Director, Revenue Cycle Management

About the Company:

Octave is a modern behavioral health practice creating a new standard for care delivery that’s both high-quality and accessible to more people. With in-person and virtual clinics in California, Connecticut, Florida, New Jersey, New York, Texas, and Washington D.C., the company offers personalized care plans that can include individual, couples, and family therapy, while pioneering relationships with payers to make care more affordable through insurance. By raising the bar on how care is delivered and how providers are supported, we are building a sustainable system that values equity, affordability, and effectiveness.

About the Role:

The Director, Revenue Cycle Management (RCM) provides strategic planning, leadership, and ongoing continuous quality and process improvement for revenue associated with the operating activities of Octave. This role drives strategy for revenue opportunities and evaluations across the health system implementing efficiencies through innovative partnerships, process improvements and redesign, deployment of new technology, and automation. This role will oversee the financial processes associated with patient care services as well as a team of RCM Managers and Billing Specialists. This leadership position requires a thorough understanding of revenue cycle operations, billing procedures, compliance regulations, and financial analysis in the context of behavioral health services. The Director, RCM collaborates with various teams to ensure accurate and timely revenue collection while maintaining a strong focus on customer service while enhancing overall financial performance. Provides regular reports and analysis to executive leadership to drive business strategies and objectives.

Management Responsibilities: 

• Develops, coordinates, and implements  systems, policies, procedures, and productivity standards.
• Provide leadership and guidance to the team, ensuring the achievement of goals and objectives.
• Foster a positive and collaborative work environment.
• Oversee the planning, execution, and completion of projects and initiatives within the team.
• Establish and monitor operational processes and workflows to streamline to enhance efficiency and productivity.
• Implement best practices, monitor key performance indicators (KPIs), and develop strategies to achieve operational excellence.
• Ensures a safe, secure, and compliant work environment.
• Accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results.
• Build and manage a high-performing team, including hiring, training, and development.
• Set performance expectations and goals for team members. Conduct regular performance evaluations, provide feedback, and address performance issues. 
• Identify skill gaps within the team and develop strategies for filling those gaps. Support employee development through training, mentoring, and coaching. Identify high-potential employees and create succession plans.

Responsibilities Include: 

• Manage Octave’s Revenue Cycle  team and oversee all front-end and back-end revenue cycle operations through multiple platforms.
• Ensure an exceptional client experience through strong customer service.
• Maintain and improve revenue cycle processes in a manner consistent with industry best practices and in support of Octave’s projected growth.
• Oversee billing processes, ensuring accurate coding, submission, and follow-up on claims to maximize reimbursement.
• Manage the collections process, working to minimize accounts receivable and resolve billing discrepancies.
• Partner with other internal teams including but not limited to working with the product development team to define and update workflows and tools, working with the clinical team to ensure communication to providers and clients is clear and timely and working with the business development team to manage onboarding new payers.
• Monitor and analyze KPIs related to revenue cycle performance such as days in AR, denial rates and cash collections.
• Oversee insurance billing and patient billing, ensuring that all clients are billed accurately and in a timely manner following their sessions. 
• Support external vendor relationships to achieve Octave’s goals and objectives.
• Evaluate and make recommendations for third party tools to enhance revenue cycle operations.

Preferred Qualifications:

• Strong analytical skills, can translate complex data into clear action and can communicate it to junior and senior levels of the organization.
• Strong written and oral communication skills.
• Team player, who enjoys collaborating to develop solutions.
• Detailed-oriented, organized, and takes pride in the quality of their work.