Full-Time
Revenue Operations Associate
Virtual musculoskeletal (MSK) care provider
Junior
Remote
- At least 1.5 - 2 years of experience in healthcare provider revenue cycle, preferably in a consulting or analytics role
- Working knowledge of industry best practices in RCM processes: billing, charge capture, contractual adjustments, third-party reimbursements, and cash collections Experience working cross-functionally with different teams and project managing internal projects with multiple competing stakeholders
- Attention to detail and comfort independently solving problems
- Efficient written and verbal communication skills
- Advanced Excel skills
- Persistence when working and communicating with insurance payers
- Fundamental knowledge of revenue integrity (i.e. CPT and ICD-10 coding) Comfortable working with the ambiguity of a fast-paced startup
- Degree in healthcare management, accounting, finance or business preferred, but not required
- Independently own Revenue Cycle initiatives from inception through execution, building comprehensive project plans and working with cross functional stakeholders as needed
- Build scalable billing practices from pre-submission to post-submission with the ultimate goal of accelerating cash collections
- Project manage parts of the entire Revenue Cycle function in regards to setting up new payment structures as Sword Health expands product offerings
- Identify and implement areas of improvement in Sword's revenue cycle, while also developing documentation for how to achieve these
- Examples: Claims submission & Rejection troubleshooting, Denials and A/R management, accelerated cash collections
- Work cross-functionally with the Product team to introduce more automation in our claim and invoice billing processes
- Work closely with the engineers to test new billing tool features and further automate end-to-end revenue cycle processes
- Collaborate with the Data / Analytics team to build reporting related to RCM KPIs
- Report out on key revenue cycle metrics (e.g. denial rate, write-off percentage, charge lag and time to cash) and identify ways to improve these moving forward
- Own the end-to-end new client billing lifecycle which includes participating in external calls with clients, payers, health plans; representing Sword as the reimbursement SME
- Confidently explain Sword's reimbursement model and work with external partners to obtain any necessary information for accurate and timely collections
- Collaborate cross-functionally with Commercial and Legal teams to ensure we are able to bill our new clients, and escalate any reimbursement issues as needed
- Train and educate any new RCM team members on best practices and industry benchmarks related to digital health reimbursement
SWORD Health wants to free 2 billion people from physical pain.
Company Stage
Series D
Total Funding
$297.5M
Headquarters
New York, New York
Founded
2015
6 month growth
↑ 11%1 year growth
↑ 25%2 year growth
↑ 94%Benefits
A stimulating, fast-paced environment with lots of room for creativity
A bright future at a promising high-tech startup company
Career development and growth, with a competitive salary
The opportunity to work with a talented team and to add real value to an innovative solution with the potential to change the future of healthcare
A stimulating environment with room for creativity - fast-paced, fun, and energetic startup
A flexible environment where you can control your hours (remotely) with unlimited vacation
Access to our health and well-being program (digital therapist sessions)