Harbor Health looking for an experienced Revenue Cycle Director to become a member of our team! Harbor Health is an entirely new multi-specialty clinic group in Austin, TX utilizing a modern approach to co-create health with those who get, give, and pay for it, allowing everyone to fully flourish. Join us as we build a fully integrated system that connects care to a better payment model that truly puts the human being at the center.

The Revenue Cycle Director at Harbor Health is accountable for revenue cycle management for the organization that includes designing, implementing and monitoring all workflows and processes. This role is responsible for prioritizing work against business objectives and will collaborate with executive leadership. As the key role connecting the financial function with the impacting operations, this role will be responsible for alternative payment models (APMs) in our value-driven business. This role will encompass all aspects from rolling up their sleeves and doing the production work along-side their team as the function is expanded and iterated. The Revenue Cycle Lead will manage all coders (CRC and CPCs), medical billers, and the credentialing team (Med Staff and Payer enrollment). Knowledge of developing self- pay policies and procedures, and ensuring consistent processes across all financial interfacing functions (pre-reg, front desk, claim management, payment posting, etc) is vital as we experience rapid growth. 

Our Revenue Cycle Lead will be responsible for:

• Expands and manages the end-to-end RCM function (from credentialing to account resolution)
• Maintaining and managing all tools, vendors, human resources and contractors supporting the RCM function
• Owning all RCM function OKRs including analysis, reporting, executive write-ups and mitigation plans
• Ensures adherence to all financial processes to support financial closes
• Collaborates with site managers, contact center, clinicians and business leaders and finance to implement RCM related process

Successful Revenue Cycle Lead's will have:

• 15 years of experience in professional billing revenue cycle
• Delivered results by building teams and processes from the ground up, with excellent organization skills
• 7 years of experience in managing a team
• Proven track record of collaborating at all levels of an organization to deliver against business objective
• Posses depth of knowledge and demonstrated ability in risk coding (HCC) and APM’s
• Proven ability in building and managing financial reconciliation processes including refund management and paper payment routing
• EDI setup and management experience
• Bachelor’s degree

Additional Skills & Experiences Preferred include:

• MBA

Physical Requirements of the role include:

• This role is based in Austin Texas, this role requires up to 50% on-site clinic or office time.

If you are passionate about health care and you want to create something new together, we want you to be apart of our team!