Job

Corporate - Director of Revenue Cycle Management

Position Description

The Director of Revenue Cycle Management oversees all RCM activities for Blue Sky Telehealth, a division of CarePoint Health. This position reports to the Blue Sky Neurology Vice President of Operations and is responsible for the operational and strategic oversight of end-to-end revenue cycle management, including facility/client engagement, across 28 states and multiple large hospital systems. This position does not have direct reports and instead oversees a third party billing vendor and will liaison with multiple internal teams to create strategy and identify and resolve issues. The Director of Revenue Cycle Management is a self-starter and problem solver who is excited to work in the quickly evolving landscape of inpatient professional telehealth billing.

Position Requirements

Education:

Master’s degree or equivalent experience required.

Experience:

  • A minimum of five years of supervisory experience in a medical billing environment.
  • Telehealth experience preferred.
  • Full cycle billing experience preferred.

Knowledge/Skills/Abilities

  • Maintains knowledge of compliance with state & federal laws, regulations for Medicare, Medicaid, managed care and other third party payers
  • Demonstrated experience to include counseling, analysis, collaborative teamwork, professional communications and interactions, advocacy, financial management, and customer service.
  • Proficient with Google Suite and Microsoft Suite.
  • Strong written and verbal communication skills.
  • Ability to manage projects from end-to-end.
  • Able to work as part of team and independently.

Job Responsibilities

  • Works across Blue Sky and CarePoint teams to access data, RCM resources, payer contracting services, and legal services to create and implement an RCM strategy for Blue Sky Telehealth.
  • Implements payer billing practices for existing and new facility/client contracts to include facility/client engagement, vendor engagement, and Professional Service Agreement amendments.
  • Conducts daily, weekly, and monthly monitoring of all outstanding claims and invoices to ensure timely resolution of issues and payment.
  • Ensures analysis and correction of root causes of denials, billing errors, vendor errors, etc.
  • Researches and identifies denial trends and collaborates with insurance carriers and others to resolve issues and reduce the impact to the claims.
  • Documents, communicates, and provides training on all findings to the clinical and operational leadership team.
  • Resolves escalated reimbursement issues with payers.
  • Other duties as assigned.

Salary Range

$120,000 - $160,000

Position Location

Hybrid
Greenwood Village, CO

Current Openings

1