ARC Health · 8 hours ago
Director of Revenue Cycle Management
United States
Full-time
Remote
Director/Executive
10+ years exp
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Hiring Manager
Carla DiCanio
Insider Connection @ARC Health
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Responsibilities
Develop and execute strategies for improving revenue cycle operations and ensuring timely, accurate reimbursement for services.
Provide leadership, training, and development opportunities to the RCM team, fostering a culture of continuous improvement and high performance.
Collaborate with senior leadership to establish RCM goals that align with the overall objectives of the organization.
Oversee the end-to-end revenue cycle process, including insurance verification, coding, billing, claims management, and collections.
Assist in optimizing coding accuracy for behavioral health services to ensure compliance with payer requirements and improve reimbursement rates.
Manage the denial management process, working with appropriate teams to address and resolve denied claims effectively.
Ensure accurate and timely billing practices and adherence to payer policies and regulatory standards.
Monitor and report on key performance indicators (KPIs) related to revenue cycle functions, such as Days Sales Outstanding (DSO), claim rejection rates, and collection percentages.
Ensure all revenue cycle operations comply with federal, state, and payer-specific regulations and requirements, particularly as they pertain to behavioral health services.
Stay up-to-date on changes in healthcare regulations, including insurance rules and coding practices, to ensure compliance across the organization.
Conduct regular audits of revenue cycle processes to identify areas for improvement and mitigate financial risk.
Partner with clinical, operational, and finance teams to address and resolve any revenue cycle challenges.
Foster strong relationships with external billing partners, insurance companies, and other stakeholders involved in the RCM process.
Drive initiatives to reduce costs and increase revenue through process improvements and operational efficiencies
Analyze data to identify trends, optimize processes, and implement solutions to enhance overall revenue cycle effectiveness.
Prepare and present regular reports on revenue cycle performance to executive leadership.
Qualification
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Required
At least 10 years of experience in healthcare revenue cycle management
Mastery with end to end Revenue Cycle
2 years experience in leading a team directly
Proficient with Microsoft Office Suite or similar software.
Strong background in EHR and Practice Management Software
Strong knowledge of medical billing codes (ICD-10, CPT, HCPCS) as they relate to behavioral health services.
Experience working with managed care organizations, including Medicaid, Medicare, and commercial payers.
Ability to navigate payer relations, including understanding contracts, claims, and reimbursement issues.
Excellent interpersonal, verbal, and written communication skills.
Excellent time management skills and ability to meet deadlines.
Ability to abide by ethical guidelines and policies, including strict adherence to confidentiality and HIPAA guidelines.
Preferred
2 years of experience with Behavioral Health revenue cycle management
Company
ARC Health
ARC Health is a premier group of mental healthcare company.
1,001-5,000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Spark Growth Ventures
2024-05-24Private Equity· undefined
2023-08-23Private Equity· undefined
2022-08-05Private Equity· undefined
Leadership Team
Vincent Morra
Chief Executive Officer
Recent News
Behavioral Health Business
2024-11-02
2024-05-24
PR Newswire
2024-01-27
Company data provided by crunchbase
