Revenue Cycle Manager

\u003ch2\u003e\u003cstrong\u003eAbout Remo\u003c/strong\u003e\u003c/h2\u003e\u003cp style=\"min-height:1.5em\"\u003eRemo is building the new standard of dementia care. As a virtual provider, our expert clinical team designs care around patient and family needs (instead of a one-size fits all approach). We replace the fragmented, expensive, and painful dementia care journey with an intuitive, end-to-end experience for patients and their family caregivers. Our care model empowers patients to age in place, surrounded by those they love. We also empower family caregivers with a vibrant community of other caregivers, expert content, and tools to manage the path ahead. With Remo, caregivers get the support they deserve.\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e\u003c/p\u003e\u003ch2\u003e\u003cstrong\u003eAbout the Role\u003c/strong\u003e\u003c/h2\u003e\u003cp style=\"min-height:1.5em\"\u003eThe Revenue Cycle Manager will report to the Head of Clinical Operations. You will be responsible for working across diverse stakeholders to help drive the direction of Remo’s growth from contracting \u0026amp; credentialing through billing \u0026amp; collections. Given the nuances of our care model and the patient populations Remo serves, this role is a unique opportunity for someone with:\u003c/p\u003e\u003cul style=\"min-height:1.5em\"\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eExpertise across payor contracting: research of new payors, contract application, contract and rate negotiation, follow-up procedures, contract resubmissions\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eSupport LC\u0026amp;E: provider credentialing, CAQH maintenance, credentialing, re-credentialing, etc.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eDeep experience creating and managing the end-to-end RCM process: insurance eligibility, claims submission, payor follow-up, appeals and resubmissions, rejected claims, write-offs, etc.\u003c/p\u003e\u003c/li\u003e\u003c/ul\u003e\u003ch2\u003e\u003cstrong\u003eWhat You’ll Be Doing\u003c/strong\u003e\u003c/h2\u003e\u003cul style=\"min-height:1.5em\"\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eManage the end-to-end coding and billing process for all clinical services (requires a thorough understanding of systems, process, and service-specific telehealth coding and billing requirements)\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eIdentify and execute on opportunities for revenue cycle improvement and revenue cycle transformation projects including documentation and coding (e.g. optimizing codes Remo is currently billing, and providing expertise in new codes to be considered under value-based and fee-for-service contracts)\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eOwn reimbursement related issues, including contract/underpayment and denial management\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eOwn Remo billing compliance, policies, procedures, and ensuring adherence and ongoing internal audit of billing compliance, policies, and procedures.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eDevelop SOP’s and provide training to clinical staff as required.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eProvide leadership to the revenue cycle management team and build out standard reporting for contracting \u0026amp; credentialing and revenue cycle management KPIs.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eCommunicate with clinical staff regarding coding and billing best practices, guiding individual and service level improvements, and supporting the organization’s overall financial goals and performance\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003ePartner 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 identify and fix any billing issues that arise.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eStay current with regulatory, third-party payor and contractual changes affecting the revenue cycle to ensure compliance: communicate findings with cross functional stakeholders.Interface with and build relationships with key external stakeholders; including other providers, payers, government entities and applicable professional associations\u003c/p\u003e\u003c/li\u003e\u003c/ul\u003e\u003ch2\u003e\u003cstrong\u003eYou May Be a Good Fit if You\u003c/strong\u003e\u003c/h2\u003e\u003cul style=\"min-height:1.5em\"\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eHave at least 2 years RCM experience in a remote, telehealth practice.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eHave at least 5-7 years of experience in healthcare provider revenue cycle management leading RCM teams.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eHave at least 3-5 years of experience leading RCM with both CMS (Medicare, MA, and Medicaid) and commercial payers\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eHave experience creating, building and implementing systems from scratch.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eHave expertise in telemedicine billing and coding for dementia care, caregiver support, G Codes, etc. Ideally in multiple states.Have built out, implemented and maintained revenue cycle knowledge integrity at-scale (e.g. CPT, ICD-10, G Codes)\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eHave working knowledge of industry best practices in Revenue Cycle processes in telehealth: billing, charge capture, contractual adjustments, third-party reimbursements, and collections and cash management\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003ePosses exceptional written and verbal communication skills\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eLove optimizing work processes: knowing the most effective and efficient processes to get things done, with a focus on continuous improvement\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eHave strong qualitative, analytical and problem-solving skills\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eHave built effective teams\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eHave experience working cross-functionally with different teams\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eHave project management experience\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eAre action-oriented: you enjoy taking on new opportunities/tough challenges and do so with a sense of urgency, high energy, and enthusiasm\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eAre comfortable with ambiguity and iterating quickly\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eAre persistent\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eAppreciate collaboration and teamwork\u003c/p\u003e\u003c/li\u003e\u003c/ul\u003e\u003ch2\u003e\u003cstrong\u003eYou’re the Ideal Candidate If You Have\u003c/strong\u003e\u003c/h2\u003e\u003cul style=\"min-height:1.5em\"\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eExperience with value-based contracts -- ideal to have experience with specific alternative payment models (e.g. ACO reach, PCF, full-risk primary care, etc)\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eFinancial management skills, including the ability to financially analyze data for operations, budgeting, auditing, forecasting.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eCash-flow management skills, including forecasting and managing A/R.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eA degree in public health or related degree preferred, but not required.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp style=\"min-height:1.5em\"\u003eA billing/coding specialist certification\u003c/p\u003e\u003c/li\u003e\u003c/ul\u003e\u003cp style=\"min-height:1.5em\"\u003e\u003cstrong\u003e\u003cu\u003eMedical\u003c\/u\u003e\u003c\/strong\u003e\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e• 100% Company-paid medical premiums for you and your dependents with HSA options\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e• Dental and vision plans (50% company-paid premium on employee’s dental plan)\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e• Dependent care FSA\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e • Rightway Health, clinical care navigator\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e• Employee Assistance Program\u003c/p\u003e\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e\u003cstrong\u003e\u003cu\u003eFinancial\u003c\/u\u003e\u003c\/strong\u003e\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e• 100% 401(k) match of up to 4%\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e• $80 / month stipend for cell and wifi\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e\u003cstrong\u003e\u003cu\u003eTime Off\u003c\/u\u003e\u003c\/strong\u003e\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e• 20 days of PTO and 11 paid holidays\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e• 5 days sick leave\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e• 16 weeks fully paid parental leave for birthing parents and 8 weeks for non-birthing parents\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e• Bereavement leave and pregnancy loss leave\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e\u003cstrong\u003e\u003cu\u003eOpt-In Ancillary Options:\u003c\/u\u003e\u003c\/strong\u003e\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e• Short-term and long-term disability insurance\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e• Life insurance\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e• Critical illness, accident, and hospital indemnity insurance\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e• Pet insurance\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e• Legal advice\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003e \u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003cem\u003eRemo aims to reduce health inequities by improving access to affordable, high-quality dementia care. Embracing diversity and equal opportunity are core to that mission--these principles shape our culture, the products we build, and the services we deliver. We celebrate a variety of backgrounds, perspectives, and skills, reflecting the diversity of the caregivers and patients we serve.\u003c/em\u003e\u003c/p\u003e\u003cp style=\"min-height:1.5em\"\u003cem\u003eWe use\u003c/em\u003e\u003ca target=\"_blank\" rel=\"noopener noreferrer nofollow\" href=\"https://www.e-verify.gov/\"\u003e\u003cem\u003e cueE-Verify\u003c/u\u003e\u003c/em\u003e\u003c/a\u003e\u003cem\u003e to confirm the identity and employment eligibility of all new hires:\u003c/em\u003e\u003ca target=\"_blank\" rel=\"noopener noreferrer nofollow\" href=\"https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf\"\u003e\u003cem\u003e cuParticipation Poster\u003c/u\u003e\u003cem\u003e\u003c/a\u003e\u003cem\u003e (PDF),\u003c/em\u003e\u003ca target=\"_blank\" rel=\"noopener noreferrer nofollow\" href=\"https://www.e-verify.gov/sites/default/files/everify/posters/IER_RightToWorkPoster%20Eng_Es.pdf\"\u003e\u003cem\u003e uRight to Work Poster\u003c/u\u003e\u003cem\u003e\u003c/a\u003e\u003cem\u003e\u003c/u\u003e(PDF)\u003c/em\u003e\u003c/p\u003e