Credits Lead

Behavioral Health Tech, Inc.; United States; Remote; USD 90,000 - 118,000; Full time

Job summary

A leading company in behavioral healthcare is seeking a Credits Lead to manage healthcare claim overpayments. This remote-friendly role requires expertise in Revenue Cycle Management and a deep understanding of operational KPIs. You’ll develop strategies that significantly enhance performance while working closely with cross-functional teams.

Qualifications

• 3+ years of experience directly working on overpayments for a Healthcare Organization.
• Deep understanding of KPIs and ability to pull levers to improve performance.
• Agile and thrives in a fast-paced environment.

Responsibilities

• Own multiple RCM operational functions and be responsible for driving performance based on key KPIs.
• Develop and execute strategies to improve KPIs.
• Lead projects to improve processes for team efficiency.

Skills

Operational Performance

Problem-Solving

Team Player

Job description

What You’ll Be Doing:

The Credits Lead will be responsible for reviewing healthcare claim overpayments with a focus on accuracy, compliance, and resolving financial discrepancies. We are looking for a Credits Lead to help us establish the Commercial and Government Overpayments vertical of Grow Therapy, and who will work on overpayment validation projects with the RCM Team. You’ll be part of a remote-friendly team reporting directly to the Insurance Operations Department. Your responsibilities will include:

• Own multiple RCM operational functions and be responsible for driving performance based on key KPIs
• Develop and execute strategies to make significant gains against KPIs you’re responsible for
• Perform root cause analysis leveraging data on large issues that are inhibiting operational performance and develop recommendations to resolve
• Own organizational design for your team, develop a hiring plan based on anticipated growth and determine which roles are most critical to hire when
• Lead select special projects related to improving processes to increase efficiency and team outcomes
• Work cross-functionally with several internal teams to validate our overpayments strategy and design new workflows to support the Team’s development

The salary range for this position is $90,843 - $118,000 USD.

You’ll Be a Good Fit If:

• Experience: 3+ years of experience directly working on overpayments for a Healthcare Organization. Preferred if experience is with Revenue Cycle Management and within the behavioral healthcare space.
• Operational Performance: Deep understanding of the most important KPIs and ability to pull all available levers to improve performance most effectively.
• Problem-Solving: Able to see the biggest pain points that are hindering operational performance and come up with corresponding solutions.
• Agile: You thrive in a fast-paced, unpredictable environment, and you’re able to pivot as new priorities emerge.
• Team Player: You’re collaborative by nature, relish in camaraderie and group wins, and are looked to by your colleagues as a steadfast partner and source of encouragement

If you don’t meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume.

Note: Please upload your resume in PDF format

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