Manager of Revenue Cycle

COMPANY OVERVIEW :

Wondr Health is the proven leader in digital behavior transformation. Leveraging over 15 years of behavior change experience and partnership with health plans and employers, Wondr Health delivers interrelated, personalized, skill-building programs for full-spectrum weight management, mindfulness and movement that improve the physical and emotional health of participants. Powered by Wondr's data-driven engagement expertise and personalized programming, and supported by expert content and coaching, the company's flexible and scalable solutions engage populations, improve quality of life and health outcomes, and prevent and reduce the cost of chronic health conditions. To learn more, visit ~~~ .

PURPOSE :

The Manager assists in executing revenue cycle strategy along with carrier project coordination and issues resolution. In addition, this position will provide basis billing and collection services to support patients and payers across the United States. The Manager is a valued contributor by providing managerial support to Strategy Execution, Performance Improvement and Clients. The role manages the day-to-day RCM functions and third-party RCM vendor.

ESSENTIAL FUNCTIONS :

• Facilitates the execution of RCM strategy as provided by management.

• Work with third party RCM to ensure that all information in flowing properly in both directions and that Wondr Health is being paid for all claims in a timely manner.

• Work to resolve any issues with third party RCM.

• Develop recommendations and strategies based on analysis findings to optimize revenue cycle back-end process performance.

• Implement and maintain billing processes to guarantee accurate revenue recognition and invoicing.

• Manages claim resolution when vendor has escalated to Wondr Health.

• Perform full cycle new carrier onboarding and testing.

• Manages eligibility process and vendor performance as related to eligibility.

• Monitoring A/R environment and identification of areas of improvement.

• Oversight of new client and carrier setup to ensure compliance with RCM policies.

• Manage carrier contacts and relationships to help facilitate payer focused communication.

• Provide reporting to Wondr Health management as needed.

• Other RCM related assignments as needed at the supervisor's discretion.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Critical thinking skills

• Intermediate math skills

• Excellent written and verbal communication skills

• Strong send of urgency

• Detailed oriented

• Must be able to multi-task.

• Must be able to prioritize work.

• Ability to build strong client relationships.

• Strong communications skills to be able to summarize issues to vendors and direct supervisor to understandable terms.

• Advance knowledge of Microsoft Suite

• Intermediate knowledge Project Management principles

QUALIFICATIONS :

Education: Bachelor's degree in Business Administration, Accounting, Healthcare, or related field. 5+ years of revenue cycle experience in healthcare in lieu of degree requirements.

Certification: Certified Revenue Cycle Representative (CRCR) through Healthcare Financial Management Association (HFMA) is preferred.

Experience: 5+ years of Revenue Cycle experience in required and knowledge of Health Plans.