Job details

Senior Revenue Cycle Associate

Who we are:

Each year, 2 billion people across the world are limited by physical pain. By helping people live without pain, they are free to do the things they love most with the people they love—and never miss a moment. This is what we do. We create and design new technologies to solve one of the biggest problems in healthcare: taking care of our Physical Health. Sword Health is the world’s fastest growing digital musculoskeletal (MSK) care provider on a bold mission to free two billion people from acute, chronic, and post-surgical physical pain . Our customers include some of the most progressive Fortune 100 and 500 companies, as well as over 160+ other established businesses across the world.

The Sword program allows members to complete a personalized physical therapy program from the comfort of home, with continued support and supervision from one of our talented SWORD specialists. Sword’s personalized care is more effective than traditional standards of care, and has proven to deliver best-in-class clinical results. Since breaking into the market less than two years ago, Sword has worked with insurers, health systems, and employers in the U.S., Canada, Europe, and Australia to make high quality musculoskeletal care accessible to everyone.

This is an opportunity to join Sword during a time of hyper growth and expansion. After our recent $2bn valuation, we’re excited to continue accelerating our impact by scaling with high caliber people with passion, commitment and energy to create and deliver technologies, services and products that drive human progress forward.

We welcome you to join our mission, to make a difference on a grand scale and play a pivotal role with a global team at Sword– working alongside great people pioneering novel products and cutting edge technologies.

The Role:

Sword Health is looking for someone with a background in Revenue Cycle Management (RCM) and an understanding of the mechanics and complexity of healthcare reimbursement. We are seeking an individual who thrives in working cross functionally and is passionate about digging into Product, Commercial and Operational processes that tie directly to Sword product monetization. This individual will be instrumental in independently executing on organization-wide initiatives related to reimbursement but also in improving existing RCM processes that support our exponential growth. This person should be comfortable manipulating data to report on the financial stability of our business directly to leadership.

In summary, we are looking for an individual who is a self-starter, passionate about Revenue Cycle, someone who can see the ‘big picture’ but is also willing to roll up their sleeves and get their hands ‘dirty’. Finance and accounting experience is a plus, but not required. Startup experience is a plus but not a must. The ideal candidate will have experience in Revenue Cycle and/or Healthcare Consulting.

Responsibilities:

Independently own Revenue Cycle initiatives from inception through execution, building comprehensive project plans and working with cross functional stakeholders as needed
Build scalable billing practices from pre-submission to post-submission with the ultimate goal of accelerating cash collections
Project manage parts of the entire Revenue Cycle function in regards to setting up new payment structures as Sword Health expands product offerings
Identify and implement areas of improvement in Sword’s revenue cycle, while also developing documentation for how to achieve these
Examples: Claims submission & Rejection troubleshooting, Denials and A/R management, accelerated cash collections
Work cross-functionally with the Product team to introduce more automation in our claim and invoice billing processes
Work closely with the engineers to test new billing tool features and further automate end-to-end revenue cycle processes
Collaborate with the Data / Analytics team to build reporting related to RCM KPIs.
Report out on key revenue cycle metrics (e.g. denial rate, write-off percentage, charge lag and time to cash) and identify ways to improve these moving forward
Own the end-to-end new client billing lifecycle which includes participating in external calls with clients, payers, health plans; representing Sword as the reimbursement SME
Confidently explain Sword’s reimbursement model and work with external partners to obtain any necessary information for accurate and timely collections
Collaborate cross-functionally with Commercial and Legal teams to ensure we are able to bill our new clients, and escalate any reimbursement issues as needed
Train and educate any new RCM team members on best practices and industry benchmarks related to digital health reimbursement

Requirements:

At least 1.5 - 2 years of experience in healthcare provider revenue cycle, preferably in a consulting or analytics role
Working knowledge of industry best practices in RCM processes: billing, charge capture, contractual adjustments, third-party reimbursements, and cash collections Experience working cross-functionally with different teams and project managing internal projects with multiple competing stakeholders
Attention to detail and comfort independently solving problems
Efficient written and verbal communication skills
Advanced Excel skills
Persistence when working and communicating with insurance payers
Fundamental knowledge of revenue integrity (i.e. CPT and ICD-10 coding) Comfortable working with the ambiguity of a fast-paced startup
Degree in healthcare management, accounting, finance or business preferred, but not required

Sword is proud to be an Equal Employment Opportunity employer. We champion diversity and are committed to building a team that represents a variety of backgrounds, perspectives and skills. At SWORD, we believe that diversity and inclusion among our applicants and team members is critical to our success as a global company. The more inclusive and diverse we are, the bigger our impact will be.

Sword Benefits

Comprehensive health, dental and vision insurance

Equity Shares

401(k)

Unlimited Vacation

Paid Holidays

Flexible working hours

Work from home

Parental leave

Free Digital Therapist for your family

Sword Health Glassdoor Company Review

4.2

Sword Health DE&I Review

4.4

CEO of Sword Health

Virgilio Bento

Approve of CEO

By Sword Health

Sword Health is a healthcare company that aims to free 2 billion people from pain by creating the first and only end-to-end global platform to prevent, manage, and treat pain while saving clients millions in healthcare costs.

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