Job Description

Manager of Revenue Cycle

Job Description

Ria Health, recognized as the leading national telehealth provider specializing in alcohol use disorder (AUD) treatment, recently raised $12.5 million through a Series B financing led by Peloton Equity.  Our existing investors SV Health, BPEA and SOSV also participated in the Series B. The investment will further the momentum of commercial partnerships that include regional and national health plans, including Anthem Blue Cross Blue Shield, UnitedHealth Group Optum, Beacon Health Options, Highmark Health, and Magellan Health. Ria Health will enable patients to achieve long term success in reducing or eliminating  their alcohol consumption, and live healthier and happier lives. We are seeking a Clinical Intake/Triage Nurse to join our rapidly growing team. 

JOIN THE RIA HEALTH TEAM!

Join the team that integrates medical care, behavioral support, and technology tools to help members achieve their personal goals in treating alcohol misuse. Ria Health is a Center of Excellence that delivers a Joint Commission accredited program that leverages evidence-based pharmacotherapy, psychosocial support, and an engaging care delivery platform to help members achieve lasting improvements in their quality of life. Ria’s published outcomes data set the standard for effectiveness in alcohol treatment. The Ria program is delivered through telehealth and by a care team of Physicians, Nurse Practitioners, and Coaches with clinical expertise to manage care and outcomes for Ria Health members.

PRINCIPLE DUTIES and ESSENTIAL RESPONSIBILITIES

• Working closely with the Chief Financial Officer, the Manager of Revenue Cycle is responsible for oversight of Ria Health’s revenue cycle management (RCM) functions.

• Oversight includes ensuring an efficient, accurate, and compliant revenue cycle management billing activities to maximize reimbursement across all Commercial and Medicare lines of business.

• The Manager of RCM will provide leadership, organizational, and strategic direction to the organization, ensuring best RCM practices across Ria Health’s market.

• Oversee the development, maintenance, implementation, and training of protocols, policy and procedures for all functions related to the revenue cycle.

• Manage Ria Health’s billing, collections, authorization, and payment posting, ensuring accuracy and efficiency in the revenue cycle management processes.

• Conduct reimbursement monitoring for individual insurance carriers and patients.

• Actively collaborate with Ria Health’’s Customer Service Manager on billing/authorization/provider issues.

• Lead the development and implementation of revenue cycle strategies, policies, procedures, processes, and improvement initiatives to continuously improve the RCM process to maximize Ria Health’s billings and collections.

• Create management reporting that proactively identifies Revenue Cycle trends/issues.

• Actively partner with the Operations team and Revenue Cycle Department Liaison on day-to-day business.

• Ensure compliance in all aspects of RCM activities including coding and billing rules and regulations by payer and state.

• Mentor and provided staff with day-to-day guidance and assistance.

• Maintain knowledge of industry payer billing and appeal policies.

• Responsible for monitoring and responding to any legislative/regulatory billing changes.

• Manage Payor audits in conjunction with Ria Health’s Compliance staff.

• Collaborate with finance in revenue recognition by developing and implementing monthly revenue reports.

• Develop other monthly reports as requested and/or required to achieve Ria Health’s revenue recognition goals.

• Design, operationalize, and monitor key revenue cycle reports to track key performance metrics.

• Foster a positive work environment and deploy engagement and feedback tools to build a best-in-class revenue cycle team.

• Establish and manage to annual individual and RCM department goals

• Lead with enterprise mindset to drive desired outcomes.

Required skills and experience:

• Bachelor’s Degree in Business, Finance or related field or equivalent experience required.

• 2+ Years experience managing a team.

• Athena Collector experience required.

• Healthcare experience required.

• 5+ years of experience in a revenue cycle role.

• Strong emotional intelligence and passion for building relationships across all levels of an organization.

• Outstanding analytic, verbal, and written communication skills with the ability to create, communicate, influence, and direct a team to achieve the company’s vision and success.

• Highly disciplined and organized, both operationally and in thought process.

• Global mindset ability to adapt to various people and cultures with a cohesive view in mind.

• Innovative, proactive, strong analytical and problem-solving skills.

• Experience managing both up, down, and across the organization.

• Works well in a changing environment with a growing company.

• Proficiency with or the ability to quickly learn the organization’s practice management and data collection software.

• Proficient in Microsoft applications and billing software.

• Emphasizes team goals with a common purpose and seeks win-win solutions.

• Deadline-driven with excellent time management skills.

Make an impact at a critical time

The pandemic has caused a global crisis; there has been a tremendous increase in anxiety, trauma, and stress for millions of people, increasing the misuse of alcohol. As a result, Ria Health has experienced a 500% increase in demand from patients seeking a  specialized treatment program for alcohol misuse. We seek team members motivated to provide high-quality, patient-centered, evidence-based care through telemedicine that improves the health and wellbeing of the people we support. 

ENJOY MANY RIA HEALTH BENEFITS

• Join a team of Mission-driven professionals dedicated to offering a next-generation solution in the treatment of heavy alcohol use and addiction

• Experience professional growth within a rapidly expanding tech-healthcare company

• Upward professional mobility

• Direction/Coaching/Mentorship from a highly experienced leadership team

• Competitive compensation

• Telehealth training and development

• Unlimited PTO for full-time team members

APPLY TO RIA HEALTH

Ria Health invites you to apply at RIAHEALTH.COM .

EQUAL EMPLOYMENT OPPORTUNITY

Ria Health provides equal employment opportunities to all employees and applicants for employment. It prohibits discrimination and harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Ria Health Vision:

A world with accessible, compassionate, and effective treatments to reduce the burden of all those who suffer from Alcohol Use Disorder.

Ria Health Mission:

We combine medical science, technology, and human compassion to deliver private, evidence-based, telehealth alcohol treatment programs for anyone who wants to drink less and live better.

Ria Health Values:

Compassion – we promote a culture of empathetic care and communication. We actively listen, we always encourage, and we provide support.

Integrity – We are honest, open, ethical, and fair. We hold ourselves accountable when we make mistakes.

Teamwork – working together, we will achieve great things.

Embrace Change – we work to drive improvement over perfection, measuring and questioning the status quo to make progress and enhancement.

Always Learning – We celebrate curiosity and discovery through development and research.

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