Cedar Gate Technologies

Position Summary

Reasons you will love this position:

• Career Growth: Join a rapidly expanding company where your success unlocks limitless advancement opportunities.
• Innovation Culture: Your ideas matter. We actively value and reward process improvements that drive better outcomes.
• Robust Benefits: Enjoy comprehensive medical, dental, and vision coverage, 401K matching, FSA/HSA options, tuition assistance, generous PTO, and exclusive employee perks.
• Work-Life Flexibility: Embrace a hybrid remote schedule with flexible hours that support your productivity and balance.

Summary

The Collections Manager for Value-Based Care (VBC) Operations oversees all collections activities for our specialty care provider clients. Reporting to the Director of VBC Operations, this individual manages the team of Collection Representatives across all client groups. This role is essential for billing, collections, and the VBC revenue cycle and for ensuring client satisfaction, particularly within cardiovascular services.

The VBC Collections Manager will leverage their extensive knowledge of professional medical billing and collection procedures to develop efficient processes for the collections and billing department. This includes writing and implementing policies and procedures, approving adjustments, and establishing key performance indicators (KPIs).

Additionally, the Collections Manager will interpret payer contracts to understand expected reimbursements, as well as the billing procedures, appeals, and collection processes. The manager will monitor trends in the providers' data, identify opportunities for process improvement in all aspects of collections, and collaborate with all critical units to ensure operational success.

Roles & Responsibilities

• Directs resolving technical or workflow-related issues causing revenue cycle deficiencies in collections and provider inquiries.
• Completes daily collection and billing KPIs audit to maintain updated knowledge on overall performance.
• Responsible for all collection, billing, and management reporting
• Monitors employee progress during orientation for achievement of competencies and goals.
• Completes annual employee reviews, including 45-day and 90-day orientation interim evaluations, in a timely manner.
• Identifies, prioritizes, and implements improved processes to increase efficiency and effectiveness of the department.
• Collaborates with other departments on identified quality and efficiency initiatives.
• Assist with developing and revising VBC policy and procedures as needed.
• Ensures adequate controls are in place to ensure that inquiries and account resolution are sustainable over time as the organization's volume grows rapidly.
• Manage the hiring, training, and development of the team to ensure the efficient operation of the function and the follow-through of company policies and procedures.

Job Location:

Hybrid Remote in our office in Houston, TX

Required Experience / Qualifications

• 5+ years of related experience in collections and prior authorization
• Knowledge of revenue cycle management for various specialty groups, preferably with Maternity, Ortho, or Cardiovascular.
• Significant experience in making and implementing impactful decisions in complex environments where collaboration and consensus are key.
• Ability to analyze, evaluate, and develop solutions and financial needs strategically, logically, and realistically.
• Demonstrates strong leadership abilities and is perceived as confident, empathetic, and authentic.
• Possesses effective negotiation skills with both external and internal stakeholders.
• Bachelor's in healthcare, business, or a related field
• Has a thorough knowledge of industry best practices to continually enhance and improve processes related to bundles and claims.
• Fosters teamwork and strives to maximize the potential of all employees.
• Exceptional oral and written communication skills, along with strong interpersonal and customer service skills, are essential.
• Extensive familiarity with value-based care operations, including bundled payments.

Preferences – Not Required

• Master's Degree in a healthcare-related field
• 15+ years of related experience in collections
• 3+ years of management experience overseeing collections, billing, or revenue cycle management

Your Future Working Environment

If you join Cedar Gate, you can make great ideas happen for some of the world's most dynamic companies. With broad global resources and deep technical know-how, we collaborate with clients to cultivate ideas and deliver results in the medical industry. Choose a career at Cedar Gate and enjoy an innovative environment where challenging and interesting work is part of daily life.

Next to our excellent terms of employment and fringe benefits, we invest considerable resources to provide ongoing training that builds and extends professional, technical, and management skills in all areas. At Cedar Gate, you will operate in a professional environment where teamwork and innovation are immensely encouraged. Together with colleagues, you will work on high-impact projects for many dynamic companies.

About Cedar Gate

Cedar Gate enables payers, providers, employers, and service administrators to excel at value-based care. Our unified technology and services platform enhances and automates data management activities to deliver employer and provider analytics, care management, and payment technology necessary to pursue every payment model and optimize performance in all lines of business. From primary care attribution to bundled payments to capitation, our platform is designed to improve clinical, financial, and operational outcomes for all.

Based in Greenwich, CT, Cedar Gate is private equity backed by GTCR, a leading Chicago-based private equity firm, Ascension Ventures, a strategic healthcare venture firm, and Cobalt Ventures, the investment subsidiary of BCBS of Kansas City. To learn more, visit www.cedargate.com.