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foodsmart

foodsmart - Director, Revenue Cycle Management

Remote - USA3d ago
RemoteDirectorNAPaymentsRevenue AccountantCoachingKPI TrackingContract Negotiation

Requirements

• 8+ years of expertise in revenue cycle management, with 2-3 years of management experience. • Exceptional negotiation and conflict-resolution skills; experience working closely with health plan partners to resolve payment issues favorably. • Deep expertise with CMS regulations and commercial payer behaviors. • Experience working with different EMR and RCM softwares, as well as a diverse set of health plan portals; system migration experience a plus • Tangible outcomes throughout your career and proven curiosity to enhance systems and processes for improved claims collections and data visibility.

Responsibilities

• Own the end-to-end collections process: develop, maintain, and be held accountable for high-accuracy collections forecasts, ensuring senior leadership has clear visibility into cash flow. • Build and enforce a high-discipline collections engine from the ground up. This includes (but is not limited to) standardizing recovery cadences, eliminating revenue leakage points, and institutionalizing a "zero-loss" mentality to achieve and maintain best-in-class net collection rates. • Identify bottlenecks and design/implement workflows that aggressively reduce denials and shorten the AR lifecycle. • Strategically partner with the growth teams during contract negotiation to set up clients for success. • Serve as the ultimate "closer" for complex billing disputes, working directly with health plan partners to resolve systemic payment issues and negotiate favorable settlements. • Act as the primary point of escalation for clients, translating complex billing hurdles into clear, actionable updates, building trust through relentless transparency and results. • Partner with Finance, Legal, and Ops to ensure billing strategies are perfectly synced with company growth. • Drive the team’s KPIs. You will track recovery rates and payer behavior, using data to pivot strategies in real-time. • Lead the team who manages the end-to-end customer billing processes and experience and all billing communications, ensuring a seamless process for both patients and health plans. • A fearless problem-solver who takes immediate ownership of the landscape: assessing current state, designing a new strategy and process, and executing on that strategy. • A fierce advocate for Foodsmart, driving collections efforts for the organization with a constant focus on our bottom line. • A player-coach, driving a team to maximum productivity while directly contributing to those efforts. • An adaptable and collaborative professional, able to evolve with the business and work well cross-functionally.

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