Manager, Revenue Cycle Management

DocGo•New York City, NY

1d•$75,000 - $95,000•Onsite

About The Position

DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupt s the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's propr ietary, AI-powered technology, logistics net work, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, DocGo empower s the full promise and potential of telehealth by facilitating healthcare t reatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with DocGo's integ rated A mbulnz medical transport services, DocGo is brid ging the gap between physical and virtual care. As the Manager, Revenue Cycle Management , you will be responsible for owning all aspects of the revenue cycle process, from eligibility verification and billing to claims processing and reimbursement. You will work closely with our clinical and finance teams to optimize revenue performance, minimize denials, and ensure timely reimbursement for services rendered . The ideal candidate will have a strong understanding of the ins-and-outs of PCP and urgent care professional billing and health insurance, excellent leadership and strategic thinking skills, and a passion for improving financial outcomes.

Requirements

C ertified Professional Biller (CPB) or Certified Revenue Cycle Professional (CRCP) certification is
Minimum of 7 years of experience in healthcare revenue cycle management, preferably in a n ambulatory setting (PCP and urgent care and quality measure experience further preferred)
Thorough understanding of Managed Medicaid and Medicare Advantage payor guidelines as well as technical knowledge of the ICD-10 and CPT classification systems
Familiarity with electronic health record (EHR) systems and revenue cycle management software (ideally Athenahealth)
Excellent analytical skills and attention to detail, including proficiency in Excel
Strong leadership and communication skills, with the ability to effectively manage a team and collaborate with cross-functional stakeholders

Responsibilities

Oversee the entire revenue cycle process, including insurance verification, coding, billing, authorization management, collections and reporting
Develop and implement policies and procedures to ensure accurate and timely billing and reimbursement
Monitor key performance indicators and financial metrics to identify trends, issues, and opportunities for improvement
Analyze and report on revenue cycle performance to senior management, identifying areas for growth and optimization
Collaborate with clinical staff to resolve billing discrepancies, denials, and other revenue cycle issues
Stay up-to-date with healthcare regulations and payor policies to ensure compliance and maximize reimbursement
Conduct patient financial counseling including benefit education, payment plans and financial assistance options
Provide leadership and guidance to revenue cycle team, including hiring, training, coaching, and performance evaluation
Other tasks as assigned