Manager, Revenue Cycle Management

Working Hours: US Hours (as per Pacific Standard Time)

Job Description:

2070 Health is seeking a strategic and results-driven candidate for the position of Manager, Revenue Cycle Management (RCM). This role is crucial for the initial operations of the company for our RCM offering, working on the entire revenue cycle process, including claims submission, accounts receivable, and payment posting.

Key Responsibilities:

• Process Setup & Optimization: Collaborate directly with the Head of RCM to build the end-to-end revenue cycle. Identify areas for process improvement and implement best practices to maximize revenue capture and minimize denials.
• End to End RCM: Work on complete RCM workflow from claim submission, account receivables to payment posting, independently at first and by leading the team once the team is put together.
• Compliance Management: Ensure compliance with all relevant US healthcare regulations, payer requirements, and internal policies. Stay informed about changes in healthcare laws and payer guidelines affecting the revenue cycle.
• Stakeholder Collaboration: Work closely with clinical, financial, and operational teams to ensure seamless integration of revenue cycle processes with overall business operations. Foster strong relationships with payers, vendors, and regulatory bodies.
• Technology Utilization: Leverage advanced billing software, electronic medical records (EMR) systems, and analytics tools to enhance revenue cycle efficiency and accuracy. Ensure that the entire team is comfortable with the technology available.
• Financial Reporting: Present regular reports to the leadership team on revenue cycle performance, including financial trends, risks, and opportunities.

• Education: Bachelor’s degree in healthcare administration, Finance, Business Management, or a related field. A master’s degree or relevant certification is preferred.
• Experience: Minimum of 6-8 years of experience in revenue cycle management, with at least 3 years as a team lead. Extensive experience in managing the RCM process within the US healthcare system, particularly in behavioral health.
• Skills Required:
• Deep understanding of entire RCM pipeline from benefits verification, charge entry, claim   submission, denial management, billing, accounts receivables and payment reconciliation
• Knowledge of coding standards (ICD-10, CPT), and US healthcare regulations.
• Proven track record of improving revenue cycle performance and reducing AR days.
• Excellent communication, negotiation, and interpersonal skills.
• Proficiency in RCM software, EMR systems, and data analytics tools.
• Strategic thinker with strong analytical abilities and problem-solving skills.
• Experience of working with Advanced MD, NextGen and Collaborate MD

Why Join Us?

At 2070 Health, you’ll be at the forefront of revolutionizing healthcare services for behavioral health. You will be the first employee in India who will be directly collaborating with our Head of RCM to serve our initial customers as well as build standard operating procedures. You will be an early part of the team and will get an opportunity to grow as the company expands.