Associate Director of Revenue Cycle Management, Patient Access and Accounts

Summary

Join CardioOne as an Associate Director of Revenue Cycle Management and lead the optimization of revenue cycle operations for cardiology practices. You will oversee front-end teams, ensuring compliance, fiscal sustainability, and member accountability. Responsibilities include collaborating with partners to review KPIs, improve workflows, and maintain payer portals. You will also monitor and exceed RCM KPIs, focusing on areas like scrub reductions and denials. This remote position reports to the VP of Revenue Cycle Management Operations and requires a Bachelor's degree or equivalent experience, along with 6-8 years of relevant RCM experience. CardioOne offers a competitive salary, 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 of financial reporting required
• Demonstrated analytical thinking and problem-solving ability. Can systematically and logically work to identify causation and resolve problems

Responsibilities

• Oversee and direct the strategic activities of revenue management for front-end teams and processes, supporting organizational compliance, fiscal sustainability, and member accountability
• Collaborate with practice partners, practice managers, and operations to routinely review KPI reports, recognize trends, perform root-cause analysis, and develop/deploy workflow improvement opportunities that adhere with policy and procedures
• Execute standardized policies and procedures to produce predictable high-quality financial outcomes for all practices
• Oversee the productivity and quality/accuracy of RCM functions (i.e., appropriate scheduling, authorization, scrubs/denials, insurance package maintenance, clinical inbox, patient portal inquiries, patient call resolution), providing training and education for continued adherence to workflows and scalability
• Support access reviews and maintenance of payer portals for accurate billing/collections and patient 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 patient-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 KPIs in Access Management targets (scrub reductions, missing slips management), Cost to Collect, 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

Athena Health EMR knowledge

Benefits

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