Director of Revenue Cycle Management

IndieMD Network is a medical practice for telehealth and mobile practice providers. IndieMD Network is now hiring for the mobile wound care product and service line Woundlocal.

Hiring: a clinical back office staff leader with extensive experience in Medicare billing and commercial and federal insurance benefits verification. This position interacts with a third-party billing company, medical facility staff, a sales team, and leads internal office staff. Must be able to perform, train, and oversee verifying patient benefits, reviewing provider documentation, managing a remote coding specialist, manage billing and collections staff, providing real-time feedback to the medical team, ensuring timely submission to payers, reviewing claim denials, submitting appeals, and billing secondary insurance. All claims are made for advanced wound care services and allograft skin substitutes. ***This position will assemble an internal billing team within the first four months of employment.***

Start Date: Immediate

DETAILS

The ideal candidate has been working on a "private practice" clinical office team for 4+ years whose primary payer is Medicare, but also bills commercial insurance. The ideal candidate will have built an internal billing team in a private practice.

This position works closely with our clinical staff, providers, and client-facility staff billing advanced wound care encounters, with particular attention to skin graft application. This position plays a key role in determining the reimbursement potential of Woundlocal with adherence to compliant standards and corporate policies developed to ensure accurate billing.

The ideal candidate must also be able to demonstrate excellent written and verbal communication skills. For example, corresponding with providers via electronic media and discussing issues over the phone will be a large part of this position when requesting the required addendum documentation. Enthusiasm, organization, and commitment to teamwork are essential for success in this role.

Key Duties / Responsibilities:

• Accurate classification of wound care and graft encounters in skilled nursing facilities, long term acute care, home health, hospice, assisted and independent living, and home visits.
• Reviews provider charts for completion and following practice standards.
• Identifies internal process problems, researches where they are occurring, and provides recommendations for solutions.
• Manages expert remote coder to ensure properly assigned difficult codes and/or complex coding scenarios using modifiers.
• Performs some of the insurance benefits verifications with in network and out of network payers
• Analyzes claims rejections and initiates appeals if applicable.
• Analyzes aging accounts receivables and lost client revenue, provides recommended actions.
• Liaison to administration of client facilities, including but not limited to, skilled nursing facilities, home health networks, and mobile practices.
• Liaison to third-party billing company.
• Grow a culture of excellence, integrity, and collaboration.
• Greater responsibilities are available should the candidate experience match the responsibilities.
• Duties, Responsibilities, and Compensation will be adjusted to the individual hire's experience level and expertise.

Qualifications:

• 2+ years of college or advanced education
• 4+ years employed in a private medical practice
• 2+ years managing employees
• 4+ years of insurance verification
• 4+ years using billing portals
• 4+ years experience with ICD-10, CPT, & HCPCS codes
• Proficiency in EMR systems
• Proficiency in Microsoft Office (Word, Excel, Outlook)
• Strong computer skills
• Experience with home health and/or skilled nursing facilities a plus
• Competitive nature
• Happy disposition

Job Type: Full-time

Pay: comp package $80,000-$140,000 annually ($80,000 base + incentive bonuses $0-$15,000/quarter)

Benefits:

• Stock option opportunity
• Medical, Vision, and Dental insurance
• Employee discount
• Paid time off
• Professional development assistance

Schedule:

• No less than 45 per week
• Monday to Friday

Supplemental pay types:

• Bonus structure

Experience:

• Medicare billing: 4 years (Required)
• EMR systems: 4 years (Required)
• Insurance verification: 4 years (Required)

Work Location: In person, in Austin office (no remote work)

Why this job is AWESOME:

Join us and you will see…we don’t do things like everyone else. We are the newest, and fastest growing in popularity for Texas mobile healthcare. We service patients in long-term care facilities, home health, hospice and other facilities from Austin to the Valley. It’s no secret how we're accomplishing this… it’s our incredible team members and the winning culture we’re building!

If you are looking for an amazing practice to work for, grow, learn, and have a blast - this is it.

• Great team! We spend a ton of time hiring and training the best people.

• Great pay! We pay very well.

• Great opportunities! We're growing and we like to promote from within. If you're a true rock star, the opportunities are limitless!