RCM Strategic Service Associate

About the Company

CardioOne partners with independent cardiologists to provide innovative solutions that improve patient outcomes and reduce costs. Our platform helps our physician partners thrive in today’s fee-for-service environment and prepare for success in value-based care. In February 2024, we partnered with WindRose Health Investors as well as top physician services and payor executives to grow our team and invest in our next phase of growth.

CardioOne offers a magnificent work environment, good working conditions, and competitive pay. We offer medical, dental, vision, and a 401k plan with a match to benefit eligible employees. We offer PTO (Personal Time Off) and sick time to full-time employees.  We take pride in creating a culture of employee engagement that translates into an exemplary patient experience. Join us in our mission to positively impact US cardiology.

About the Job

CardioOne is hiring a Revenue Cycle Management Strategic Service Associate to join their ever-growing team! You will be an essential member responsible for supporting revenue cycle operations at our cardiology practices to achieve maximum efficiency and performance.  You will aim to reduce inefficiencies and help the organization avoid losing access to reimbursement while improving the overall patient experience. You will report directly to the Vice President of Revenue Cycle Management and work remotely.

What you’ll do:

• RCM Vendor Implementation Liaison – Serve as principle point of contact for CardioOne and practice partner technical vendor relationships, system build, exceptions in workflow and optimization opportunities. Be an expert resource to effectively track vendor integrations, deliverables, and escalations to timely resolve issues/questions related to RCM’s strategic plan and execution of standardized policies and procedures.  This includes overseeing the monthly reconciliation of RCM technical vendor partners (i.e. Medaxiom/Coding, Hybrid Chart/Charge Capture, Ancillary Facilities for Practice Partners, Nsight/Recora/RPM-CCM, Octagos etc.).
• Compliance and Internal Controls Support – Ensure compliance with government and commercial payer contracts, payer relations and Athena system edits/custom rules, ACO agreements, MIPS/MACRA, coding standards, and CPT Category II quality reporting.  Actively participate in routine system reviews and audits of processes, serving as an escalation resource for RCM related issues, and aid in developing action plans to address negative trends or unfavorable audit outcomes.
• RCM Key Performance Indicators and Optimization - Serve as an expert resource in monitoring and maintaining/exceeding RCM KPI’s in AR Management targets, Cost to Collect, Charge Entry Lag, Clinical Inbox Management, Avoidable Denials, Clean Claim Submission Rate, TOS Collections, and Net Collections Rate.  Continue assisting RCM and practice partners in improving patient experiences, efficient service delivery, and financial performance.

What you’ll need:

• Bachelor's degree or equivalent experience.
• 3-5 years of equivalent and relevant experience in RCM / process management.
• Ability to effectively collaborate across various teams and vendors.
• Knowledge of medical billing, front office, physician practice management and healthcare business processes and workflow.
• Understanding of medical billing/coding with an understanding of various insurance carriers, including Medicare, private HMOs and PPOs.
• Excellent written, verbal and interpersonal communication skills for a variety of audiences.
• Strong organizational skills with ability to handle multiple tasks simultaneously.
• Keen knowledge of RCM technical integrative workflows, process-mapping, and escalation resolution
• Demonstrated analytical thinking and problem-solving ability. Can systematically and logically work to identify causation and resolve problems.

Work Location:

Remote: Texas or Colorado (preferred), Florida, New Hampshire, New Jersey, New York, Pennsylvania.

Additional Information

Full-time base salary of $50,000-$70,000 plus medical, dental, vision benefits along with a matching 401K.