What You’ll Do

• Responsible for Revenue Cycle vendor oversight and daily monitoring of RCM operations.
• Develop and implement revenue cycle strategies to support clinical and non-clinical product lines, including understanding of CPT code strategy and recommending new codes for new programs.
• Lead and mentor a team of revenue cycle specialists to optimize billing, coding, and collections processes.
• Collaborate with cross-functional teams to ensure alignment between revenue cycle operations and product strategies.
• Interact and interface with clients through new program setup and issue management.
• Establish and own RCM KPIs to drive performance optimization and profitability.
• Develop & monitor performance indicators and quality control reports to manage success of billing vendor.
• Analyze revenue performance metrics and trends to identify opportunities for revenue enhancement and cost reduction.
• Implement best practices and industry standards to streamline revenue cycle processes and improve financial performance.
• Ensures effective management of quality control, data entry, patient billing and claims processing.
• Oversee compliance with regulatory requirements and industry guidelines to mitigate revenue cycle risks.
• Ensures compliance with federal and state legal requirements by researching existing and accessing new legislation.
• Meet with Operations Departments to review revenue cycle metrics, operational issues, and analytics. Identify trends and discuss interim and long-term solutions as appropriate
• Drive continuous improvement initiatives to enhance revenue cycle efficiency and effectiveness.

What We’re Looking For

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field. Master's degree preferred.
• Minimum of 5 years of experience in revenue cycle management with leadership experience and a focus on clinical and non-clinical products. Must have direct team management experience.
• Proven track record of successfully leading revenue cycle operations in a healthcare setting.
• Strong understanding of healthcare billing, coding, payer rules, and reimbursement methodologies (e.g., commercial payers). Familiarity with compliance and regulatory requirements.
• Solid understanding of revenue cycle management software, physician billing systems, and reporting tools. Proficiency in the Google Suite, especially Google Sheets for data analysis.
• Excellent leadership, communication, and interpersonal skills.
• Proficiency in revenue cycle management systems and tools.
• Experience with EMR systems (Epic, Athena, etc.).
• Certified Professional Coder (CPC) or Certified Revenue Cycle Specialist (CRCS) certification is a strong preference

Pursuant to various state Fair Pay Acts, below is a summary of compensation elements for this role at the company. The following benefits are provided by RVO Health, subject to eligibility requirements.

• Starting Salary: $133,000 - $165,000 (bonus potential )
  *Note actual salary is based on geographic location, qualifications and experience
• Access to a Free Udemy for Business subscription—thousands of hours of learning content on hundreds of different subjects at your fingertips
• Health Insurance Coverage (medical, dental, and vision)
• Life Insurance
• Short and Long-Term Disability Insurance
• Flexible Spending Accounts
• Paid Time Off
• Holiday Pay
• 401(k) with match
• Employee Assistance Program
• Paid Parental Bonding Benefit Program
• Pharmacy Benefits
• Income Protection Plans
• Pet Services Plans
• Mental Health Support
• Wellness Coaching
• HSA- Health Savings Account
• Commuter Benefits
• Gym & Fitness Center Discount Program

Who We Are: 

Founded in 2022, RVO Health is a new healthcare platform of digital media brands, services and technologies focused on building relationships with people throughout their health & wellness journey. We meet people where they are in their personal health journeys and connect them with both the information and the care they need. RVO Health was created by joining teams from both Red Ventures and UnitedHealth Group’s Optum Health. Together we’re focused on delivering on our vision of a stronger and healthier world. 

RVO Health is comprised of Healthline Media (Healthline, Medical News Today, Psych Central, Greatist and Bezzy), Healthgrades, FindCare and PlateJoy; Optum Perks, Optum Store and the virtual coaching platforms Real Appeal, Wellness Coaching, and QuitForLife. 

We offer competitive salaries and a comprehensive benefits program for full-time employees, including medical, dental and vision coverage, paid time off, life insurance, disability coverage, employee assistance program, 401(k) plan and a paid parental leave program. 

RVO Health is an equal opportunity employer that does not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or any other basis protected by law. Employment at RVO Health is based solely on a person's merit and qualifications.  

We are committed to providing equal employment opportunities to qualified individuals with disabilities. This includes providing reasonable accommodation where appropriate. Should you require a reasonable accommodation to apply or participate in the job application or interview process, please contact accommodations@rvohealth.com.

We do not provide visa sponsorship for this role at this time.

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