The Vice President, Revenue Cycle Management spearheads our end-to-end revenue cycle operations, ensuring efficiency, compliance, and maximized revenue. This role requires a strategic leader who can seamlessly integrate financial operations with our clinical excellence, embodying the values that makes Bicycle Health a leader in the healthcare industry. The Vice President, Revenue Cycle Management drives innovation within the revenue cycle, enhancing processes that contribute to the financial stability and growth of the company.

Location: Remote

Schedule: Full time (40 hrs)

Target Pay Range: $210,800 - $248,200 - Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.

Benefits:

• Discretionary PTO + 8.5 days of additional sick time + 10 paid holidays
• Paid parental leave
• 100% Employer Paid Medical, Dental, and Vision Insurance
• Employer Paid STD & LTD
• 401k
• $50 monthly Remote Work Stipend

You can expect to:

• Continuously work to identify areas of improvement and develop processes and documentation for revenue cycle management, including but not limited to claims submission, payor follow-up, appeals and resubmissions, rejected claims, write-offs, etc.
• Build out reporting for revenue cycle management KPIs to the company, executive team and board.
• Forecast, track, and oversee receivables & collections to ensure cash targets are met and shortfalls are quickly identified and managed.
• Build staffing models to grow the revenue cycle management team in order to meet the company’s needs.
• Hire top revenue cycle management talent to build a best-in-class team at the company.
• Provides expertise in fee for service client billing & collections around the related aspects of the revenue cycle, & the development of supporting policies & procedures.
• Train and educate team members on revenue cycle management best practices and industry benchmarks to improve metrics and build team accountability.
• Manage the daily activities and priorities of revenue cycle management team members and ensure high levels of employee satisfaction and productivity.
• Own end to end claims revenue cycle transformation projects including documentation and coding (optimizing codes Bicycle Health is currently billing, and providing expertise in new codes to be considered under VBC and FFS contracts).
• Partner with the Engineering, Product and Operations teams to continue to introduce automation to our claims billing processes across value based and fee for service contracts as well as to identify and fix any billing issues that arise.
• Communicate cross-functionally with Marketing, Payor Relations, Clinical Ops, Enrollment Coordination, CSS, etc. to plan and execute upcoming payor launches.
• Project manages the entire Revenue Cycle function, setting up new payment structures as we expand our program offerings.
• Implement new technology systems for revenue cycle management as needed.
• Effectively work with outside contractors and/or hire offshore resources as needed.
• All other duties as assigned.

Qualities we're looking for:

• At least 10 years of experience in healthcare provider revenue cycle management.
• Expertise in telemedicine billing and coding for outpatient behavioral health, including SUD/OUD/G Codes.
• Advanced Excel/Google Sheets skills.
• Persistence when working/communicating with payers.
• Experience working cross-functionally with different teams.
• Experience project managing internal projects.
• Working knowledge of industry best practices in Revenue Cycle processes: billing, charge capture, contractual adjustments, third-party reimbursements, and collections and cash management.
• Fundamental knowledge of revenue integrity (i.e. CPT and ICD-10 coding) and documentation requirements for billing and compliance.
• Comfortable working with the ambiguity of a fast-paced startup.
• Exceptional written and verbal communication skills.
• Attention to detail, exceptional organizational and problem-solving skills.
• Certified billing and coding specialist preferred.
• Degree in public health or related degree preferred.
• Consistent access to a private work environment with high speed internet and professionally appropriate surroundings for frequent video conferencing and a workstation setup conducive to remote work needs.

This is a full-time (40hrs per week) remote position.

#LIRemote