Head of Revenue Cycle Management

Radiology is the second most used healthcare service, used by over 51% of the workforce annually. Despite the critical role of radiology in healthcare, the process for undergoing a medical imaging exam has remained unchanged for decades. OneImaging is solving this with a concierges approach and a premium-quality radiology network of over 4,000 vetted providers across 48 states, which also reduces imaging costs by 60-80%. Our solution helps patients and families access essential radiology services at fair prices and without surprise bills, all while delivering immediate savings and ROI for employers and payers on every exam.

We are seeking an experienced Director of Billing Operations and Revenue Cycle Management to lead our revenue cycle and ensure seamless claims billing integration for our partners. This role requires deep expertise in health plan operations, particularly in implementing and managing claims billing for providers, ideally within the digital health sector. The ideal candidate brings a strong background in healthcare billing, health plan operations, and revenue cycle management, and is driven to create positive change in healthcare.

Requirements

Responsibilities:

• Build and lead OneImaging's revenue cycle process, including medical claims submission, ERA, and reconciliation, ensuring timely and accurate billing and collections processes for OneImaging
• Lead the implementation and management of claims billing integrations with various health plans
• Monitor key performance indicators (KPIs) related to revenue cycle efficiency and implement strategies for continuous improvement
• Lead a team of Billing Operations and Revenue Cycle Managers, providing guidance on best practices, regulatory updates, and system enhancements
• Collaborate with internal and external stakeholders to ensure seamless integration of billing systems with health plan platforms
• Maintain up-to-date knowledge of payer requirements, reimbursement methodologies, and regulatory changes that impact claims processing.
• Ensure compliance with all applicable federal, state, and local regulations related to healthcare billing and revenue cycle management
• Develop and implement policies and procedures to maintain compliance with health plan contracts and payer guidelines
• Collaborate with cross-functional teams, including finance, operations, and IT, to streamline revenue cycle processes

Qualifications:

• Bachelor's degree in Healthcare Administration, Business, Finance, or a related field. Master's degree preferred
• Minimum of 5-7 years of experience in revenue cycle management, preferably in the digital health or health plan/insurance/payor industry
• Proven experience with health plans, including implementing and managing claims billing integrations
• Strong understanding of healthcare reimbursement methodologies, payer contracts, and regulatory requirements
• Proficient in revenue cycle management software and electronic health records (EHR) systems
• Excellent leadership and team management skills
• Strong analytical and problem-solving abilities
• Exceptional communication and interpersonal skills

Benefits

• Competitive salary and bonus structure
• Comprehensive health, dental, and vision insurance
• 401(k)
• Flexible work schedule and remote work options
• Opportunities for professional development and career growth