Director, Revenue Cycle Billing

Teladoc Health is a global, whole person care company made up of a diverse community of people dedicated to transforming the healthcare experience. As an employee, you’re empowered to show up every day as your most authentic self and be a part of something bigger – thriving both personally and professionally. Together, let’s empower people everywhere to live their healthiest lives.

Summary of Position

This position will report to the Vice President of Revenue Cycle Operations and is responsible for overseeing and coordinating all revenue cycle activities with a goal of maximizing reimbursement and key performance metrics, in a cost-effective manner that follows federal, state and payer-specific billing requirements.

This individual will work in conjunction with the Vice President of Revenue Cycle Operations and lead day-to-day organizational needs, including serving as the liaison across Account Management, Operations, Sales, IT, Finance, Product, Payer Management, Member Experience, and Clinical departments in support of collections. This position will champion development of lean processes to ensure best in-class, client focused revenue cycle operations with metric driven performance-based accountability.

This individual will also assist various internal teams with the initial setup and ongoing support of payers in relation to integration and revenue. This will include identifying process improvement opportunities and representing the team’s needs and objectives to various Teladoc Health departments.

This role will require expert knowledge of healthcare revenue between multiple payers and providers.  This will include all aspects of the revenue cycle including eligibility, benefit plan design / setup, billing, claim adjudication, and reconciliation.

Essential Duties and Responsibilities

• Develop and maintain excellent relationships with other internal and external departments
• Implement initiatives and system efficiencies to optimize services
• Implement programs, projects or procedures that may reduce risk, improve efficiency, decrease denials, increase cash collections, reduce accounts receivable, and motivate staff
• Develop and implement performance improvement initiatives for all payers
• Manage and lead teams to ensure departmental goals, key performance indicators, and objectives are met
• Identify and resolve barriers in achieving operational excellence
• Accountable for all transactions processed through patient accounting software
• Coordinates with information technology in development, evaluation, and maintenance of information systems for electronic billings, remittances, payer reimbursement, payer confirmation of claims, denial management, corporate compliance, collections, and provide performance reporting
• Work closely with various internal departments, specifically Payer Management, to maximize revenue and support the retention of clients and members by minimizing payer issues.
• Develop and implement staff performance and quality standards
• Monitor overall department performance
• Develop and implement department improvement plans
• All other duties as assigned

Qualifications Expected for Position

• Bachelor’s degree in business management or equivalent years of experience
• 7+ years of progressive experience in healthcare revenue cycle management
• 5+ years of client support experience preferred
• Analyze trends using reporting and constant daily monitoring to diagnose issues with clients or payers
• Develops and implements departmental procedures, standards, tools and techniques to effectively follow up on claims and maximize collections
• Understanding of the Healthcare Insurance industry and the impact various departments have on one another

The base salary range for this position is $150,000.00-$160,000.00. In addition to a base salary, this position is eligible for performance bonus, RSU’s, and benefits (subject to eligibility requirements) listed here: Teladoc Health Benefits 2024. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time positions.

Why Join Teladoc Health?

A New Category in Healthcare:  Teladoc Health is transforming the healthcare experience and empowering people everywhere to live healthier lives.  

Our Work Truly Matters: Recognized as the world leader in whole-person virtual care, Teladoc Health uses proprietary health signals and personalized interactions to drive better health outcomes across the full continuum of care, at every stage in a person’s health journey.  

Make an Impact: In more than 175 countries and ranked Best in KLAS for Virtual Care Platforms in 2020, Teladoc Health leverages more than a decade of expertise and data-driven insights to meet the growing virtual care needs of consumers and healthcare professionals.  

Focus on PEOPLE:  Teladoc Health has been recognized as a top employer by numerous media and professional organizations. Talented, passionate individuals make the difference, in this fast-moving, collaborative, and inspiring environment. 

Diversity and Inclusion:  At Teladoc Health we believe that personal and professional diversity is the key to innovation. We hire based solely on your strengths and qualifications, and the way in which those strengths can directly contribute to your success in your new position.  

Growth and Innovation:  We’ve already made healthcare yet remain on the threshold of very big things. Come grow with us and support our mission to make a tangible difference in the lives of our Members.  

As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status or pregnancy.

Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA).  Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health’s Notice of Privacy Practices for U.S. Employees’ Personal information is available at this link.