Revenue Cycle Manager
About Seven Starling:Seven Starling is a leading virtual provider of women's behavioral health services supporting every stage of motherhood. Seven Starling's holistic clinical model combines specialized therapy, peer support, and medication management to effectively treat common perinatal mood disorders like postpartum depression and anxiety, with 94% of patients seeing a clinically significant improvement in their symptoms after completing the program. Seven Starling partners with OBGYN clinics across the country and leading health plans including UnitedHealthCare, Cigna, Blue Cross Blue Shield, and Aetna to make care easily accessible and affordable.
Seven Starling is seeking a highly knowledgeable, experienced, and organized Revenue Cycle Manager to oversee the entire revenue cycle management process for our organization. This includes managing verification of benefits, claims submission, payment posting, claims denial management, and more.
As the first Revenue Cycle Manager at a fast growing startup, this is an exciting opportunity to grow and lead a billing team, scale tools and processes to meet the needs of a fast growing organization, and implement best practices to optimize revenue cycle. You will report directly to the Co-Founder and COO and will have a major impact on our mission.
What You'll Do
- Oversee the full revenue cycle, including verification of benefits, claim submission, claims queue and denial management, payment posting, resolving balances, patient queries, and AR
- Develop, document, and scale standardized billing and revenue cycle workflows and procedures, adapting these as our organization grows
- Partner with the product and engineering teams to scope, build, and implement new technology solutions for our internal billing system, Flock
- Manage and grow our in-house billing team, including leading our talented Billing Coordinator
- Bring on outside vendors when necessary to streamline the revenue cycle process
- Analyze key revenue cycle metrics and KPIs, identify areas for improvement, and implement corrective actions
- Collaborate with clinical and operations teams to ensure accurate and compliant documentation, coding, and billing
- Collaborate with the network access team to ensure all contracts, fee schedules, enrollments, and automated rulesets are reflected correctly in Candid
- Serve as the subject matter expert on all billing and revenue cycle regulations, policies, and procedures, staying up to date with key industry trends and evolving requirements
- Serve as a point of contact for payers, auditors, and other external stakeholders as needed
- Prepare and present detailed reports on revenue cycle performance to leadership
Who you are
- Bachelor's degree, preferably in healthcare administration, accounting, finance, or a related field
- At least 5+ years of experience in medical billing, revenue cycle management, or healthcare operations
- Direct experience working with Candid for RCM strongly preferred
- Strong managerial skills with a proven track record of leading and growing a billing and revenue cycle team
- In-depth knowledge of medical coding, billing, and reimbursement regulations and guidelines, with added bonus if you have experience in behavioral health specifically
- A systems thinker who is excited about building new processes and systems from scratch
- Excellent analytical, problem-solving, and critical thinking skills, including strong proficiency in google sheets or excel
- Strong project management and process improvement capabilities
- Effective communication and interpersonal skills to collaborate cross-functionally
This is a unique opportunity to build and lead the revenue cycle function at a fast-growing healthcare startup. If you have the necessary experience and are passionate about optimizing medical billing and collections, we encourage you to apply!
Perks and Benefits
- Competitive paid time off
- Competitive parental leave policy
- One-time stipend to enhance your work from home experience
- Medical, dental, and vision insurance
- 401K
- Bereavement leave, including for miscarriage and pregnancy loss
- Annual stipend for your choice of wellness benefits
- Annual professional development stipend
- Virtual team events
Please do not call our public clinical admissions line in regard to this or any other job posting.
Seven Starling is an equal opportunity employer. We celebrate diversity and are committed to creating a supportive and inclusive environment for all employees.
Originally posted on Himalayas
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