Revenue Cycle Manager

Revenue Cycle Manager

Are you a tech savvy Revenue Cycle Manager in healthcare who is looking to be a part of a hardworking, high-growth early-stage organization?

Do you thrive in a rapidly evolving, fast-paced environment requiring creativity, resourcefulness, high energy and an ability to adapt quickly?

Are you passionate about positive patient outcomes, and looking to create a revolutionary new approach to digestive healthcare with a radically better patient experience?

If so, you could be a perfect fit for our team of like-minded professionals who share a common mission and passion for helping others and a desire to build a great company.

The Role:

We are seeking a Revenue Cycle Manager who acts as a trusted partner to both the Finance and Clinical Operations teams, reporting to the CFO. The successful candidate for this role will own the direction and leadership of our revenue cycle function and is able to build as well as execute the day to day. Our goal is to build a world-class revenue cycle team that provides efficient operations and a top patient experience. We’re looking for someone with a broad set of knowledge across medical claims, payer enrollment, patient collections, and improving billing processes and technology.

Oshi Health Mission:

Oshi Health is revolutionizing GI care with a virtual care model that provides easy, convenient access to an integrated and multidisciplinary care team that takes a holistic approach to diagnosing, managing and treating digestive health conditions. We take time to get to know each patient, develop a personalized, whole-person care plan that includes identification of symptom triggers and prescription of evidence-based interventions, including medications, dietary changes, and mental health support.

Our care is delivered virtually through our app, secure messaging and telehealth visits. When in-person diagnostics or procedures are needed, we take a concierge approach and coordinate access, care and follow up with local providers.

What You’ll Do:

• Own the revenue cycle strategy and processes from beginning to end and build out the team and processes needed as we scale
• Lead day-to-day revenue cycle operations managing Oshi’s medical claims, billing, payment posting, accounts receivable, and claim denials
• Develop and execute on strategic plans for systems and processes that support a high performing, patient-centered revenue cycle operation
• Drive operational excellence and accountability through a metrics driven culture by developing performance metrics and reporting and providing regular updates to peers and leadership
• Interpret claim notes and processing logic to be able to determine issues and trends
• Analyze current billing processes, identify gaps and work towards advancements
• Understand and manage accounts receivables across our different partner contracts
• Collaborate with the Clinical Operations team to handle patient and clinical billing questions
• Ensure accurate setup of new payer accounts in our medical billing system, understanding contract terms, reimbursement rates, and appropriate medical procedure codes
• Develop and optimize revenue cycle processes to maximize collections
• Track and monitor KPIs and revenue cycle benchmarks
• Collaborate with Product and Engineering to recommend system improvements and automate operations

Results you will drive:

• Improved billing workflows to drive efficiency as the company scales
• Increased revenue generation through improved revenue cycle processes
• Billing resolutions that directly impact patient experience and satisfaction
• Quality assurance over billing processes and collections
• Increased rate and speed of collections to drive better cash flows for the company

What You’ll Bring to the Team:

• Bachelor’s degree or equivalent experience ideally in healthcare administration or other relevant fields. Courses and majors or minors in subjects such as economics, finance, accounting and healthcare may be an asset.
• 7+ years of experience in revenue cycle and management in a healthcare setting
• A deep understanding of medical claims and billing, ideally in a digital health setting with experience working with multiple payers
• Experience building new processes and procedures for Revenue Cycle Management at a high growth company
• Proficiency in billing systems, electronic health records, data visualization software or similar software tools
• Experience involving analytical rigor as typically seen in, but not restricted to, functions like healthcare operations or administration, revenue cycle management, etc.
• Problem solving and analysis experience solving business problems (financial, operational, organizational)
• Adaptability and initiative to succeed in a fast-growing virtual work environment
• Prior experience using AthenaHealth RCM tools is a plus

and perks:

We’re revolutionizing GI care — and our employees are driving the change. We’re a hard-working and fun-loving team, committed to always learning and improving, and dedicated to doing the right thing for our members. To achieve our mission, we invest in our people:

We make healthcare more equitable and accessible:

• Mission-driven organization focused on innovative digestive care
• Thrive on diversity with monthly DEIB discussions, activities, and more
• Virtual-first culture: Work from home anywhere in the US
• Live our core values: Own the outcome, Do the right thing, Be direct and open, Learn and improve, Team, Thrive on diversity 

We take care of our people:

• Competitive compensation and meaningful equity
• Employer-sponsored medical, dental and vision plans 
• Access to a “Life Concierge” through Overalls, because we know life happens
• Tailored professional development opportunities to learn and grow

We rest, recharge and re-energize:

• Unlimited paid time off — take what you need, when you need it
• 13 paid company holidays to power down
• Team events, such as virtual cooking classes, games, and more
• Recognition of professional and personal accomplishments

Oshi Health’s Core Values:

• Own the Outcome: Creative, Accountable, Resourceful & Empowered. Take pride in achieving ambitious goals. Align, plan & do what it takes to GSD (Get Stuff Done).
• Team: Cultivate strong relationships. Collaborate across functions to achieve our goals. Celebrate our wins and have fun together.
• Do the Right Thing: Always put members first. Ethical and compassionate behavior drive our decisions, reputation and results.
• Thrive on Diversity: Diverse backgrounds and perspectives fuel our success. Stretch and challenge ourselves to have an inclusive culture.
• Be Direct & Open: Cultivate strong relationships. Collaborate across functions to achieve our goals. Celebrate our wins and have fun together. 
• Learn & Improve: Create space to learn, ask for and give help. Constantly make measurable improvement. Develop our skills and grow. 

Oshi Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment 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.

Please note: There has been a recent increase in employment scams. Please be careful when responding to emails from this domain “oshi-health.com”. Oshi Health will not ask you to provide funds for purchasing equipment or extend job offers without conducting a thorough interview process.