Associate Director of RCM Practice Operations and Optimization

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 an Associate Director of RCM Practice Operations and Optimization to join their ever-growing team! You will be 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 VP of Revenue Cycle Management and work remotely.

What you’ll do:

• RCM Implementation Support – Be an expert resource to support the CardioOne team in managing and updating the “Project Plan” tracking key deliverables during the implementation phase of each new practice. This includes attending all Implementation meetings, providing advice on configuration and settings, guiding user hierarchy and practice roles, and ensuring scalability of CardioOne tablespace.
• Pre-Live Training & Go-Live Support – Be an expert resource to lead all pre-live staff training activities outlined in the Project Plan including guidance/support for e-learning modules and any live on-site training required during critical go-live phase. This includes development of any custom practice clinical templates and workflows.
• Post-Live Optimization – Continue to serve as key support resource for both CardioOne and practice staff throughout post implementation to help achieve base standards for practice performance around Charge Entry Lag, Clinical Inbox Management, Encounter Plans & Templates and TOS Collections.
• Device & System Integration Support – Ensure any Athena MDP partners or other 3rd party integrated tools are deployed effectively within each practice and serve long-term product objective of CardioOne.
• 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 practices in improving the patient experience, efficient service delivery, and financial performance.

What you’ll need:

• Bachelor's degree or equivalent experience.
• 6-8 years of equivalent and relevant experience in RCM / process management.
• Athena Health EMR implementation and optimization experience
• 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.
• Strong organizational skills.
• Knowledge and financial reporting experience required.
• Demonstrated analytical thinking and problem-solving ability.
• Ability to 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 $80,000-$110,000 plus medical, dental, vision benefits along with a matching 401K.