Revenue Cycle Manager

Remote /
Operations /
Full-time
ABOUT US 

Circle Medical is a venture-backed Y-Combinator healthcare startup on a mission to bring quality, delightful primary care to everyone on the planet. Built by top-tier physicians, engineers, and designers, our medical practice and underlying technology have pioneered how people find and receive care.

Our focus on building directly for our patients and providers to address serious care accessibility issues has enabled us to grow over 3X year-over-year. We’re now using our most recent round of funding from WELL Health, backed by Sir Li Ka-shing, to continue building out our hybrid in-clinic and telemedicine model across all fifty states.

As we enter the hypergrowth phase, we are looking for deeply motivated team players who are driven to solve some of the biggest challenges in healthcare so that people can live longer and healthier lives.

More about us can be found on our website.

DESCRIPTION 

We are currently looking for a Revenue Cycle Manager to join the operations team at Circle Medical Technologies. As we continue to grow, we are constantly searching for exceptional talent to be a part of our team. This position may be based out of our offices in Montreal, Quebec, or San Francisco, California, or be remote in the U.S. for the right candidate.

As the Revenue Cycle Manager, you will work closely with and report to our CFO, and manage all functions of the organization’s medical billing and revenue cycle to maximize cash flow while maintaining and improving internal and external health plan/payor relations. The revenue cycle manager will contribute to the day-to-day operations on all issues related to the revenue cycle function, provide analysis, create written processes, and train others in implementing a cross-functional revenue cycle team. Our managers thrive in an innovative, fast-paced environment, and are comfortable with wearing multiple hats to ensure smooth sailing. 


WHAT YOU’LL DO:

    • Coordinate patient billing and collection activities
    • Monitor accounts receivables activity
    • Oversee monthly close processes, including reporting and account balancing
    • Ensure accurate billing of insurance providers and patients
    • Document medical billing denials from insurance providers
    • Evaluate billing processes and procedures
    • Post details of transactions
    • Ensure correct coding (both procedural and diagnostic) for services and adjust as necessary
    • Process adjustments
    • Document payments
    • Follow-up on claims
    • Work with patients to resolve issues in a timely manner
    • Working claim denials, including initiating the denial appeal process, and documenting and tracking the status of appeals
    • Resolve issues with billing and payment on patient accounts
    • Be a resource to answer patient and staff questions on billing, charges, and insurance eligibility
    • Training new and current staff on accurate and complete patient registration, and working with providers to coach them on best coding practices
    • Resolving takebacks and other payor issues
    • Following up with patients and insurance companies about outstanding bills

WHAT YOU’LL BRING:

    • Must have excellent organizational skills, communication skills, and the desire and ability to learn and move quickly.
    • Knowledge and experience working with big commercial payers
    •  Knowledge of professional fee billing, reimbursement, third-party payer regulation, and medical terminology is required
    •  Working knowledge of regulatory requirements pertaining to health care operations and their impact on operations
    •  Strong problem-solving skills and ability to make timely decisions
    •  Strong attention to detail
    •  Demonstrated coding and billing knowledge/experience preferred
    •  Experience with the provider payor credentialing process

WHAT WILL GIVE YOU AN EDGE:

    • Proven track record with other startups or VC funded companies 
    • Bachelor’s Degree in Business, Healthcare Administration or equivalent and a minimum of five (5) years of medical billing experience
    • The ability to coordinate and negotiate rates and contracts on behalf of Circle Medical with commercial payers
    • Command of revenue cycle management principles, including working knowledge of cash posting processes, medical record guidelines, coding, and accounts receivable follow-up (e.g. HCPCS, CPT, ICD codes)
    • Willing to relocate to SF or Montreal (now or in the future)
    • Manager/supervisory experience is a big plus
COMPENSATION

In alignment with our values, Circle Medical has transparent salaries based on location (San Francisco, Montreal, or remote in the US), output levels, and options to trade cash for stock.

This is a full-time, salaried position with an annual salary) of $105,000- $125,000 plus, generous stock options, vacation, full medical/dental benefits, and more.. 

CLOSING
Circle Medical is an equal opportunity employer and affirmatively seeks diversity in its workforce. Circle Medical recruits qualified applicants and advances in the employment of its employees without regard to race, color, religion, gender, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, ethnic or national origin, marital status, veteran status, or any other status protected by law.