Head of Revenue Cycle presso Cortica

Cortica is looking for a Head of Revenue Cycle to join our growing multi-disciplinary team! (Southern California based)

Reporting to the CFO, the Head of Revenue Cycle Management leads the strategy, planning, and day-to-day execution of revenue cycle operations. They are responsible for systemic approaches that contribute to the capture, management, and collection of patient service revenue.

We are a rapidly growing healthcare company pioneering the most effective treatment methods for children with neurodevelopmental differences. Our mission is to design and deliver life-changing care – one child, one family, one community at a time. Ultimately, we envision a world that cultivates the full potential of every child. At Cortica, every team member is instrumental in helping us achieve our mission!

Our culture and values guide how we work and treat one another. Cortica celebrates diversity and fosters an inclusive environment, seeking ideas and opinions from everyone on the team. We safeguard equal rights and respect for all individuals, regardless of race, color, religion, sex, national origin, age, disability, creed, genetic information, sexual orientation, gender identity or expression, ancestry, veteran status or other applicable, legally protected characteristics. All Cortica employment decisions are made based on an individual’s qualifications and ability to successfully perform the job responsibilities.

What will you do?

• Lead and direct the work of a team responsible for timely and accurate production of claims and management of denials, collection of cash, and clinician credentialing. This role will hire, promote, coach, performance manage, and terminate teammates under its purview.
• Collaborate with members of the executive leadership team to align departmental strategy and direction with the overall goals of the organization.
• Develop and monitor policies, practices, and procedures for the revenue cycle department that align with Cortica’s values and goals.
• Define metrics and key indicators to monitor performance of team.
• Closely monitor outstanding receivables and ensure timely resolution of unresolved claims.
• Ensure accuracy of the team’s work for the purpose of maintaining compliance and achieving maximum reimbursement.
• Serve as internal RCM expert and work cross-functionally on process improvements, project implementations and reporting. This includes collaborating with Scheduling, Enrollment, Contracting, Operations, Clinical Management, Revenue Integrity, Coding, Finance, Learning and Development.
• Continuously evaluate processes and systems to ensure department is working effectively and efficiently, including leveraging automation tools. This will involve strong understanding of all billing systems.
• Keep leadership informed of project progress and potential problems. Share innovative approaches with key stakeholders.
• Stay informed of payor and legislative changes that impact patient financial services, billing and reimbursement and provide recommendations to maximize outcomes.
• Travel to in-person meetings and Cortica centers from time to time, not more than 15% of the time.
• Other duties as assigned

We’d love to hear from you if:

• You bring 15+ years of revenue cycle operations experience in a healthcare setting.
• You have 10+ years of experience managing people.
• You hold an associate’s degree (bachelor’s degree preferred).
• You have prior experience executing systems implementations.
• You are proficient with systems and software such as Athena, Central Reach, Candid, Medallion, and Microsoft Office products (preferred).
• You have a strong understanding of CPT and ICD10 codes, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes.
• You’re able to support and promote the understanding of organization mission and goals.

Your Compensation & Benefits

Cortica cares deeply about the well-being of each member of our team, and we have created a passionate, caring, and growth-minded culture that helps teammates thrive! As a Cortica teammate, we’ll support your well-being through medical, dental, and vision insurance, a 401(k) plan with company matching and rapid vesting, paid holidays and wellness days, life insurance, disability insurance options, tuition reimbursements for professional development and continuing education, and referral bonuses. We value you and the experience you bring to your role, and are proud to provide you with a compensation and benefits package designed to enhance all aspects of your life.

The base pay range for this opening is $220,000 to $240,000. According to your skill level, relevant experience, education level, and location, you will receive compensation that fits appropriately within the range.

EOE. This posting is not meant to be an exhaustive list of the role and its duties. Please review the full job description here: Job Description