RCM总监(远程)
RCM Director - Remote
RCM 主管 - 远程办公
关于 Thriveworks
Thriveworks 是一家领先的心理健康护理公司,致力于为全国个人、夫妻和家庭提供高质量的咨询和精神科服务,使其更易获得且负担得起。通过全国范围内的持牌临床医生网络和以技术驱动的方法,Thriveworks 正在改变心理健康护理的交付方式,以更好地满足当今客户不断变化的需求。
关于职位
Revenue Cycle Management(RCM)主管负责领导所有与患者及部分保险相关的收入周期运营工作,包括患者应收账款管理、保险福利验证、患者沟通、与患者服务部门的互动、资质认证、产品开发和合同部门。改善患者的财务体验、沟通、患者回款,减少与资格和覆盖范围相关的拒付情况,并提高整体现金回款。该职位负责内部 RCM 团队和外包 RCM 供应商,确保执行一致、合规并实现可衡量的财务表现
主要职责
患者应收账款与信用余额管理
- 领导患者应收账款和信用余额流程,以提高回款率,减少账龄,并确保及时解决和退款。
- 监控绩效,识别未付款的根本原因,并实施流程改进和报告。
患者资格与账单呼叫中心
- 领导将资格和账单呼叫流程转移到 RCM。
- 制定流程、标准操作程序(SOP)、培训材料、电话脚本、决策树和知识资源。
- 与跨职能团队合作,确保适当的人员配置、服务覆盖和持续改进。
保险应收账款与拒付减少
- 支持应收账款流程和项目,以减少资格、覆盖范围和授权方面的拒付。
- 分析拒付和保险公司趋势,实施纠正措施,并与内部团队和供应商合作解决重复性问题。
- 监督核销治理,确保核销适当且最小化。
培训与变更管理
· 开发并提供培训、SOP 和沟通材料,以支持流程变更和运营一致性。
运营策略与绩效
· 制定策略以改善现金流、减少应收账款天数并加强收入完整性。
- 建立并监控应收账款、拒付、核销和保险公司绩效的关键绩效指标(KPI)。
- 识别自动化和流程优化机会
查看英文原文
RCM Director - Remote
About Thriveworks
Thriveworks is a leading mental health care company dedicated to making high-quality counseling and psychiatric services accessible and affordable for individuals, couples, and families nationwide. With a national network of licensed clinicians and a technology-driven approach, Thriveworks is transforming mental health care delivery to better meet the evolving needs of today’s clients.
About the Job
The Revenue Cycle Management (RCM) Director is responsible for leading all patient and some insurance‑related revenue cycle operations, including Patient AR Management, Insurance Benefits Verification, patient communications, interaction with patient services, credentialing, product development, and contracting departments. Improve the patient financial journey, communications, patient collections, reduce denials associated with Eligibility and coverage, and improve overall cash collections. This role oversees both internal RCM staff and the outsourced RCM vendor, ensuring consistent execution, compliance, and measurable financial performance
Key Responsibilities
Patient AR & Credit Balance Management
- Lead patient accounts receivable and credit balance workflows to improve collections, reduce aging, and ensure timely resolution and refunds.
- Monitor performance, identify root causes of non-payment, and implement process improvements and reporting.
Patient Eligibility & Billing Call Center
- Lead the transition of eligibility and billing call workflows to RCM.
- Develop processes, SOPs, training materials, call scripts, decision trees, and knowledge resources.
- Partner with cross-functional teams to ensure appropriate staffing, service coverage, and continuous improvement.
Insurance AR & Denial Reduction
- Support AR workflows and initiatives to reduce eligibility, coverage, and authorization denials.
- Analyze denial and payer trends, implement corrective actions, and collaborate with internal teams and vendors to resolve recurring issues.
- Oversee write-off governance to ensure write-offs are appropriate and minimized.
Training & Change Management
· Develop and deliver training, SOPs, and communication materials to support process changes and operational consistency.
Operational Strategy & Performance
- Develop strategies to improve cash flow, reduce AR days, and strengthen revenue integrity.
- Build and monitor KPIs for AR, denials, write-offs, and payer performance.
- Identify automation and process improvement opportunities and lead cross-functional initiatives to improve efficiency and results.
Qualifications
- Bachelor’s degree in Healthcare Administration, Business, Finance, or related field.
- 7+ years of progressive RCM leadership experience, including insurance AR and denial management.
- Experience managing outsourced RCM vendors or BPO partners.
- Strong understanding of payer policies, regulatory requirements, and multi‑state billing environments
- Proven ability to lead teams, manage change, and drive measurable financial outcomes.
- Excellent analytical, communication, and problem‑solving skills.
Competencies
- Strategic thinking with strong operational execution
- Strong Patient Collections Knowledge
- Ability to manage a Patient Billing Call Center to improve communications and the patient journey
- Proven ability to improve the Insurance Benefits Verification process
- Data‑driven decision‑making
- Process improvement and workflow optimization
- High accountability and ownership mindset
Benefits
- An amazing team culture
- Healthcare, Dental, Vision, and life insurance benefits
- 401K with 3% employer match
- Paid time off and paid holidays
- Additional coverage options are available, such as Short Term Disability, Long Term Disability, and Group Accident Insurance
- Professional development & advancement opportunities
Successful Thriveworks employees believe in our mission; they embody our core values, which focus on Community, Purpose, Integrity, Access, Quality, and the ability to achieve our goals and work well together. If you fit the bill and belong on our team, apply today!
Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team.
Interested in joining Team Thriveworks? We're thrilled to meet you!
With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team:
- Our recruiters and other team members will only email you from or an @thriveworks.com email address.
- Our recruiters and other team members may also contact you via text or phone to schedule an interview.
- A google meets interview invitation will be sent via email and will only come from an @thriveworks.com email address.
- Our interviews will take place over Google Meet (not Microsoft Teams, Zoom, or any other platform).
- We will never ask you to purchase or send us equipment.
If you see a scam related to Thriveworks, please report it to . You can contact with any questions or concerns.
Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team.
Applicants must be legally authorized to work in the United States at the time of hire. This position is not eligible for employment visa sponsorship, either now or in the future.
By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.
Originally posted on Himalayas