What you'll do:

• Manage the offshore Revenue Cycle Management (RCM) vendor to ensure timely billing, collections, and the completion of the month-end close.
  • Identifies any potential risk and compliance issues.
  • Educates teams about new billing guidelines, as well as changes in telehealth and behavioral health practices.
• Collaborates closely with the compliance team to ensure adherence to all regulatory requirements.
• Build out reporting revenue cycle management KPIs.
• Manage the daily activities and priorities of the billing, financial coordination, and financial counseling teams ensuring high levels of employee satisfaction and productivity.
• Train and educate team members on 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.
• 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.

What we are looking for:

• At least 10 years of experience in healthcare revenue cycle management.
• At least 5 years of supervisory experience.
• Certified billing or coding certification required.
• 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.