Revenue Cycle Manager

Imagen enables Primary Care providers to become technology-enabled multispecialty practices, powering a successful transition from fee-for-service to value-based care. Imagen’s comprehensive platform includes in-office diagnostic testing, diagnostic interpretations powered by proprietary FDA-cleared machine learning software, and virtual specialist consults. Imagen’s platform empowers Primary Care providers to achieve healthcare’s quadruple aim of increasing quality, lowering costs, and improving the patient and provider experience. 

Imagen’s team includes over 100 clinical, technical and business personnel. Imagen’s software has received first-of-its-kind FDA clearances, and its research has been published in leading peer-reviewed journals. Imagen has raised $135 million in capital from investors such as Google Ventures, Casdin Capital, and Threshold Ventures. Imagen was founded in 2015 and is based in New York City.

We’re looking for an experienced Revenue Cycle Manager (RCM), around whom we can build our future RCM team. The RCM is responsible for all aspects of ensuring our customers are able to successfully bill for their new onsite imaging services. From upfront contract and policy review to collaborating with our clients to resolve denials, you will be designing our processes and leading the charge in maximizing the value of our services to customers. Our ideal candidate is organized, proactive, and knowledgeable about independent primary care contracting and/or outpatient imaging service claims (e.g. x-ray, ultrasound, etc). 

Responsibilities: 

• Review payer contracts and policies to confirm service eligibility and payment levels for prospective clients.
• Support the provider enrollment process for our clients, which includes credentialing & re-credentialing for radiologists, cardiologists, and ophthalmologists with Medicare, Medicaid, and commercial payers.
• Identify opportunities to improve fee schedules and assist in negotiations with payers to increase reimbursement rates and/or reduce claim denials.
• Collaborate with our clients to resolve issues with pending, rejected or denied claims for Imagen services and ensure that reimbursement is in accordance with allowable amounts stated in agreements and contracts.
• Ensure RCM processes are compliant with regulations for government agencies, third-party payers, & company policies.

Requirements:

• Bachelor’s or Associate’s degree, or 3+ years of equivalent experience
• 3-5 years in a Revenue Cycle or related Business analyst position working with large multi-user systems
• Familiarity with outpatient medical imaging claims, independent primary care payer contracting, and/or payer enrollment is strongly preferred
• Excellent verbal and written communication skills
• Organized with high attention to detail 
• Required travel: up to 25%

Benefits:

• Health, Dental, and Vision Insurance
• Paid Time Off
• Competitive Salary
• Ability to grow with an exciting company that is changing healthcare

This is a work-from-home position where you will need a reliable WiFi network, a quiet workspace, and a desk/chair. Imagen has office space available for use by employees in lower Manhattan, NYC, and NY.

Imagen Technologies maintains a Substance Abuse and Testing policy. Being under the influence of alcohol or controlled substances while on the job or while conducting business on Imagen’s behalf is prohibited. Imagen reserves the right to test any applicant or employee for alcohol and/or drug use, subject to compliance with any applicable state and/or federal laws.

Imagen is committed to the principle of equal employment opportunity for all employees and applicants for employment and prohibits discrimination and harassment of any kind without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Imagen will not tolerate discrimination or harassment based on any of these characteristics. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.