Associate Director of Revenue Cycle Management

Summary

Join CardioOne as an Associate Director of Revenue Cycle Management and play a vital role in optimizing revenue cycle operations across cardiology practices. You will directly manage and support strategic planning and execution of standardized policies and procedures to ensure high-quality financial outcomes. Responsibilities include overseeing vendor partners, ensuring compliance, monitoring key performance indicators, and improving the patient experience. This remote position requires a Bachelor's degree or equivalent experience, 6-8 years of relevant RCM experience, excellent supervisory skills, and a strong understanding of medical billing and coding. The ideal candidate will possess strong analytical and problem-solving abilities. CardioOne offers a competitive salary, comprehensive benefits, and a supportive work environment.

Requirements

• Bachelor's degree or equivalent experience
• 6-8 years of equivalent and relevant experience in RCM / process management
• Excellent supervisory, managerial skills of personnel to include vendor management
• Knowledge of medical billing, front office, physician practice management and healthcare business processes and workflow
• Understanding of medical billing/coding with an understanding of various insurance carriers, including Medicare, private HMOs and PPOs
• Excellent written, verbal and interpersonal communication skills for a variety of audiences
• Strong organizational skills with ability to handle multiple tasks simultaneously
• Knowledge and financial reporting experience required
• Demonstrated analytical thinking and problem-solving ability. Can systematically and logically work to identify causation and resolve problems

Responsibilities

• Directly manage and support the RCM strategic planning and execution of standardized policies and procedures to produce predictable high-quality financial outcomes for all practices
• Oversee the productivity and quality/accuracy of RCM vendor partners functions (i.e. charge entry/capture, coding, prior authorization, AR management, denials, and payment posting), providing training and education for continued adherence to workflows and scalability
• Manage access and maintenance of payer portals for timely billing, posting (ERA retrieval), and follow-up actions
• Ensure compliance with government and commercial payer contracts, payer relations and Athena system edits/custom rules, ACO agreements, MIPS/MACRA, coding standards, and CPT Category II quality reporting
• Enact routine reviews and audits of processes, serving as the initial point of contact for escalation for RCM related issues, and aid in developing action plans to address negative trends or unfavorable audit outcomes
• Serve as an expert resource in monitoring and maintaining/exceeding RCM KPI’s in AR Management targets, Cost to Collect, Charge Entry Lag, Clinical Inbox Management, Avoidable Denials, Clean Claim Submission Rate, TOS Collections, and Net Collections Rate
• Continue assisting RCM and practices in improving the patient experience, efficient service delivery, and financial performance

Preferred Qualifications

Work Location: Remote: Texas or Colorado (preferred), Florida, New Hampshire, New Jersey, New York, Pennsylvania

Benefits

• Full-time base salary of $80,000-$110,000
• Medical, dental, vision benefits
• A matching 401K
• PTO (Personal Time Off)
• Sick time