Manager, Revenue Cycle Management

Title: Manager, Revenue Cycle Management
Location: HQ: 685 Third Avenue 9th FL, New York, NY 10017, In-Office  

Employment Type: Full-Time   
Salary Range: $75,000 - $95,000
Benefits: Medical, Dental, and Vision (with company contribution), Paid Time Off, 401k   

About DocGo:  
DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with DocGo's integrated Ambulnz medical transport services, DocGo is bridging the gap between physical and virtual care. 

Position Overview:
As the Manager, Revenue Cycle Management, you will be responsible for owning all aspects of the revenue cycle process, from eligibility verification and billing to claims processing and reimbursement. You will work closely with our clinical and finance teams to optimize revenue performance, minimize denials, and ensure timely reimbursement for services rendered. The ideal candidate will have a strong understanding of the ins-and-outs of PCP and urgent care professional billing and health insurance, excellent leadership and strategic thinking skills, and a passion for improving financial outcomes. 

Responsibilities:

• Oversee the entire revenue cycle process, including insurance verification, coding, billing, authorization management, collections and reporting 
• Develop and implement policies and procedures to ensure accurate and timely billing and reimbursement 
• Monitor key performance indicators and financial metrics to identify trends, issues, and opportunities for improvement 
• Analyze and report on revenue cycle performance to senior management, identifying areas for growth and optimization 
• Collaborate with clinical staff to resolve billing discrepancies, denials, and other revenue cycle issues 
• Stay up-to-date with healthcare regulations and payor policies to ensure compliance and maximize reimbursement 
• Conduct patient financial counseling including benefit education, payment plans and financial assistance options 
• Provide leadership and guidance to revenue cycle team, including hiring, training, coaching, and performance evaluation 
• Other tasks as assigned

Qualifications:

• Certified Professional Biller (CPB) or Certified Revenue Cycle Professional (CRCP) certification is required 
• Minimum of 7 years of experience in healthcare revenue cycle management, preferably in an ambulatory setting (PCP and urgent care and quality measure experience further preferred)  
• Thorough understanding of Managed Medicaid and Medicare Advantage payor guidelines as well as technical knowledge of the ICD-10 and CPT classification systems 
• Familiarity with electronic health record (EHR) systems and revenue cycle management software (ideally Athenahealth) 
• Excellent analytical skills and attention to detail, including proficiency in Excel 
• Strong leadership and communication skills, with the ability to effectively manage a team and collaborate with cross-functional stakeholders 

EEO/AAP Statement:  DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences.  DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position.  As the nature of business demands change so, too, may the essential functions of the position.