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Company

Cadence · 19 hours ago

Director of Billing Operations

United States

Full-time

Remote

Director/Executive

$130K/yr - $180K/yr

7+ years exp

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Health CareMedical

Comp. & Benefits

Hiring Manager

Joy Stukel

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Responsibilities

Oversee the day-to-day billing operations to ensure accurate, compliant, and timely billing practices. Responsibilities include validating insurance plans, calculating patient copayments, and ensuring accurate coverage for RPM, CCM, and APCM services.

Lead payor contract management, maintaining relationships with insurance providers and ensuring our billing aligns with contract terms. Help patients better understand financial obligations, providing clear and accurate information to support informed decision-making regarding their coverage and copayments.

Design and execute a roadmap for continuous process improvements to reduce errors, enhance efficiency, and align billing functions with Cadence’s growth trajectory. Work with product and technology teams to implement automation and data-driven decision-making tools that streamline billing processes.

Conduct comprehensive audits of billing operations to ensure alignment with collected data, health regulations, and billing codes. Develop robust audit frameworks to maintain the highest standards of accuracy, compliance, and reliability, staying informed of regulatory changes to update policies as needed.

Lead strategy to expand into commercial insurance markets by developing billing processes for new codes, ensuring we’re set up for success in these markets. Support the integration of APCM billing within Cadence, aligning with the future of value-based care as outlined in CMS’s 2025 proposed rule.

Collaborate closely with finance, product, and technology teams to ensure billing processes align with Cadence’s financial goals, reporting requirements, and technological infrastructure. Coordinate with external partners, including insurers and healthcare providers, to resolve issues and facilitate smooth billing operations.

Analyze billing performance data to identify trends, forecast opportunities for growth, and make informed, data-driven recommendations to senior leadership. Provide regular updates on KPIs, compliance, and operational metrics.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Healthcare Billing OperationsRPM ExpertiseCCM ExpertiseAPCM Billing ConceptsAudit ProcessesRegulatory ComplianceBilling Software ProficiencyEMR SystemsBilling Automation ToolsData AnalysisTelehealth PlatformsAdvanced Degrees/CertificationsRemote Team Management

Required

7+ years of experience in healthcare billing operations, preferably within health tech, with preferred demonstrated expertise in RPM, CCM, and understanding of APCM billing concepts.

Proven success in managing and improving billing teams, implementing audit processes, and maintaining regulatory compliance with Medicare, Medicaid, and commercial insurance guidelines.

Proficient in using billing software, EMR systems, and billing automation tools. Experience with process automation, data analysis, and telehealth platforms is highly valued.

Strong leadership, organizational, and communication skills with the ability to manage a remote team effectively.

Bachelor’s degree in Business, Healthcare Administration, Finance, or a related field; advanced degrees or certifications are a plus.

Benefits

Medical, dental, and vision insurance

Competitive salaries and stock options

TelaDoc (virtual primary care), and TalkSpace (online mental health services) memberships

Discounted Peloton memberships

Unlimited PTO and paid holidays

Remote equipment setup and home office stipend

Paid Parental Leave

401K and 401K match

Charitable Donation Match program

Company

Cadence

Cadence is a health technology company helping the nation’s most patient-centric health systems deliver more consistent, proactive healthcare every day.

Founded in 2020

New York, New York, USA

51-200 employees