Senior Associate, Revenue Operations
New
S
Sword HealthBehavioral health
Remote - USFull-TimeSenior
Salary$108,500 — $170,500 USD; range reflects base salary plus any variable, bonus, or sales incentives, and the estimated value of private company stock options where applicable.
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Job Details
- Experience
- At least 3.5 years of hands-on Revenue Cycle Management experience
- Required Skills
- Google SheetsHIPAA
Requirements
- Have at least 3.5 years of hands-on Revenue Cycle Management experience.
- Have direct, hands-on experience billing mental and behavioral health services.
- Be fluent in behavioral health claims, EAP billing and reauthorization, session-based benefit and clinical package tracking, prior authorizations, and mental health payer rules.
- Have a strong command of the medical claims lifecycle, payer rules, and A/R management best practices.
- Have experience independently owning projects from initiation through execution.
- Have experience using data and reporting to drive operational decisions and performance improvements.
- Have advanced Excel or Google Sheets skills.
- Have startup or high-growth company experience.
- Hold an undergraduate college degree.
- Be interested in growing into people leadership; prior management experience is not required.
- Be comfortable with ambiguity and loosely scoped problems, attentive to detail, and able to work cross-functionally and influence stakeholders outside your reporting line.
- Demonstrate at least Level 1 AI proficiency, using AI daily to boost personal productivity.
Responsibilities
- Own pre-submission, submission, and post-submission revenue cycle workflows, including billing, claim scrubbing, denials, underpayments, reconciliation, and A/R follow-up.
- Resolve billing matters and moderately complex, loosely scoped problems from inception through execution.
- Establish processes, SOPs, and SLA standards to improve revenue cycle efficiency, consistency, and quality.
- Analyze denial trends and payer behavior, identify root causes, and partner across teams on durable fixes.
- Report on RCM performance, including collection rate, A/R days, denial and write-off rates, and yield.
- Identify and implement AI and automation opportunities to reduce manual work and accelerate cash collections.
- Work with Accounting and FP&A on month-end close, and partner with Data, Intelligence, and Product on roadmaps and billing tools.
- Build self-serve dashboards and support billing system migrations and implementations, including requirements, configuration, testing, and cutover.
- Work with Customer Success and Partner Success on pricing, billing, payments, and new payment structures; represent the company in client, payer, and health plan calls.
- Support audits and compliance, mentor and train team members, and ensure billing workflows adhere to HIPAA and applicable standards.
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