Director of RCM Services

This is a fully remote position, open to applicants in Washington.

📋 Description

• Develop the RCM business from the ground up, encompassing the service, organizational structure, operating standards, and revenue growth strategy.

• Deliver comprehensive revenue cycle services that include insurance verification, claims management, payment posting, denial management, appeals, and patient balance follow-up.

• Design and establish the customer-facing team in the US as well as the delivery operations in India.

• Recruit the Senior Manager of RCM Operations in India, and collaboratively hire, train, and form the inaugural delivery team in Gurgaon.

• Define the responsibilities, decision-making authority, handoffs, escalation paths, support hours, time-zone coverage, and staffing needs for US/India operations.

• Create operational playbooks, standard operating procedures (SOPs), training materials, and management routines.

• Take ownership of RCM revenue, enhance adoption among current software clients, and develop service proposals and pricing strategies.

• Lead financial reviews at the practice level and identify opportunities for billing and collections.

• Construct workflows and service standards for verification, claims processing, posting, denials, appeals, and patient collections.

• Serve as the authority for coding and escalation regarding CDT, clinical documentation, narratives, attachments, and appeals.

• Manage relationships with initial RCM clients and ensure delivery teams are accountable for meeting service commitments.

• Oversee core metrics such as attach rate, denial rate, first-pass acceptance, accounts receivable over 90 days, and net collections.

• Travel frequently to Gurgaon for recruitment, training, and setup, including multiple trips during the first year.

⛳️ Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, Health Information Management, or a related field (mandatory).

• Over 8 years of experience in dental revenue cycle management, including leading a team of 200 or more or managing a substantial portfolio of practices.

• Proven track record of revenue growth within an existing customer base.

• Proficient in CDT, with the ability to review clinical notes and evaluate if the documentation supports the coding.

• In-depth knowledge of PPO plan design elements, including annual maximums, waiting periods, frequency limits, downgrades, missing-tooth clauses, and replacement clauses.

• Practical experience with at least two of the following software: Dentrix, Eaglesoft, Open Dental, and Ascend.

• Direct experience in hiring, training, or managing an offshore delivery team in India or a similar market, with operational responsibilities that extend beyond vendor oversight.

• Excellent writing abilities for SOPs, appeal letters, and training materials, along with the capability to design processes with automation considerations.

• Willingness and ability to meet extensive travel requirements to India.

• Experience with DSO or group-practice central billing (preferred).

• Experience establishing a service or delivery center from the ground up (preferred).

• Familiarity with recruitment processes in India (preferred).

🏝️ Benefits

• Performance bonus.

• Potential eligibility for equity.

• Medical, dental, and vision insurance coverage.

• 401(k) plan with company matching.

• Paid time off.

• Paid holidays.

• Maternity and parental leave.