Director, Revenue Cycle Management

ABOUT US

Circle Medical is the fastest-growing telemedicine provider in the US and has seen incredible growth of over 100% per year over the past three years.

Circle Medical is a venture-backed Y-Combinator healthcare startup on a mission to bring quality, delightful primary care to everyone on the planet. Built by top-tier physicians, engineers, and designers, our medical practice and underlying technology have pioneered how people find and receive care.

More about us can be found on our website.

DESCRIPTION

We are currently looking for a Director, Revenue Cycle Management to join the team at Circle Medical Technologies. As we continue to grow, we are constantly searching for exceptional talent to be a part of our team. This position may be based near one of our offices in New York, San Francisco, or be remote in the U.S. for the right candidate.

As Director, Revenue Cycle Management, you will work closely with and report to our CFO, and manage all functions of the organization’s medical billing and revenue cycle to maximize cash flow while maintaining and improving internal and external health plan/payor relations. The revenue cycle manager will contribute to the day-to-day operations on all issues related to the revenue cycle function, provide analysis, create written processes, and train others in implementing a cross-functional revenue cycle team. Our managers thrive in an innovative, fast-paced environment, and are comfortable with wearing multiple hats to ensure smooth sailing.

WHAT YOU’LL DO

• Responsible for overseeing and managing the financial operations related to the revenue cycle which include the following:
• Develop and implement strategies to optimize revenue cycle and maximize revenue generation
• Manage and lead revenue cycle team including Billing and coding manager, Patient billing manager
• Ensuring compliance with all regulations and guidelines such as HIPAA and CMS billing requirements
• Negotiate and maintain relationships with Commercial Payors to facilitate timely and accurate reimbursement
• Monitor and Analyze KPIs related to revenue cycle performance such as days in AR, denial rates and cash collections
• Manage EHR/Medical billing Partner, holding them accountable to contract obligations, and SLAs
• Identifying and implementing process improvements to enhance efficiency and effectiveness in revenue cycle operations
• Providing training and education to staff on revenue cycle processes, policies and procedures
• Conducting regular audits to ensure accuracy of billing practices and no revenue leakage
• Oversee Weekly billing processes, including reporting and account balancing

WHAT YOU’LL BRING

• Must have excellent organizational skills, communication skills, and the desire and ability to learn and move quickly
• Knowledge and experience working with big commercial payers
• Knowledge of professional fee billing, reimbursement, third-party payer regulation, and medical terminology is required
• Working knowledge of regulatory requirements pertaining to health care operations and their impact on operations
• Strong problem-solving skills and ability to make timely decisions
• Strong attention to detail
• Demonstrated coding and billing knowledge/experience preferred
• Experience with the provider payor credentialing process

WHAT WILL GIVE YOU AN EDGE

• Proven track record with other startups or VC funded companies
• Bachelor’s Degree in Business, Healthcare Administration or equivalent and a minimum of five (5) years of medical billing experience
• The ability to coordinate and negotiate rates and contracts on behalf of Circle Medical with commercial payers
• Command of revenue cycle management principles, including working knowledge of cash posting processes, medical record guidelines, coding, and accounts receivable follow-up (e.g. HCPCS, CPT, ICD codes)
• Manager/supervisory experience is a big plus