Amae Health · 1 day ago
Director of Revenue Cycle Management
Health CareMedical
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Responsibilities
Design and implement RCM systems, policies, and procedures from the ground up, tailoring them to our unique startup environment.
Lead and nurture a growing team, focusing on achieving strategic goals and fostering a culture of excellence and collaboration.
Drive the transition from outsourced RCM processes to a robust in-house operation, ensuring seamless integration and efficiency.
Develop and oversee operational workflows and processes, enhancing efficiency, and productivity through innovative solutions.
Review and understand payer contracts to understand payer requirements and advised on practices to maximize contract value
Implement and monitor RCM best practices, track key performance indicators (KPIs), and devise strategies for operational excellence.
Ensure compliance with industry standards and regulations, maintaining a secure and ethical work environment.
Recruit, train, and mentor team members, establishing performance benchmarks and fostering professional development.
Direct all aspects of the revenue cycle, including billing, claims submission, collections, and client billing processes, ensuring accuracy and timeliness.
Collaborate with internal teams to refine RCM-related workflows and tools, ensuring clear communication and effective integration.
Manage relationships with external vendors and evaluate third-party tools for enhancing RCM operations.
Regularly analyze and report on RCM performance metrics, guiding strategic decisions to optimize financial outcomes.
Qualification
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Required
Minimum of 7 years in healthcare provider revenue cycle management, with a strong preference for behavioral health and telemedicine expertise.
Bachelor's degree in Business, Healthcare Management, or a related field.
Strong analytical skills for data interpretation and excellent communication abilities for diverse organizational levels.
Proven experience in building and leading teams, including hiring and performance management.
Deep understanding of professional fee billing, reimbursement, third-party payer regulations, and medical terminology.
Ability to read and understand complex payer contracts and to effectively work with care teams to optimize revenue capture for services delivered.
Proficiency in Google Suite, advanced Excel/Google Sheets, and familiarity with multiple Practice Systems (e.g., Open PM, Theranest, Athena).
Ability to work in a dynamic, fast-paced startup environment with a knack for creative problem-solving and adaptability.
Knowledge of the insurance landscape, especially mental health billing, and compliance requirements in healthcare.
Benefits
Medical, Dental & Vision Insurance
Paid time off
401(k)
Company
Amae Health
Amae Health is a wellness clinic that offers care for people with mental illness.
Funding
Current Stage
Early StageTotal Funding
$15MKey Investors
Quiet CapitalVirtue
2024-04-26Series A· $15M
2022-04-19Seed
Recent News
Behavioral Health Business
2024-12-18
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2024-12-17
2024-05-24
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