Head of Revenue Cycle Management

Summary

Join Form Health, a rapidly growing telemedicine weight loss clinic, as their Head of Revenue Cycle Management. You will build and scale the company's end-to-end revenue cycle management function, analyzing procedures, tracking performance, and leading improvements. This role involves managing a team, developing KPIs, establishing reporting cadences, and optimizing workflows. Success requires strong quantitative analysis skills and experience in a healthcare RCM function. You will partner with cross-functional teams to improve performance and inform business decisions. Form Health offers competitive salary and equity, comprehensive health benefits, 401k, flexible work schedules, paid time off, and paid parental leave.

Requirements

• At least 5 years experience in RCM
• Highly adaptable and thrives in fast-paced environments; excited to solve problems within the ambiguity and limited structure of a high-growth start-up
• Desire to build, create, and learn; the right candidate will have a growth mindset and a high level of intellectual curiosity
• Knowledge of the healthcare revenue cycle’s practices, procedures, concepts, and component operations, including billing, collections, charge capture, contractual terms, third-party reimbursements, and cash management
• Strong business intuition and familiarity with financial concepts
• Strong written and verbal communication skills, with the ability to work effectively with cross-functional partners at all levels of the organization
• Experience working with revenue cycle information systems or system implementation teams for complex projects, application development, and support
• Organizational and project management skills and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule

Responsibilities

• Build an efficient, scalable RCM function at Form Health and manage the day-to-day RCM operations
• Oversee the RCM function at Form Health and help drive long-term decision-making and operational execution for future growth
• You’ll initially manage one Revenue Cycle Analyst, with the opportunity to further build the team over time
• Continue to evolve the right set of KPIs to assess and monitor RCM health
• Establish a regular cadence for ongoing RCM reporting
• Identify opportunities for improvement and lead us to solutions or better outcomes
• Develop and implement improved revenue cycle processes and procedures from intake to collections
• Build processes and systems that can support our rapid growth utilizing data and tech-enabled solutions where possible
• Identify and lead the implementation of our RCM tech stack
• Optimize the team’s workflows to ensure the most efficient execution and predictable strong results
• Drive outcomes and improve visibility into company cash flow and other core financial metrics
• Partnering with finance, product, operations, and other cross-functional partners to improve performance and help inform business decisions
• Serve as the primary point of contact and the voice of RCM across the organization
• Work closely with other teams to enable holistic solutions to billing and collections challenges
• Become our resident expert on the key performance indicators through which we can assess and manage progress in the RCM function including DSO, Cash to Rev, A/R over 90, clean claim percentage
• Conduct a review of the existing processes and procedures for billing and collections to identify strengths, risks, and opportunities for improvement
• Improve data and reporting capabilities to provide better visibility into RCM performance
• Partner with the finance team to identify key RCM performance drivers and more accurately and efficiently forecast RCM and cash outcomes
• Identify, plan, and implement a robust tech stack that can scale rapidly with our business
• Establish a regular cadence of RCM reporting and analysis to provide better visibility into billing and collections for key stakeholders
• Embed with the finance team to improve cash collections and visibility by driving more efficient RCM processes
• Build a long-term plan for the RCM function at Form Health, including team growth and tech enablement, to support our 3+ year growth plans
• Develop and execute strategic plans to onboard new commercial payers, ensuring alignment with RCM goals and objectives, such as favorable rates and contract terms
• Prepare for financial audits by ensuring procedural compliance in revenue reporting and collection

Preferred Qualifications

• As a consultant to growing healthcare organizations
• Experience cultivating strong relationships with commercial payers, including the ability to generate and oversee mass claim reconsideration projects
• Billing and accounts receivable analysis/management experience

Benefits

• Competitive salary and equity in a high growth start-up
• Comprehensive health benefits (medical, dental, vision)
• 401k
• Flexible work schedules and paid time off
• Paid parental leave