Revenue Cycle Lead

The Role

We are looking for a Revenue Cycle Owner to ensure that our partners and Mederva receive reimbursement for the care we provide. This role involves understanding and navigating complex healthcare billing rules, building processes to scale, and collaborating with various teams to implement new billing procedures.

Responsibilities

• Understand and navigate Medicare and other payer policies to develop efficient billing workflows.
• Collaborate with account managers, internal operations, and product teams to build scalable billing processes.
• Work with billers to adapt to new billing programs and technologies.
• Document and communicate billing procedures to ensure consistency and scalability.
• Partner with the product and engineering teams to integrate billing rules into internal tools.

Requirements

• 5+ years of experience in Revenue Cycle Management (RCM) or Billing.
• Real-world experience with Medicare and familiarity with programs such as CoCM, CCM, APCM, BHI, RPM, or value-based care.
• Comfortable reading and interpreting payer policies and translating them into actionable workflows.
• Experience working with spreadsheets and new tools to enhance efficiency.
• Ability to communicate technical concepts to non-technical stakeholders, including engineers.
• Experience working in an agile environment within a fast-growing startup.

Qualifications

• Strong analytical and problem-solving skills.
• Excellent communication and collaboration skills.
• Proficiency in healthcare billing software and systems.
• Understanding of healthcare regulations and compliance standards.

Skills

• Healthcare billing and coding knowledge.
• Experience with healthcare regulatory environments.
• Ability to manage multiple projects simultaneously.
• Strong attention to detail and accuracy.
• Effective teamwork and leadership skills.

Benefits

Mederva offers a competitive salary and is open to considering a fractional engagement arrangement for the initial period. We prioritize a positive and safe job search experience for all candidates.

Pay

Competitive salary.

Schedule

Flexible schedule to accommodate the needs of both the candidate and Mederva.

Contact

To apply, please share a specific story about how you've improved billing processes or figured out a payer rule. We welcome applications from anyone who believes they can contribute to our mission of bringing longevity care to everyone.