Revenue Cycle Business Partner

About This Role

iRhythm is currently seeking an experienced Revenue Cycle Business Partner. Our work environment is fast-paced, with a collaborative atmosphere. Most of all, we are passionate about delivering innovations that improve the quality of health care and the patient experience. We are looking for like-minded individuals to join our team today!

Responsibilities:

• We are on a mission to find the right Revenue Cycle Business Partner (formerly known as Field Reimbursement Specialist) with a persuasive and collaborative approach to support both our internal sales team and other external partners, including doctors, clinic directors, practice managers, & scheduling/billing/coding coordinators.
• This position is responsible for managing the day-to-day revenue cycle support needs of internal Revenue Cycle Services (managerial stakeholders), sales organization, and external key stakeholders, and meeting designated SLAs, and role defined KPIs.
• Functions as Subject Matter Expert (SME) in all things billing, coding, & reimbursement with an emphasis in compliance.
• The RCBP provides logistical reimbursement education and support for customers that utilize Zio XT/AT outpatient cardiac monitors supplied by iRhythm Technolgies, Inc (iRT).
• These customers may include hospitals/hospital outpatient departments, physician practices, and other appropriate site-of-care facilities.
• The RCBP will work closely with managerial key stakeholders, AVPs, RSDs, TMs, billing & collections staff and other professionals involved in securing appropriate reimbursement for the use of Zio AT/XT outpatient cardiac monitors and related services.
• If necessary, the RCBP will interact with patients being served by these customers, to assist providers as well as patients addressing barriers to appropriate access.
• Provides information related to product coverage and reimbursement to appropriate clinic, hospital, provider practices, and other site-of-care facilities.
• This information may include payer specific requirements for claims processing, information regarding prior authorizations and the appeals process, as well as general information regarding the services provided.
• Proactively educates prescriber office personnel so that they may help patients gain access to our products through effective utilization of iRhythm's robust Financial Assistance Program and other financial options to lower patient costs.
• Delivers in-service educational programs on coverage, coding and reimbursement, and medical necessity requirements to appropriate providers of care on all Zio service lines.
• Addresses access and reimbursement issues arising from these customers and provides necessary education for them to secure appropriate reimbursement and access.
• Interacts with healthcare professionals, as well as patients, if necessary, to understand the issue and work toward resolution.
• Maintains communication with sales personnel throughout interaction and follows interaction through to resolution.
• Coordinates with field sales regarding prioritization of accounts to ensure timely access to all Zio lines of service and provides appropriate follow-up.
• Serves as a primary point of contact for onboarding new clinics and ensures all tasks are completed in a complete and timely manner.
• Serves as an escalation point for all billing and reimbursement issues (to both internal and external stakeholders) and educates/trains on appropriate/available support programs as needed.
• Provides cross functional team support for all billing, reimbursement, coding, compliance workflows as needed.
• Provides approved materials describing such programs and refers to the applicable iRT resources and website(s) describing such programs as requested.
• Recognizes patient's rights and responsibilities and supports them in the performance of job duties; respects patient's rights to privacy, confidentiality and abides by all appropriate HIPAA guidelines.
• Completes assigned projects as directed in a timely manner.
• Shares knowledge gained with other staff members and works as a team member.
• Interacts with others in a positive, respectful, and considerate manner.
• Performs other job-related duties as assigned.

Qualifications:

• Must have a consistent positive outlook and a driving need to succeed with every patient interaction.
• Up to 30% Domestic Travel may be required
• Bachelor's degree required or equivalent experience
• CPC Certification highly desired
• Minimum of 5 years of managerial level healthcare billing, coding, reimbursement, and access experience required
• Demonstrates iRT's core values in interactions with both internal and external teams.
• Strong understanding of revenue cycle processes and technology
• Experience in field-based customer support role
• Understanding of local, regional, and national commercial and public insurance markets
• Strong understanding of specialty service line operations and specialty product distribution channels
• Ability to work cross-functionally and succeed in a team environment while also demonstrating a high-level of personal accountability
• Strong interpersonal and communication skills
• Ability to travel (up to 10-15%)
• Strong understanding of call center operations and patient-centric communications
• Strong written and verbal communication skills
• Ability to build strong interpersonal skills with all levels of employees - including executives and front-line staff
• Strong project management and organizational skills
• Solid sense of autonomy
• Ability to be flexible and adapt to changing priorities and initiatives
• Ability to be resilient during stressful or high-stake situations
• Strong analytical/critical thinking skills
• Strong work ethic with personal qualities of integrity and credibility
• Ability to deal with highly sensitive and confidential material
• Ability to plan and manage at both the strategic and operational levels

What's In It For You

This is a regular full-time position with competitive compensation package, excellent benefits including medical, dental, and vision insurances (all of which start on your first day), health savings account employer contributions (when enrolled in high deductible medical plan), cafeteria plan pre-taxed benefits (FSA, dependent care FSA, commute reimbursement accounts), travel reimbursement for medical care, noncontributory basic life insurance & short/ long term disability. Additionally, we offer:

• emotional health support for you and your loved ones
• legal / financial / identity theft/ pet and child referral assistance
• paid parental leave, paid holidays, travel assistance for personal trips and PTO!

iRhythm also provides additional benefits including 401(k) (with company match), an Employee Stock Purchase Plan, pet insurance discount, unlimited amount of Linked In Learning classes and so much more!

FLSA Status: Exempt

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