Revenue Cycle Management (RCM) and Client Journey Director
About Thriveworks
Thriveworks is one of the leading mental healthcare companies in the USA, with over 2,800 employees, and was founded by and is still led by clinicians. Having just launched a new vision to be America’s most valued mental healthcare company, where our teams can fulfill their purpose and do their best work, where clients are treated with warmth and respect, and where communities benefit from access to high-quality care to heal and thrive in life, this company is ready for a new chapter.
About the Job
Thriveworks, a national mental health organization is currently seeking an RCM and Patient Journey Director. This role will be responsible for directing and administering the operation of Billing, Collections, and Payment Posting . The ideal candidate will have a strong background in leading process improvement with multiple stakeholders, with a strong focus on revenue improvement and financial counseling for our clients.
Key Responsibilities
This role will oversee multiple teams and will work with the Head of Revenue Cycle Management to coordinate all Revenue Cycle Management responsibilities, projects, and initiatives.
Monitor daily production of claims, denials, appeals, and identify ways to optimize cash posting and collections and maintain reporting
Be an effective change manager that can present data to explain why change is required and then execute the changes with minimal disturbance to ongoing operations
Collaborate with Center of Excellence to ensure that the client receives a transparent and pleasant billing experience
Maintain and/or create policies and procedures to ensure that staff are trained correctly and have a reliable resource
Ensure compliance with Federal, State, and payer specific billing requirements
Stay informed of industry trends and regulations to ensure that we have competitive RCM processes in place
Support vendor relationships to achieve goals and objectives
Support the integration of company mergers and acquisitions
Target revenue recovery efforts throughout the reporting areas by analyzing problems and presenting solutions. Present findings that can be shared with staff, leadership, and the external stakeholders.
Provide expectations and metrics to the staff that align with company goals
Lead and mentor the growth and development of the RCM staff by providing routine assessments of their performance
Drive RCM projects and implementation efforts and ensure timely completion
All other duties as assigned to support the improvement of the patient’s billing experience
Qualifications
Bachelor's degree in business administration, finance, healthcare administration, or a related field or equivalent experience required
10 + years in relevant healthcare and RCM leadership experience
Experience with self-developed systems planning, delivery, deployment, validation, and support
Strong data and analytical skills
Strong presentation skills and experience presenting and communicating with the executive team
Proven project management, transformation experience, and some knowledge of technology platforms
Thorough knowledge of patient financial standards relating to billing, collections and cash posting.
Superior critical thinking, analytical and problem-solving skills
Ability to lead cross-functional teams in Discovery and Development
Strong interpersonal skills with experience motivating and leading a group of long-tenured employees
Excellent communication, relationship building, time management, and organization skills are necessary
Ability to make quality, independent decisions as well as the ability to collaborate effectively to make decisions with other leaders
Ability to work in a high volume, fast-paced environment with tight deadlines and multiple interruptions
Requires up-to-date knowledge and understanding of Federal compliance and OIG initiatives that impact the healthcare industry
Benefits
An amazing team culture
Professional development & advancement opportunities
401K with 3% employer match
Healthcare, Dental, Vision, and life insurance benefits
Paid time off and paid holidays
Professional EAP program for team members & household
Additional coverage options available such as Short Term Disability, Long Term
Successful Thriveworks employees believe in our mission to help people live happy, healthy lives. They also embody our core values, which focus on the ability and willingness to adapt, raise the bar, act with integrity, achieve our goals, and work well together. If you think you fit the bill and belong on our team, apply today!
Physical demands for Thriveworks positions may include being sedentary for long periods of time. Entering text or data into a computer by means of a traditional keyboard is also a requirement.
Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team.
Interested in joining Team Thriveworks? We're thrilled to meet you!
With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team:
If you see a scam related to Thriveworks, please report to infosec@thriveworks.com. You can contact employment@thriveworks.com with any questions or concerns.
Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team.
By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.
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