RCM Manager

Carda Health; United States; Remote; USD 80,000 - 100,000; Full time

Job summary

A healthcare technology firm is seeking an RCM Manager to oversee revenue cycle operations. This role requires a minimum of 5 years of experience in healthcare revenue cycle management, expertise in medical billing, coding, and reimbursement, along with strong analytical and leadership skills. The successful candidate will work in a remote environment, aiming to enhance efficiency and patient satisfaction.

Qualifications

• Minimum of 5 years of experience in revenue cycle management within the healthcare sector.
• Strong knowledge of medical billing, coding, and healthcare reimbursement methodologies.
• Ability to lead and motivate a team in a remote work environment.

Responsibilities

• Be responsible for hitting the percentage paid targets set by the company.
• Develop and implement strategies to enhance efficiency of revenue cycle.
• Collaborate with teams to streamline processes and improve patient satisfaction.

Skills

Revenue cycle management

Medical billing

Coding

Healthcare reimbursement

Analytical skills

Problem-solving

Organizational skills

Team leadership

Communication skills

Tools

Revenue cycle management software

Electronic health record systems

SQL

Sage/Metabase

Job description

About Carda

About Carda Rehabilitation is a pain. So much so that only 10% of qualifying heart patients attend, which results in complications for patients and at least $190B in excess costs. At Carda Health, we have reimagined the care model for heart and lung patients. Our program allows patients to complete engaging, compassionate, and life-saving therapy from home, virtually.

Who are we?

Who are we? Carda is a team of clinicians, mathematicians, repeat entrepreneurs, and engineers. We believe that technology and data can transform individuals’ lives and fundamentally change even the most entrenched industries. Carda was founded by Harry and Andrew who share a family history of heart disease and personal experience with cardiac and pulmonary rehab.

Who are you?

You are tenacious, driven, and want to make an impact. You have a proven track record of delivering high quality financial analysis and reporting. You love digging into the weeds of financial operations, and ideally have experience with a healthcare company. At the same time you are able to see the bigger picture and prioritize work streams accordingly. It personally bothers you when you and the company are not hitting goals and you do everything you can to help change that. You are a great collaborator and communicator and bring a very positive attitude to work! You are able to complete tasks and implement processes in ⅓ of the time of a peer.

What will you do?

As RCM Manager, you will …

• Be responsible for hitting the percentage paid targets set by the company.
• Develop and implement strategies to enhance the efficiency and effectiveness of the revenue cycle, including billing, coding, claims submission, and collections.
• Oversee the accuracy of patient billing information and ensure timely submission of claims to insurance providers.
• Monitor accounts receivable, identify trends, and implement solutions to reduce denials and improve cash flow.
• Ensure compliance with healthcare regulations, billing guidelines, and coding standards.
• Collaborate with clinical and administrative teams to streamline processes and improve patient satisfaction.
• Provide leadership and training to the revenue cycle team, fostering a culture of continuous improvement.

What we look for:

• Minimum of 5 years of experience in revenue cycle management within the healthcare sector.
• Strong knowledge of medical billing, coding, and healthcare reimbursement methodologies.
• Proficiency in revenue cycle management software and electronic health record systems.
• Excellent analytical, problem-solving, and organizational skills.
• Ability to lead and motivate a team in a remote work environment.
• Strong communication and interpersonal skills.
• The ability to maintain high performance under tight timelines and a “roll up your sleeves” mindset to get any job done
• The ability to bring structure to ambiguous areas of opportunity and thrive in an unstructured, fast-moving environment
• Excellent verbal and written communication skills
• A desire to further your career and an ambition to work on problems that actually matter.
• A positive, never say die attitude!

Preferred qualifications:

• Experience working at a high-growth technology or financial services company
• Experience with SQL or a willingness to learn
• Experience in data visualization and dashboarding
• Sage/Metabase or other equivalent application experience