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Aligned Modern Health (AMH) is creating a new standard of healthcare. As the largest evidence-based functional medicine practice in the Midwest, we operate 18 clinics across Chicago with a rapidly expanding telehealth practice that will be serving patients nationwide by 2026.

Our collaborative team of over 100 doctors, nurse practitioners, and clinicians provides personalized care for men, women and children across functional medicine, clinical nutrition, chiropractic care, rehabilitation and massage therapy, and acupuncture.

Using advanced diagnostics, expert-led care and individualized treatments we go beyond symptom relief to target the root causes of nagging symptoms and chronic conditions. Whether supporting gut health, fertility, thyroid and hormonal balance, autoimmune conditions, musculoskeletal pain, headaches, heart health, stress and mood disorders, weight management and a range of unresolved or undiagnosed conditions, Aligned Modern Health treats the whole person with strong doctor-patient relationships and proven clinical outcomes – empowering lasting well-being and long-term health.

We are seeking a Director of Revenue Cycle to join our team. The Director of Revenue Cycle will report to the Chief Financial Officer and lead revenue cycle strategy, implementation, and performance across the organization. This position will be responsible for managing a growing revenue cycle and provider credentialing team of both onshore and offshore workers. The successful Director will lead a team that reduces collection variances, minimizes days of receivables outstanding, identifies opportunities to improve billing and collections practices, supports medical practice teams to ensure claim handling is managed properly, nurtures payor and internal relationships, and keeps apprised of changes within the payor systems that should be adopted. This is a remote based role with a strong preference for someone who can accommodate travel to Chicago clinics at least once a quarter. Local candidates are preferred, but qualified remote candidates in the United States who can maintain central time zone work hours will also be considered. The role pays $100,000-130,000 per year (based on experience) plus discretionary annual bonus potential.

The Director of Revenue Cycle will lead a team comprised of both offshore and onshore team members and have the opportunity to reshape and/or build teams, processes, and procedures as they see fit. We are seeking candidates with the entrepreneurial spirit, business judgment, collaborative attitude, and results orientation it will take to truly make an impact on our business and our mission to deliver substantial value to our patients, our providers, and the overall healthcare system.

Responsibilities

+ Serve as the go-to person for all revenue cycle and credentialing needs across the organization.

+ Lead the revenue cycle and credentialing team including developing efficient and effective staffing, establishing performance standards, ensuring all team members achieve standards, hiring, training, and developing team members, and fostering outstanding teamwork and employee relations.

+ Establish and implement policies and procedures for billing, revenue recognition and collection that reflect our mission, good business practices and regulatory compliance.

+ Create and manage KPI dashboards to analyze billing, reimbursement and accounts receivable trends and reports on the progress, results, and conclusions reached.

+ Manage Accounts Receivable aging to keep expected versus collected amounts in line with current company goals.

+ Minimize claim denials, procedure denials, and claims rejection rates through training, communication, and implementation of best practices.

+ Increase reimbursement per visit by appropriately managing accounts receivable, and guiding follow-up efforts of billing department, capturing lost revenue.

+ Stay abreast of regulatory guideline updates; interpret and present updates to adopt into current practices where relevant.

+ Manage the offsite and onsite posting of receipts through automated Electronic Remittance Advice (ERA) and manually posted Explanation of Benefits (EOB) to ensure all reimbursements received are applied in the system appropriately and timely.

+ Manage the credentialing process for all new and existing providers with multiple in-network payors.

+ Maintain excellent communication between billing department and providers, clinic staff, and operations teams.

Requirements

+ Self-directed, high performer with desire to work in a fast-paced growth-stage environment

+ Minimum 10 years of experience managing day to day operations of a high-volume central billing office and multi-site facilities

+ Broad experience in managing insurance and self-pay revenue cycles within large-scale, multi-location healthcare environments, such as dental chains, rehabilitation centers, or comparable healthcare organizations

+ Effective leadership skills and proven experience leading a team including development and achievement of department goals and objectives to include staff performance measures and reporting results

+ Proven track record of managing offshore teams both in office and remote working, including development and monitoring of KPIs on productivity.

+ Cloud Based medical billing software required.

+ Advanced Excel skills, including vlookups and pivot tables required

+ Working knowledge of CPT codes (including modifiers) and ICD-10 codes

+ Demonstrated track record of aggressively decreasing receivables and increasing cash collections without adverse impact on employee morale or patient satisfaction

+ Solid financial acumen and very strong analytical and problem-solving skills

+ Excellent interpersonal skills with desire to work hard toward a common purpose, while handling multiple priorities, having fun and maintaining a sense of humor

+ Unimpeachable integrity

+ Strong desire to drive positive change in healthcare

Why Aligned Modern Health?

+ Opportunity to be an important leader in an exciting, rapidly growing company focused on driving positive change in healthcare with substantial capital support to achieve its goals

+ High level of responsibility with numerous opportunities for growth

+ Fun and authentic culture with an outstanding team dedicated to patient care

Aligned Modern Health is an equal opportunity employer.