Director/Senior Manager, Revenue Cycle Management

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

📋 Description

• Take ownership of strategy, systems, and execution related to payer contracting, billing, denials, collections, and reconciliation.

• Lead and nurture the RevOps Lead and Associates.

• Establish priorities, provide coaching on complex cases, and create a scalable team structure.

• Negotiate payer rates and terms while managing the contract lifecycle.

• Ensure accurate loading and enforcement of contract terms across billing systems.

• Oversee billing strategy, claims submission accuracy, coding integrity, and clean-claim rates.

• Monitor denial trends by payer and reason code.

• Conduct root-cause analysis encompassing credentialing, contracting, and patient eligibility.

• Develop cross-functional mechanisms with Patient Support, Provider Operations, Growth, and Product teams.

• Manage the reconciliation of payer remittances (ERA/EOB) and claims-related bank activity against contracted terms.

• Supervise collections and A/R management to ensure low aging balances and predictable cash flow.

• Assist the Head of Finance during the month-end close process.

• Oversee reconciliation deliverables, A/R and denial reporting, and collections-risk analysis.

• Act as the revenue cycle performance subject-matter expert for operational and finance stakeholders.

• Transform billing and denial details into actionable recommendations.

• Enhance billing processes and coding practices.

• Implement improvements in processes, tooling, and documentation for scalable and accurate billing, denials, and reconciliation.

• Collaborate with Product and Engineering on enhancements.

• Maintain controls to ensure audit readiness and compliance.

⛳️ Requirements

• 5-7+ years of comprehensive revenue cycle experience.

• 2-3+ years of experience managing a team in a billing/RCM or similar operational role.

• Extensive, progressively responsible experience, including payer contract negotiation, considered for the Director-level title.

• Ability to trace claims back to credentialing, contracting, or eligibility and address root causes.

• Experience in managing cross-functional outcomes involving contracting, credentialing, and patient access.

• Proficiency in creating and maintaining trackers and reports to monitor collection rates, denial trends, and A/R aging.

• Capability to utilize data for driving operational improvements.

• Ability to clearly communicate reconciliation discrepancies to associates and the Head of Finance.

• Comfort in navigating ambiguity, adapting to evolving processes, and thriving in startup environments.

• Experience with various payer types including commercial, Medicaid, and self-pay.

• Understanding of diverse billing, denial, and collections practices across different payer types.

🏝️ Benefits

• Competitive equity package in a well-funded, early-stage company.

• Comprehensive medical, dental, vision, and ancillary benefits.

• 12 complimentary therapy appointments each year for employees.

• Free membership to One Medical.

• 20% discount on Kindbody fertility services.

• 401(k) plan.

• Flexible paid time off (PTO).

• A full week off for the December holidays.

• Remote-friendly work culture.