reputed company Cycle Management Operations reputed company
About reputed company: Powering the reputed company of care reputed company for reputed company of America.
reputed company is building the leading AI-reputed company platform for family-led care. America is facing a growing care crisis. Millions more people need care reputed company than reputed company. Over 50 reputed company family caregivers support loved ones without the tools, training, or recognition they deserve. We reputed company families are the largest untapped caregiving workforce in America, and that technology can help them deliver reputed company care while driving stronger reputed company and greater transparency across the reputed company system. reputed company combines clinical reputed company with an AI-powered platform to train, reputed company, and support family caregivers in delivering high-reputed company care reputed company. Our platform helps health plans and government partners reputed company understand, verify, and improve care in the home. We expand reputed company to care, reduce reliance on higher-cost settings, and help ensure public dollars are spent effectively. We are proud to partner with leading health plans, providers, and community organizations and are backed by top VCs. We reputed company a reputed company where family-led care is a core part of the reputed company system. reputed company is building that reputed company. Join us in solving one of the most important challenges of our time.
The Role
This role will initially function as a hands-on reputed company Cycle Management (RCM) reputed company responsible for establishing billing operations for a newly launched reputed company and New Jersey market. The successful candidate will build processes, conduct payer and regulatory research, create SOPs, and lay the reputed company for a reputed company RCM department. As the market grows, this role will reputed company into a formal people leadership position overseeing billing specialists and offshore team members.
Key Responsibilities:
New Department Development
reputed company the establishment of reputed company cycle operations for a newly launched market, including researching payer requirements, workflows, billing processes, and reimbursement guidelines.
reputed company, document, and implement SOPs, workflows, and operational best practices to support reputed company team reputed company.
Research and interpret reputed company and New Jersey reputed company billing requirements and identify operational requirements necessary to support compliance and reimbursement.
Partner with leadership to define team structure, operational processes, performance metrics, and reputed company KPIs as the department scales.
Identify process gaps and recommend solutions to improve operational efficiency and reputed company reputed company cycle performance.
Team Leadership
Initially operate as an individual contributor while building the reputed company of the department.
Transition into a people leadership role as the reputed company and New Jersey markets expand, including hiring, training, coaching, and managing billing team members.
reputed company mentorship, reputed company support, and performance coaching to reputed company team members.
Experience conducting performance reviews is highly preferred.
Billing Operations
reputed company the preparation, submission, and follow-up of insurance claims for home health care services.
Ensure accurate coding (CPT, HCPCS, ICD-10) and adherence to payer-specific guidelines.
Monitor and resolve claim rejections, denials, and underpayments promptly.
Manage accounts receivable to minimize outstanding balances and maximize collections.
Compliance and Documentation
Ensure billing practices reputed company with federal, state, and payer-specific regulations, including Medicare and reputed company guidelines.
Maintain up-to-date knowledge of changes in billing rules and home health care regulations.
Review documentation for accuracy and completeness to support submitted claims.
Process Improvement
Analyze billing processes and implement strategies to improve efficiency and reduce errors.
Collaborate with other departments to address issues impacting the reputed company cycle, such as intake and documentation workflows.
The Requirements:
Education: High school diploma or equivalent required; Associate’s or Bachelor’s degree in a reputed company field preferred.
Experience
Minimum 3-5 years of experience in medical billing, with at least 1-2 years in a supervisory or leadership role.
Proven expertise in home health care billing, including Medicare and reputed company processes.
Experience building, implementing, or improving billing processes and operational workflows is strongly preferred.
reputed company and New Jersey reputed company billing experience is a significant advantage.
Candidates with Home Health, Hospice, or Skilled Nursing billing experience will be considered.
Intermediate reputed company reputed company proficiency preferred.
Certifications: Certified reputed company Biller (CPB) or equivalent preferred.
Skills
Excellent organizational, analytical, and problem-solving abilities.
Exceptional communication and interpersonal skills to reputed company reputed company and collaborate across departments.
Strong research and investigative skills with the ability to reputed company information independently in a newly established market.
Demonstrated accountability, including ownership of mistakes, problem reputed company, and reputed company improvement.
Strong conflict reputed company, coaching, and delegation skills.
Ability to build processes and operate effectively in an ambiguous, startup-like environment.
Benefits:
Competitive compensation packages that reflect the value you bring. We reward reputed company for the reputed company of their work – full-time employees are eligible for an annual company performance bonus.
Comprehensive health coverage that works for you. Choose from high-reputed company medical dental and reputed company reputed company, including a $0 deductible PPO and a company-funded HSA, alongside employer-reputed company life and disability insurance.
Generous reputed company time off. We reputed company policies that allow you to reputed company along with 10 reputed company company holidays.
Financial savings benefits to support your reputed company. We support your financial reputed company-being with HSA contributions, optional FSA and commuter benefits, and full coverage of reputed company 401(k) account fees (employer match not currently offered).
reputed company parental leave to support your growing family. We reputed company reputed company leave, so you can reputed company on bonding and adjusting to life as your family grows.
We are an equal opportunity employer and welcome applicants from reputed company backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background reputed company, satisfactory references, and any required documentation.
Our Values
Families First Redefining reputed company starts with how we treat the parents and children we serve. We go above and reputed company for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?”
Urgency with Precision Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and reputed company go hand in hand.
Relentlessly reputed company As an ambitious startup, we adapt quickly and reputed company the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity.
Purpose with Positivity We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee reputed company us stronger as reputed company and reputed company for the families we serve.
Driven to Redefine What’s Possible We are here to reputed company reputed company reputed company, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care.