Director of Revenue Cycle Management

Overview:

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time

Groups Recover Together was founded in 2014 to make treatment for opioid addiction respectful, accessible and affordable. We empower our members to regain control of their lives through a combination of community support, outpatient weekly group therapy and medication to manage withdrawal using buprenorphine and naltrexone.

Some perks we think you will like:

• Paid holidays and vacation time that starts on day one
• Paid time off for all Groups employees to rest and recharge
• Medical, dental, and vision insurance for your whole family, plus HSA and FSA
• Refunds for career training, certifications, license fees, and STAR LRP
• 401k plan with a 3% match after 90 days – ROTH option available
• Flexibility with a hybrid schedule

Responsibilities:

The Director of Revenue Cycle will serve a key leadership role in the revenue cycle process, reporting to the CFO.

• Provide strategic direction for the revenue cycle function at Groups. Drive innovation, operational and technological enhancements, and standardization by leveraging best practices and processes.
• Develop a comprehensive strategy to respond to current and future challenges presented by legislation and compliance in order to monitor and address changing revenue cycle practices
• Maintains functional accountability for the insurance claim function which includes: monitoring the status of claims and denials management
• Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement
• Manage the relationship with outsourced billing partner to ensure accuracy and efficiency of claims handled via third party.
• Provide timely and accurate reporting to the finance team to support the month-end close process.
• Collaborate with the corporate team to establish and drive departmental and organizational key performance indicators (KPIs) and dashboards around revenue cycle operations.
• Develop and implement operational policies and procedures governing revenue cycle management and billing compliance for the organization.
• Investigate and analyze issues, root causes, patterns, or trends and identify and implement process improvement actions in support of revenue cycle objectives.
• Optimize revenue cycle management systems to improve efficiency and accuracy of both billing and collections efforts
• Other duties as assigned.

Qualifications:

• Bachelor’s in Business, Finance, Accounting, Health Management or related field
• At least ten years of experience in billing or revenue cycle operations
• Minimum of two years of behavioral health treatment experience required
• Minimum of two years of physician practice billing preferred
• Minimum of three years of supervisory experience including hiring, training and evaluation of direct reports
• EHR and/or billing software experience required.
• Certified Coder Certificate strongly preferred
• Strong organizational and communication skills required
• Excellent attention to detail required
• Ability to multi-task and remain calm under pressure with excellent customer service skills required
• Excellent organizational and project management skills required
• Great work ethic.

You will aspire to these core values:

• Self-starter: Takes the initiative to deliver solutions without direction.
• Positive presence: Brings a contagious positive energy and leaves a positive impression on others.
• Determined: Manages and overcomes obstacles as a regular course of business.
• Results oriented: Owns and is fully accountable for achieving agreed upon results.
• Committed to learning and development: Seeks to learn, grow, and develop continuously.
• Self-aware: Understands individual impact on others.
• Integrity: Makes every effort to deliver on commitments, is truthful and honest, and treats others with respect.
• Team player: Collaborates and communicates well with internal and external business partners.

What would knock our socks off:

• Prior experience using Apero
• Understanding of value-based healthcare models

• This position will have one direct report to start, with management of external vendors as well
• While this role is primarily remote, there is a 1-day a week in-person requirement in home office location of Burlington, MA
• This is a full-time position that requires schedule flexibility to work evenings and weekends, as needed.