Benefits:

$80,000 - $100,000 Target salary range
100% remote with employer supplied computer equipment
Work/life balance with unlimited PTO and company paid holidays
Medical, Dental, and Vision plans effective on the first day of employment
Employer paid Short Term Disability and Long Term Disability plans
Employer paid Life and AD&D insurance of $50,000
Employer paid Parental Leave of 12 weeks
401K

Job Summary

We are looking for a revenue cycle manager to lead a team of billing specialists to help a diverse set of practices across multiple states properly bill for these services. The right person will bring his/her expertise and energy to this problem today, while also building the processes to do it effectively with an ever larger and more diverse set of partners.

Your responsibilities:

Work with Concert’s finance and clinical teams to better support each of the partners we have today: unravel and solve existing problems, and research and resolve discrepancies, denials, appeals, and collection
Work hand-in-hand with Concert’s practice partners to set up billing processes at implementation start to facilitate correct timely billing and denial management
Create processes and tools that enable Concert and its partners to optimize billing and reimbursement for the new CMS Integrated Care codes across a practice’s payer mix
Proactively optimize processes and create a playbook (e.g., EMR billing templates, sample claim forms, etc.) to facilitate doing this at a much larger scale: both as Concert brings on more partners, and our provider partners grow in size and complexity
Provide insights in partners collection improvement opportunities from analyses of claims data
Train Concert revenue cycle team on best practices to improve productivity and efficiency

You:

Are extremely attentive to detail, and have experience entering, managing, and manipulating data accurately in a fast-paced environment
Have demonstrated capacity to balance competing priorities and continue to execute projects with excellence
Are a strong communicator, verbally and in writing
Are an experienced team leader to motivate team members in continuous improvement
Are highly independent in your work and naturally drive projects to completion
Are as comfortable being deep in the weeds (e.g. getting to the bottom of an individual claim form) as you are building processes and plans to handle this at 1,000x the volume
Have the tech skills to design and build an efficient, tech-driven process in what is often a paper / spreadsheet driven world
Have great analytical ability and are familiar with model building (e.g. in Excel) to analyze complicated data sets, including claims analyses, team productivity analyses, and demand volume analyses, etc.
Are excited about helping people access treatment for behavioral health needs

Requirements:

Certified biller and coder with specific primary care expertise and experience in large and small system billing operations
Deep understanding of multiple EMR systems’ billing functionality, electronic and paper claim submission
In-depth knowledge of medical billing processing protocols, payment schemes, adjustment processing, medical terminology, CPT, and revenue codes
Proficiency in applying standard CPT, HCPCS procedure and supply codes, and ICD diagnosis coding as per CMS guidelines
Extensive knowledge of Medicare, Medicaid, and commercial payer billing and reimbursement
Familiarity with medical billing software (e.g., Lytec, Medic, Misys, Medisoft, NextGen, IDX, etc.) and coding software (EncoderPro, Flashcode, Codeline, etc.)
Proficient with Excel, Word, PowerPoint, Google suite, Netsuite, and Sales Force.
Understanding of value-based billing models (e.g., ACO, capitation contracts)
Experience handling Personal Health Information (PHI) in a professional manner.
Specific knowledge of the 99492, 99493, 99494 and 99484 codes and related billing requirements (Preferred)

Concert Health is a diverse and inclusive Equal Opportunity Employer; we prohibit discrimination and harassment of any kind in our culture. We are dedicated to providing a safe, equitable, respectful, and supportive work environment to all without regard to race, color, religion, sex, gender, national origin, age, pregnancy, disability, sexual orientation, military or veteran status, genetics, or any other status protected by federal, state, or local laws. This policy applies to all terms and conditions of work, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. All Concert Health employees are expected to comply with this policy. If you share our vision and are good at what you do, come as you are. You are welcome here.