Manager, RCM Services

RethinkBilling Overview
RethinkBilling is a division of RethinkFirst, a company dedicated to providing scalable, evidence-based autism treatment training tools and caregiver supports to the behavioral health community. Since 2010, RethinkBilling has expanded its offerings to support K-12 education, employer, provider, and payor industries, and to drive whole child wellness and success in education.

Main Responsibilities

• Ensure strict HIPAA-compliant confidentiality with all client-related data
• Oversee the day-to-day operations of Rethink’s Revenue Cycle Management services
• Serve as the Billing subject matter expert resource internally and externally
• Identify and implement opportunities to improve the quality of services that result in timelines and customer satisfaction
• Escalate to be addressed within 48 hours of notification of issue with immediate outreach to customer for coordination of call
• Builds effective and strong team committed to achieving organizational goals
• Affirmatively assess existing processes to ensure Rethink’s Revenue Cycle Management services are being provided based on payor current requirements and best practice
• Assess denial trends identified in denial management platform (DocVocate) to analyze trends and communicate findings and implement long term solutions to minimize denials and aging A/R
• Make recommendations to Rethink leadership to address and improve operational protocols that focus on enhanced customer experience
• Communicate staff hiring needs based on existing and projected workload capacity based on new customer account acquisitions
• Coach and mentor the team in a manner that ensures high volume revenue collections
• Work directly with the Quality Assurance team to implement processes/procedures to ensure denial management strategies are adapted & implemented across teams
• Work closely with CSM and other Company Leadership to ensure high level of service across the entire RCM client base
• Develop and perform quality assurance audits to ensure that timelines for billing are being met
• Develop and manage new customer onboarding & implementation processes/procedures
• Document and communicate updated payor billing requirements to team members
• Facilitate regular staff meetings that focus on key business metrics
• Organizes weekly production/action reports and provides them to management
• Interview candidates, make recommendations for hire and terminations when applicable
• Attend customer meetings as needed
• Special projects as needed

Required Qualifications

• Minimum 2-5-year Supervisory experience
• Minimum 3-5-year Insurance Billing experience
• Strong verbal and interpersonal skills
• Positive attitude and love a good challenge
• Strong leadership qualities

Preferred Qualifications and Experience

• Bachelor’s degree preferred
• Minimum of 5 years Supervisory experience
• Minimum of 5-10 years of Insurance Billing Experience
• Experience leading teams
• Customer service experience required
• Proficient using Microsoft Suite (Excel, Outlook, Word)
• Experience using billing software Kareo or Azalea