Revenue Cycle Management Lead

Marvin is a company on a mission to end healthcare worker burnout. Marvin partners with many of the country’s top hospitals, including Cedars-Sinai and UCLA in Los Angeles, Jefferson Health and Geisinger in Pennsylvania, and the Harvard Department of Psychiatry, to provide a proprietary mental health care service for their physicians, nurses, and staff.

We are seeking a dynamic and driven Revenue Cycle Management Lead to join our team and drive strategic growth within our organization. Marvin is contracted in-network with 99% of commercial insurance payors (no Medicare/ Medicaid). The Revenue Cycle Management Lead will collaborate closely with the CEO and billing team to manage patient billing and insurance claims, operationalizing key processes and aligning the medical record systems for growth. The ideal candidate will possess strong analytical skills, problem solving abilities, attention to detail, and a proven track record of success in medical billing. They will have multiple years of experience in behavioral health specific billing, as well as experience in AdvancedMD as a medical record.

This position is based in western Los Angeles. While work is primarily remote, the candidate will be willing to spend 1-2 days per week in Marvin’s office in Marina del Rey, CA.

Responsibilities

Revenue Cycle Management Lead Responsibilities:

• Design, manage, and audit Marvin’s insurance billing and revenue cycle management processes, including our national payor contracts
• Lead a team that aligns the practice management system by entering accurate data, verifying and updating insurance and claims information, handles correspondence, manages EOBs
• Manage the preparation, review, submission, and follow up of claims to Marvin’s payor partners
• Co-lead annual rate review negotiations with insurance partners
• Prepares weekly and monthly RCM reports, analyzing the data and identifying lost revenue
• Achieve maximum reimbursement for services provided (audit payments, follow up with payers for incorrect or late payments)
• Resolve denial instances
• Ensure patient medical information and practice information is accurate and up to date
  
  

Qualifications

• Minimum 5 years experience in behavioral health-specific insurance billing and 10 years total in RCM
• Minimum 5 years of experience with AdvancedMD medical record system
• Outstanding knowledge of general accounting principles, revenue cycle process, medical insurance, and associated regulations
• Ability to manage multiple tasks and deadlines simultaneously to identify and resolve exceptions and to interpret data
• Strong interpersonal and negotiation skills, including the ability to interface with third party payors
• Bachelor's degree in business administration, management, finance, or a related field
  
  

Powered by JazzHR

TopxDOA93w