About Cayaba Care
Our mission is to improve outcomes in underserved communities by reimagining how maternity care is delivered. Our team is focused on building technology-enabled solutions to deliver comprehensive clinical and non-clinical maternity services in-home or in-office.
Our Values:
- Healthcare is Human: We partner with the communities we serve to address the unique needs of our patients and support whole person care.
- Pursue Excellence: We earn & build trust with our patients, partners, & each other by striving for excellence without compromising our standards.
- Uplift: We elevate and center underrepresented voices.
- Embrace Innovation: We are creative & resourceful in getting things done.
- Together, not alone: Moving maternal healthcare forward is a shared responsibility that we all care deeply about.
To learn more about Cayaba Care, please visit www.cayabacare.com.
Why You Should Join Our Team
A career at Cayaba Care is an opportunity to work towards addressing our country’s maternal and fetal health crisis. Our team is working together to help improve health outcomes in underserved populations. Opportunities for advancement with increasing administrative or management opportunities. At Cayaba Care, we are focused on building a company where individuals from all backgrounds have the opportunity to succeed and contribute to our mission. Competitive compensation and benefits.
Position Description
The Revenue Cycle Manager (RCM) will be responsible for owning all aspects of the revenue cycle process, from eligibility verification and billing to claims processing and reimbursement. The RCM will ensure that all billing and coding procedures are accurate and up to date. This role will report to the Director of Care Operations (temporarily), and then to the Financial Controller.
Responsibilities
- Work collaboratively with the finance/accounting and care operations team to optimize revenue performance, minimize denials, and ensure timely reimbursement for services rendered
- Manage the revenue cycle process, including insurance verification, coding, billing, authorization management, collections and reporting
- Create and implement policies and guidelines to ensure accurate and timely billing and reimbursement
- Monitor key performance indicators and financial metrics to identify trends, issues, and opportunities for improvement
- Analyze and report on revenue cycle performance to the Financial Controller and Director of Care Operations to identify areas for growth and optimization
- Work closely with the Cayaba Care team to resolve billing discrepancies, denials, and other revenue cycle issues
- Stay up-to-date with healthcare regulations and payor policies to ensure compliance and maximize reimbursement
Qualifications
- Bachelor's degree in accounting, business administration, or a related healthcare field
- 4-6 years of experience in healthcare revenue cycle management
- Computer, analytical, and organizational skills
- An understanding of payor guidelines as well as technical knowledge of the ICD-10 and CPT classification systems
- Familiarity with electronic health record (EHR) systems and revenue cycle management software
- Excellent analytical skills and attention to detail
- Strong communication skills and interpersonal skills with the ability to collaborate with cross-functional teams.
Additional, nice to haves:
- Previous experience in reproductive, women’s and maternal health
- 2-3 years of experience with Athena
What We Do
The US is one of the most dangerous developed countries in which to give birth, and these poor maternal outcomes disproportionately impact minority women and underserved populations across major US cities.
Cayaba Care is focused on closing this gap by providing a complete set of maternity services, including pregnancy, birth planning, and postpartum, as well as lactation, doula, nutrition, and mental health support.
Our care model focuses on the integration, not replacement, of patients’ primary Obstetric providers, and we provide personalized support via a combination of in-home, in-clinic, and virtual in order to reduce any barriers to patients receiving recommended care. Our program is designed by OBs and fellow moms who have a depth of experience in providing culturally competent care tailored to our patients' needs
