Director of Billing, RCM

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    "description_html": "<p><strong>Company Overview </strong></p><p>RethinkFirst was founded in 2007 with a mission to provide scalable, evidence-based autism treatment training tools and caregiver supports to an underserved population. In 2010, Rethink launched its first solution, a suite of special needs and behavior management offerings, to support K-12 education. Over time, we expanded our offerings to support the entire behavioral health community by adding solutions in the employer (RethinkCare), provider (RethinkBH), and payor (RethinkFutures) industries, and to drive whole child wellness and success in education (RethinkEd). </p><p>Today, we’re proud to have almost 500 team members working to support over 2,000 customers worldwide as we work together to support our communities and help every individual reach their potential. </p><p>Over the past fifteen years, RethinkFirst’s mission has evolved to transform the behavioral health landscape by inspiring and empowering all individuals with behavioral health challenges and those who support them. We continue to focus on the future of transforming behavioral health through data science, analytics, and enabling value-based care. With patent-pending solutions and the largest published ASD dataset, RethinkFirst can focus on improving outcomes and having a positive impact on the millions of lives it supports.   <br> </p><p><strong>Rethink Billing Overview </strong></p><p>Our Billing Services Division specializes in Revenue Cycle Management, Enrollment and Credentialing, and Benefit Authorization Management services. We are growing and are looking for new team members that will offer our clients best-in-class billing services. We support mission-oriented companies that impact the lives of thousands of individuals with autism and their families. We are excited to offer the opportunity for professional and collaborative individuals to grow and be part of something exciting. </p><p></p><p><strong>Job Summary</strong><br>The Director of Billing is responsible for the end-to-end management of initial claim submission, including claim creation, edits, and rejection management across all Rethink service lines. This role ensures accurate, timely, and compliant claims while maximizing clean claim rates and minimizing revenue leakage. </p><p></p><p><strong>Job Duties</strong></p><p>Oversee all initial claim generation and submission processes </p><p>• Ensure timely and accurate claim submission </p><p>• Maintain clean claim rate targets (>95%) </p><p>• Lead clearinghouse edits and rejection management </p><p>• Perform root-cause analysis on billing issues </p><p>• Standardize billing workflows across the organization </p><p>• Partner with coding, credentialing, and payer teams </p><p>• Lead billing managers and supervisors </p><p>• Manage and oversee both offshore and onshore billing teams </p><p></p><p><strong>Key Metrics </strong></p><ul><li><p>Clean claim rate </p></li></ul><ul><li><p>Initial rejection rate </p></li></ul><ul><li><p>Days to bill </p></li></ul><ul><li><p>Edit resolution time </p></li></ul><p></p><p><strong>Qualifications:  </strong></p><p>Education  </p><ul><li><p>Bachelor’s degree preferred in Healthcare Administration, Business, Finance, or related field; relevant experience may substitute for formal education </p></li></ul><p>Knowledge/Skills </p><ul><li><p>8–10+ years of revenue cycle experience, with focus on billing operations </p></li></ul><ul><li><p>Strong knowledge of claim submission, payer requirements, and denial management </p></li></ul><ul><li><p>Experience managing both onshore and offshore teams </p></li></ul><ul><li><p>Familiarity with billing systems (e.g., Tebra or similar platforms) </p></li></ul><ul><li><p>Strong leadership, process improvement, and performance management skills </p></li></ul><p></p><p><strong>Location: </strong>Remote opportunities are available to candidates who reside in the following states: AL, AZ, AR, CA, CO, FL, GA, ID, IL, IN, IO, MO, NE, NY, NC, OH, PA, SC, TN, TX, UT, VA  </p><p></p><p><strong>Our commitment to an inclusive workplace </strong></p><p>RethinkFirst is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws. Accommodations are available for applicants with disabilities. </p><p><a href=\"https://www.jazzhr.com/privacy-policy/\" target=\"_blank\">JazzHR Privacy Policy</a> </p><p><a href=\"https://www.jazzhr.com/terms-of-service/\" target=\"_blank\">JazzHR Terms of Use</a> </p><p><a href=\"https://rethinkautism-my.sharepoint.com/personal/maria_rethinkfirst_com/_layouts/15/onedrive.aspx?id=%2Fpersonal%2Fmaria_rethinkfirst_com%2FDocuments%2FCommunications%20Drafting%2FPublic%20Information%2FRethink%20CA%20Privacy%20Notice%20_%2012%2019%202022.pdf&parent=%2Fpersonal%2Fmaria_rethinkfirst_com%2FDocuments%2FCommunications%20Drafting%2FPublic%20Information&ga=1\" target=\"_blank\">California Privacy Notice</a> </p><p>#remote (for any non-NY based jobs) </p><p>Add #rb for rethinkbilling postings so it routes to the RethinkBilling’s postings </p>",
    "description_text": "Company Overview\n RethinkFirst was founded in 2007 with a mission to provide scalable, evidence-based autism treatment training tools and caregiver supports to an underserved population. In 2010, Rethink launched its first solution, a suite of special needs and behavior management offerings, to support K-12 education. Over time, we expanded our offerings to support the entire behavioral health community by adding solutions in the employer (RethinkCare), provider (RethinkBH), and payor (RethinkFutures) industries, and to drive whole child wellness and success in education (RethinkEd).\n Today, we’re proud to have almost 500 team members working to support over 2,000 customers worldwide as we work together to support our communities and help every individual reach their potential.\n Over the past fifteen years, RethinkFirst’s mission has evolved to transform the behavioral health landscape by inspiring and empowering all individuals with behavioral health challenges and those who support them. We continue to focus on the future of transforming behavioral health through data science, analytics, and enabling value-based care. With patent-pending solutions and the largest published ASD dataset, RethinkFirst can focus on improving outcomes and having a positive impact on the millions of lives it supports.\n Rethink Billing Overview\n Our Billing Services Division specializes in Revenue Cycle Management, Enrollment and Credentialing, and Benefit Authorization Management services. We are growing and are looking for new team members that will offer our clients best-in-class billing services. We support mission-oriented companies that impact the lives of thousands of individuals with autism and their families. We are excited to offer the opportunity for professional and collaborative individuals to grow and be part of something exciting.\n Job Summary\nThe Director of Billing is responsible for the end-to-end management of initial claim submission, including claim creation, edits, and rejection management across all Rethink service lines. This role ensures accurate, timely, and compliant claims while maximizing clean claim rates and minimizing revenue leakage.\n Job Duties\n Oversee all initial claim generation and submission processes\n • Ensure timely and accurate claim submission\n • Maintain clean claim rate targets (>95%)\n • Lead clearinghouse edits and rejection management\n • Perform root-cause analysis on billing issues\n • Standardize billing workflows across the organization\n • Partner with coding, credentialing, and payer teams\n • Lead billing managers and supervisors\n • Manage and oversee both offshore and onshore billing teams\n Key Metrics\n Clean claim rate\n Initial rejection rate\n Days to bill\n Edit resolution time\n Qualifications:\n Education\n Bachelor’s degree preferred in Healthcare Administration, Business, Finance, or related field; relevant experience may substitute for formal education\n Knowledge/Skills\n 8–10+ years of revenue cycle experience, with focus on billing operations\n Strong knowledge of claim submission, payer requirements, and denial management\n Experience managing both onshore and offshore teams\n Familiarity with billing systems (e.g., Tebra or similar platforms)\n Strong leadership, process improvement, and performance management skills\n Location:  Remote opportunities are available to candidates who reside in the following states: AL, AZ, AR, CA, CO, FL, GA, ID, IL, IN, IO, MO, NE, NY, NC, OH, PA, SC, TN, TX, UT, VA\n Our commitment to an inclusive workplace\n RethinkFirst is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws. Accommodations are available for applicants with disabilities.\n JazzHR Privacy Policy\n JazzHR Terms of Use\n California Privacy Notice\n #remote (for any non-NY based jobs)\n Add #rb for rethinkbilling postings so it routes to the RethinkBilling’s postings",
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      "description": "<p><strong>Company Overview </strong></p><p>RethinkFirst was founded in 2007 with a mission to provide scalable, evidence-based autism treatment training tools and caregiver supports to an underserved population. In 2010, Rethink launched its first solution, a suite of special needs and behavior management offerings, to support K-12 education. Over time, we expanded our offerings to support the entire behavioral health community by adding solutions in the employer (RethinkCare), provider (RethinkBH), and payor (RethinkFutures) industries, and to drive whole child wellness and success in education (RethinkEd). </p><p>Today, we’re proud to have almost 500 team members working to support over 2,000 customers worldwide as we work together to support our communities and help every individual reach their potential. </p><p>Over the past fifteen years, RethinkFirst’s mission has evolved to transform the behavioral health landscape by inspiring and empowering all individuals with behavioral health challenges and those who support them. We continue to focus on the future of transforming behavioral health through data science, analytics, and enabling value-based care. With patent-pending solutions and the largest published ASD dataset, RethinkFirst can focus on improving outcomes and having a positive impact on the millions of lives it supports.   <br> </p><p><strong>Rethink Billing Overview </strong></p><p>Our Billing Services Division specializes in Revenue Cycle Management, Enrollment and Credentialing, and Benefit Authorization Management services. We are growing and are looking for new team members that will offer our clients best-in-class billing services. We support mission-oriented companies that impact the lives of thousands of individuals with autism and their families. We are excited to offer the opportunity for professional and collaborative individuals to grow and be part of something exciting. </p><p></p><p><strong>Job Summary</strong><br>The Director of Billing is responsible for the end-to-end management of initial claim submission, including claim creation, edits, and rejection management across all Rethink service lines. This role ensures accurate, timely, and compliant claims while maximizing clean claim rates and minimizing revenue leakage. </p><p></p><p><strong>Job Duties</strong></p><p>Oversee all initial claim generation and submission processes </p><p>• Ensure timely and accurate claim submission </p><p>• Maintain clean claim rate targets (>95%) </p><p>• Lead clearinghouse edits and rejection management </p><p>• Perform root-cause analysis on billing issues </p><p>• Standardize billing workflows across the organization </p><p>• Partner with coding, credentialing, and payer teams </p><p>• Lead billing managers and supervisors </p><p>• Manage and oversee both offshore and onshore billing teams </p><p></p><p><strong>Key Metrics </strong></p><ul><li><p>Clean claim rate </p></li></ul><ul><li><p>Initial rejection rate </p></li></ul><ul><li><p>Days to bill </p></li></ul><ul><li><p>Edit resolution time </p></li></ul><p></p><p><strong>Qualifications:  </strong></p><p>Education  </p><ul><li><p>Bachelor’s degree preferred in Healthcare Administration, Business, Finance, or related field; relevant experience may substitute for formal education </p></li></ul><p>Knowledge/Skills </p><ul><li><p>8–10+ years of revenue cycle experience, with focus on billing operations </p></li></ul><ul><li><p>Strong knowledge of claim submission, payer requirements, and denial management </p></li></ul><ul><li><p>Experience managing both onshore and offshore teams </p></li></ul><ul><li><p>Familiarity with billing systems (e.g., Tebra or similar platforms) </p></li></ul><ul><li><p>Strong leadership, process improvement, and performance management skills </p></li></ul><p></p><p><strong>Location: </strong>Remote opportunities are available to candidates who reside in the following states: AL, AZ, AR, CA, CO, FL, GA, ID, IL, IN, IO, MO, NE, NY, NC, OH, PA, SC, TN, TX, UT, VA  </p><p></p><p><strong>Our commitment to an inclusive workplace </strong></p><p>RethinkFirst is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws. Accommodations are available for applicants with disabilities. </p><p><a href=\"https://www.jazzhr.com/privacy-policy/\" target=\"_blank\">JazzHR Privacy Policy</a> </p><p><a href=\"https://www.jazzhr.com/terms-of-service/\" target=\"_blank\">JazzHR Terms of Use</a> </p><p><a href=\"https://rethinkautism-my.sharepoint.com/personal/maria_rethinkfirst_com/_layouts/15/onedrive.aspx?id=%2Fpersonal%2Fmaria_rethinkfirst_com%2FDocuments%2FCommunications%20Drafting%2FPublic%20Information%2FRethink%20CA%20Privacy%20Notice%20_%2012%2019%202022.pdf&parent=%2Fpersonal%2Fmaria_rethinkfirst_com%2FDocuments%2FCommunications%20Drafting%2FPublic%20Information&ga=1\" target=\"_blank\">California Privacy Notice</a> </p><p>#remote (for any non-NY based jobs) </p><p>Add #rb for rethinkbilling postings so it routes to the RethinkBilling’s postings </p>",
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