Senior Director, RCM

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

📋 Description

• Take full ownership of the revenue cycle from enrollment to cash management for Medicaid and managed care organizations, outpatient behavioral health, telehealth, and multi-state licensed clinicians.

• Lead the Revenue Cycle Management (RCM) team, reporting directly to the President and Co-Founder.

• Collaborate with Finance, Clinical Operations, Product, Engineering, and Credentialing teams.

• Oversee accounts receivable and denials by pinpointing root causes within workflows, payer regulations, and systems.

• Generate reports on net collection rates, days in accounts receivable, clean claim rates, denial rates, and collection costs.

• Manage relationships and configuration settings for EHR, clearinghouse, and billing platforms.

• Enhance eligibility and benefits verification, patient responsibility estimates, and upstream revenue workflows.

• Identify and apply automation and artificial intelligence for billing, posting, follow-up, and reconciliation, ensuring appropriate controls are in place.

• Collaborate with Finance on closing processes, accruals, reserves, accounts receivable allowances, cash forecasting, and variance explanations.

• Develop compliance practices concerning confidentiality, Explanation of Benefits (EOBs), statements, minor-consent handling, HIPAA regulations, and payer audits.

• Enhance accounts receivable, denial and clean claim rates, reporting, automation, forecasting, cross-functional workflows, and audit preparedness.

⛳️ Requirements

• 10+ years of experience in Revenue Cycle Management (RCM), including over 5 years in leadership roles.

• Previous experience in one or two startup environments.

• In-depth expertise in outpatient behavioral health and Medicaid/Managed Care Organization (MCO) billing.

• Practical, hands-on experience utilizing AI and automation to enhance workflow efficiency, with sound judgment on areas requiring human oversight.

• Proven track record of establishing reporting systems, automating manual processes, and leading system migrations.

• Comfortable publicly owning financial numbers and addressing discrepancies in forecasts.

• Strong executive-level communication skills, with the ability to translate complex billing findings into clear recommendations with associated trade-offs.

• Capable of influencing stakeholders and driving change without direct authority, particularly within Clinical Operations, Product, and Engineering teams.

🏝️ Benefits

• Attractive equity package.

• Comprehensive medical, dental, and vision coverage, with Daybreak contributing significantly to premiums for both employees and their dependents.

• Flexible unlimited time off policy, company holidays, and quarterly mental health days.

• Fully remote work opportunity from anywhere in the United States.