Director of Revenue Cycle

Aligned Modern Health is changing the face of healthcare and building the leading national brand in drug-free, surgery-free treatment. We are the largest and highest rated integrative medicine group in the Midwest and are driving positive change in healthcare by introducing our services to new patients every day. Our unique, multi-disciplinary model offers patients evidence-based solutions to a host of health challenges including musculoskeletal pain, stress and anxiety, GI distress, metabolic disorders, infertility and more. We pride ourselves on outstanding clinical outcomes and a five-star patient experience. We have 18 clinics across the city of Chicago and surrounding suburbs, as well as a robust and rapidly growing Virtual Medicine practice. We are growing quickly in Illinois and beyond! To learn more about us, please visit our website at www.alignedmodernhealth.com.

Aligned Modern Health is seeking a Director of Revenue Cycle to join our team. The Director of Revenue Cycle will 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 at our corporate office as well as remote employees. The successful Director reports to the CFO and will lead a team that reduces collection variances, minimizes days of receivables outstanding, identifies opportunities to improve billing and collections practices, supports clinic teams to ensure expedited claim handling, nurtures payor relationships, and keeps apprised of changes within the payor system that should be adopted.

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. This is a Chicago-based company, however, the role is currently remote. Local candidates are preferred, but qualified remote candidates will also be considered.

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 3 years of experience managing day to day operations of a high-volume central billing office and multi-site facilities
• 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
• Medical billing software and experience with sql query language preferred
• 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
• Great opportunity for a seasoned manager to step up to a Director level role or a Director ready to join a multi-site integrative healthcare environment

Aligned Modern Health is an equal opportunity employer.