RCM Operations Architect & Growth Leader

Oasys Health, Inc.; New York (NY); Vor Ort; USD 130.000 - 190.000; Vollzeit

Zusammenfassung

Oasys Health, Inc. is seeking its first dedicated revenue cycle lead to own the managed RCM service, collaborating with engineering to fix recurring billing failures and improve touchless claim rate.

As an individual contributor with a clear path to leading the function, you will define SOPs, scorecards, and escalation paths while working with customers on monthly performance reviews and ongoing optimization.

Qualifikationen

• 5–10+ years of end-to-end revenue cycle experience across eligibility, authorizations, denials, AR, and payments.
• Deep behavioral health billing knowledge: therapy CPTs, E&M, supervision billing, Medicaid HCPCS rules.
• Proven track record of measurable billing improvements with numbers.
• Comfort conducting performance reviews with practice owners and clinicians.
• Experience partnering with Product and Engineering to scale workflows.
• Strong process-builder mindset; question why a workflow exists, not who owns the checklist.

Aufgaben

• Own day-to-day managed RCM outcomes: submissions, rejections, denials, AR follow-up, posting.
• Act as senior operations counterpart for customer practices: implementation, go-live, reviews.
• Build the operating system: onboarding checklists, SOPs, QA, KPI definitions, and swim-lane model.
• Collaborate with Product and Engineering to convert recurring failures into product improvements.
• Own and report on core scorecards: implementation time, clean-claim and first-pass rate, touchless claim rate, denial rate, days in AR, aging AR, net collections versus expectation, SLA performance, and customer retention.
• Identify and escalate provider blockers before they clog the queue.
• Hire, train, and manage early RCM operators and external billing partners as the service grows.

Kenntnisse

Revenue cycle

Behavioral health billing

CPT/HCPCS (therapy)

Payer coordination

SOP development

KPIs & analytics

Stakeholder management

Product collaboration

Ausbildung

Bachelor's degree in healthcare administration

Tools

TherapyNotes

CentralReach

Prompt

Jobbeschreibung

Oasys Health, Inc. is seeking its first dedicated revenue cycle lead to own the managed RCM service, collaborating with engineering to fix recurring billing failures and improve touchless claim rate.

As an individual contributor with a clear path to leading the function, you will define SOPs, scorecards, and escalation paths while working with customers on monthly performance reviews and ongoing optimization.