Senior Director, Revenue Cycle Management
Virta HealthFull Time
Expert & Leadership (9+ years)
The ideal candidate will have at least 2 years of RCM experience in a remote telehealth practice and 5-7 years of experience in healthcare provider revenue cycle management, including leading RCM teams. They should also possess 3-5 years of experience leading RCM with both CMS and commercial payers, experience creating and implementing systems from scratch, and expertise in telemedicine billing and coding for dementia care and caregiver support, ideally in multiple states. A working knowledge of industry best practices in telehealth revenue cycle processes is also required.
The Revenue Cycle Manager will manage the end-to-end coding and billing process for all clinical services, identifying and executing opportunities for revenue cycle improvement and transformation, including documentation and coding optimization. They will own reimbursement-related issues, manage contract/underpayment and denial management, and ensure Remo billing compliance through policies, procedures, and internal audits. Responsibilities also include developing SOPs, providing training to clinical staff, leading the revenue cycle management team, building standard reporting for KPIs, and communicating best practices to clinical staff. The manager will partner with Engineering, Product, and Operations teams to automate claims billing processes and resolve billing issues, stay current with regulatory and payor changes, and interface with external stakeholders including providers, payers, and government entities.
Digital health platform for managing wellbeing
RVO Health provides a platform that simplifies health and wellness management for nearly 100 million users each month. The company connects individuals and families with reliable health information, doctors, and hospitals, making it easier for them to navigate their healthcare options. RVO Health's digital platforms offer expert-reviewed content and personalized experiences, helping users make informed decisions about their health. Unlike many competitors, RVO Health focuses on accessibility and affordability, ensuring that users can find the right care without confusion. The company's goal is to enhance health outcomes by providing comprehensive support throughout the health journey, from finding care providers to managing overall wellbeing.