Revenue Cycle Manager

Remo is building the new standard of dementia care. As a virtual provider, our expert clinical team designs care around patient and family needs (instead of a one-size fits all approach). We replace the fragmented, expensive, and painful dementia care journey with an intuitive, end-to-end experience for patients and their family caregivers. Our care model empowers patients to age in place, surrounded by those they love. We also empower family caregivers with a vibrant community of other caregivers, expert content, and tools to manage the path ahead. With Remo, caregivers get the support they deserve.

The Revenue Cycle Manager will report to the Head of Clinical Operations. You will be responsible for working across diverse stakeholders to help drive the direction of Remo’s growth from contracting & credentialing through billing & collections. Given the nuances of our care model and the patient populations Remo serves, this role is a unique opportunity for someone with:

• Expertise across payor contracting: research of new payors, contract application, contract and rate negotiation, follow-up procedures, contract resubmissions

• Support LC&E: provider credentialing, CAQH maintenance, credentialing, re-credentialing, etc.

• Deep experience creating and managing the end-to-end RCM process: insurance eligibility, claims submission, payor follow-up, appeals and resubmissions, rejected claims, write-offs, etc.

• Manage the end-to-end coding and billing process for all clinical services (requires a thorough understanding of systems, process, and service-specific telehealth coding and billing requirements)

• Identify and execute on opportunities for revenue cycle improvement and revenue cycle transformation projects including documentation and coding (e.g. optimizing codes Remo is currently billing, and providing expertise in new codes to be considered under value-based and fee-for-service contracts)

• Own reimbursement related issues, including contract/underpayment and denial management

• Own Remo billing compliance, policies, procedures, and ensuring adherence and ongoing internal audit of billing compliance, policies, and procedures.

• Develop SOP’s and provide training to clinical staff as required.

• Provide leadership to the revenue cycle management team and build out standard reporting for contracting & credentialing and revenue cycle management KPIs.

• Communicate with clinical staff regarding coding and billing best practices, guiding individual and service level improvements, and supporting the organization’s overall financial goals and performance

• Partner with the Engineering, Product, and Operations teams to continue to introduce automation to our claims billing processes across value based and fee for service contracts as well as identify and fix any billing issues that arise.

• Stay current with regulatory, third-party payor and contractual changes affecting the revenue cycle to ensure compliance: communicate findings with cross functional stakeholders.Interface with and build relationships with key external stakeholders; including other providers, payers, government entities and applicable professional associations

• Have at least 2 years RCM experience in a remote, telehealth practice.

• Have at least 5-7 years of experience in healthcare provider revenue cycle management leading RCM teams.

• Have at least 3-5 years of experience leading RCM with both CMS (Medicare, MA, and Medicaid) and commercial payers

• Have experience creating, building and implementing systems from scratch.

• Have expertise in telemedicine billing and coding for dementia care, caregiver support, G Codes, etc. Ideally in multiple states.Have built out, implemented and maintained revenue cycle knowledge integrity at-scale (e.g. CPT, ICD-10, G Codes)

• Have working knowledge of industry best practices in Revenue Cycle processes in telehealth: billing, charge capture, contractual adjustments, third-party reimbursements, and collections and cash management

• Posses exceptional written and verbal communication skills

• Love optimizing work processes: knowing the most effective and efficient processes to get things done, with a focus on continuous improvement

• Have strong qualitative, analytical and problem-solving skills

• Have built effective teams

• Have experience working cross-functionally with different teams

• Have project management experience

• Are action-oriented: you enjoy taking on new opportunities/tough challenges and do so with a sense of urgency, high energy, and enthusiasm

• Are comfortable with ambiguity and iterating quickly

• Are persistent

• Appreciate collaboration and teamwork

• Experience with value-based contracts -- ideal to have experience with specific alternative payment models (e.g. ACO reach, PCF, full-risk primary care, etc)

• Financial management skills, including the ability to financially analyze data for operations, budgeting, auditing, forecasting.

• Cash-flow management skills, including forecasting and managing A/R.

• A degree in public health or related degree preferred, but not required.

• A billing/coding specialist certification

Medical

• 100% Company-paid medical premiums for you and your dependents with HSA options

• Dental and vision plans (50% company-paid premium on employee’s dental plan)

• Dependent care FSA

• Rightway Health, clinical care navigator

• Employee Assistance Program

Financial

• 100% 401(k) match of up to 4%

• $80 / month stipend for cell and wifi

Time Off

• 20 days of PTO and 11 paid holidays

• 5 days sick leave

• 16 weeks fully paid parental leave for birthing parents and 8 weeks for non-birthing parents

• Bereavement leave and pregnancy loss leave

Opt-In Ancillary Options:

• Short-term and long-term disability insurance

• Life insurance

• Critical illness, accident, and hospital indemnity insurance

• Pet insurance

• Legal advice

Remo aims to reduce health inequities by improving access to affordable, high-quality dementia care. Embracing diversity and equal opportunity are core to that mission--these principles shape our culture, the products we build, and the services we deliver. We celebrate a variety of backgrounds, perspectives, and skills, reflecting the diversity of the caregivers and patients we serve.

We use E-Verify to confirm the identity and employment eligibility of all new hires: Participation Poster (PDF), Right to Work Poster (PDF)