Manager, RCM Services

RethinkFirst was founded in 2007 with a mission to provide scalable, evidence-based autism treatment training tools and caregiver supports to an underserved population. In 2010, Rethink launched its first solution, a suite of special needs and behavior management offerings, to support K-12 education. Over time, we expanded our offerings to support the entire behavioral health community by adding solutions in the employer (RethinkCare), provider (RethinkBH), and payor (RethinkFutures) industries, and to drive whole child wellness and success in education (RethinkEd).

Today, we’re proud to have almost 500 team members working to support over 2,000 customers worldwide as we work together to support our communities and help every individual reach their potential.

Over the past fifteen years, RethinkFirst’s mission has evolved to transform the behavioral health landscape by inspiring and empowering all individuals with behavioral health challenges and those who support them. We continue to focus on the future of transforming behavioral health through data science, analytics, and enabling value-based care. With patent-pending solutions and the largest published ASD dataset, RethinkFirst can focus on improving outcomes and having a positive impact on the millions of lives it supports.

Our Billing Services Division specializes in Revenue Cycle Management, Enrollment and Credentialing, and Benefit Authorization Management services. We are growing and are looking for new team members that will offer our clients best-in-class billing services. We support mission-oriented companies that impact the lives of thousands of individuals with autism and their families. We are excited to offer the opportunity for professional and collaborative individuals to grow and be part of something exciting.

The Manager, RCM Services will play a key role in the continued development and growth of the Billing department and will work closely with the Enrollment & Credentialing Team to ensure the best customer experience. The Manager is responsible for managing and motivating assigned group(s) of Customer Billing Advocates and A/R Specialists to ensure they meet operational goals. Main Responsibilities:

Ensure strict HIPAA-compliant confidentiality with all client-related data

Oversee the day-to-day operations of Rethink’s Revenue Cycle Management services.

Supervise a team of Customer Billing Advocates, including but not limited to assigning and monitoring workloads, operational productivity and performance, and management of procedures and workflows

Serve as the Billing subject matter expert resource internally and externally.

Identify and implement opportunities to improve the quality of services that result in timelines and customer satisfaction

Work directly with clients who may be escalated and take responsibility for addressing the client’s concerns while implementing processes to avoid repetition of errors. This includes maintaining a weekly report on all escalated clients.

Escalations to be addressed within 48 hours of notification of issue with immediate outreach to customer for coordination of call

Builds effective and strong team committed to achieving organizational goals

Assess existing processes to ensure Rethink’s Revenue Cycle Management services are being provided based on payor current requirements and best practice

Assess denial trends identified in denial management platform (DocVocate) to analyze trends and communicate findings and implement long term solutions to minimize denials and aging A/R

Make recommendations to Rethink leadership to address and improve operational protocols that focus on enhanced customer experience

Communicate staff hiring needs based on existing and projected workload capacity based on new customer account acquisitions

Coaches and mentors the team in a manner that ensures high volume revenue collections

Work directly with the Quality Assurance team to implement processes/procedures to ensure denial management strategies are adapted & implemented across teams

Works closely with CSM and other Company Leadership to ensure high level of service across the entire RCM client base

Train, direct, develop and evaluate staff

Develop and perform quality assurance audits to ensure that timelines for billing are being met

Develop and manage new customer onboarding & implementation processes/procedures

Document and communicate updated payor billing requirements to team members

Facilitate regular staff meetings that focus on key business metrics

Organizes weekly production/action reports and provides them to management

Interview candidates, make recommendations for hire and terminations when applicable

Work account Aging Reports as needed

Attend customer meetings as needed

Special projects as needed

Minimum 2-5-year Supervisory experience

Minimum 3-5-year Insurance Billing experience

Strong verbal and interpersonal skills

Positive attitude and love a good challenge

Strong leadership qualities

Bachelor’s degree preferred

Minimum of 5 years Supervisory experience

Minimum of 5-10 years of Insurance Billing Experience

Experience leading teams

Customer service experience required

Proficient using Microsoft Suite (Excel, Outlook, Word)

Experience using billing software Kareo or Azalea