Revenue Cycle Manager, Ambulatory Infusion… at Tulea Health · Remote

TULEA HEALTH OVERVIEW

At Tulea Health, we are compassionate partners seeking to elevate the infusion experience for patients through collaboration with the health systems that serve them. We create industry-leading Ambulatory Infusion Centers that deliver comfortable, consistent, caring therapy experiences personalized for each patient. Our innovative model does not compete with our health system partners but rather operates under their brand. We provide the financial investment, resources, personnel, supporting technology, and specialized expertise needed to drive success through a performance-oriented partnership model.

ROLE SUMMARY

Our Revenue Cycle Manager will work collaboratively as a part of our local infusion services team to execute our ongoing revenue cycle processes and drive financial performance at our customer sites. You will play a key role in ensuring the day-to-day integrity of our revenue management processes and technology infrastructure to deliver accurate and appropriate reimbursement for our services. You will integrate with our customer and clinical operations teams as well as with our health system partners to build and sustain the ongoing financial health of our infusion center operations. This role will continuously and measurably improve the efficiency and effectiveness of our client-focused revenue cycle processes.   

RESPONSIBILITIES

• Execute and manage the day-to-day activities associated with accurate and efficient revenue cycle processes for our Ambulatory Infusion Centers including claims management, payment posting and reconciliation, denial management, insurance follow-up, and other related tasks.

• Partner with our clinical team members to integrate revenue integrity appropriately and effectively into our patient-facing processes and engagement strategies especially for patient co-payment, prior authorization management, and accurate and compliant documentation.

• Integrate with our customer’s patient financial assistance infrastructure to help facilitate access to care in support our patient navigators and clinical team members.

• Provide input into the selection, development, implementation and ongoing utilization of technology to support our revenue cycle performance.

• Actively work to improve key performance indicators that lead to continued over-achievement of customer-specific service level standards and financial performance targets.

• Consult with our customer operations team members and the site leader to support payor engagement and collaboration strategies in conjunction with our health system partners.

• Support our corporate finance functions with accurate and timely reporting and customer management.

WE’D LOVE TO MEET YOU IF YOU…

• Have experience executing and managing the revenue cycle for an ambulatory or outpatient infusion center or specialty physician practice with infusion services.

• Can demonstrate how you have driven accurate and efficient revenue cycle performance for ambulatory infusion services or an allied domain with a high degree of integrity, efficiency, and collaboration.

• Relish the opportunity to work in a collaborative, team-based environment where your performance must align with and support your colleagues in creating a superior patient experience.

• Have a track record of creating and executing highly productive revenue cycle processes that support consistent and effective reimbursement for the services for which you are accountable.

• Understand and have utilized industry-standard provider revenue cycle management technology tools. Experience with infusion-specific solutions is a significant plus.

• Show a propensity to innovate and overcome obstacles and solve problems to eliminate barriers to success.

• Understanding of or expertise in continuous improvement methodologies and techniques considered a significant plus.

• Understand and bring knowledge and experience of how to work in a cross-functional environment where collaboration with your colleagues, particularly those in patient-facing clinical roles, is an essential part of your ongoing success.

• Thrive in a rapidly evolving environment where diverse stakeholders will influence and impact the work you do everyday.

• Are comfortable stepping outside your role and respectfully challenging your peers across functions to ensure effective overall performance based on a high degree of trust.

• Embrace being part of a fast-paced, dynamic team in a high-growth environment; this includes having excellent interpersonal and listening skills, as well as a desire to remove barriers to growth through innovation and creativity.