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 collection.

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

• Oversee accounts receivable (AR) and denial management by pinpointing issues related to workflow, payer rules, or system root causes.

• Generate metrics and reports on net collection rates, days in AR, clean claim rates, denial rates, and cost of collection.

• Manage relationships and configurations for Electronic Health Records (EHR), clearinghouses, and billing platforms.

• Identify process inefficiencies and collaborate with Engineering to develop solutions when product modifications are necessary.

• Take charge of real-time eligibility and benefits verification, patient financial responsibility, and estimation at intake.

• Influence Clinical Operations workflows and foster behavioral changes upstream.

• Recognize and implement automation and AI solutions for billing, posting, follow-up, and reconciliation, ensuring appropriate controls are in place.

• Collaborate with Finance on closing processes, accruals, reserves, AR allowances, forecasts, and variance explanations.

• Establish compliance protocols for confidentiality, Explanation of Benefits (EOBs), statements, handling minor-consent issues, HIPAA regulations, and payer audits.

• Present findings directly to executives and work alongside Finance, Clinical Operations, Product, Engineering, and Credentialing teams.

• Ensure that reporting, workflows, automation, forecasting, and compliance practices continue to enhance as the company scales.

⛳️ Requirements

• Over 10 years of experience in Revenue Cycle Management (RCM), including more than 5 years in leadership roles.

• Experience working in one or two startup environments.

• Extensive knowledge of outpatient behavioral health and Medicaid/MCO billing practices.

• Practical, hands-on experience with AI and automation to enhance operational efficiency, while exercising good judgment regarding areas that still require human oversight.

• Proven history of establishing reporting systems, automating manual tasks, and successfully leading system migrations.

• Comfort with publicly owning financial numbers and acknowledging errors when forecasts do not align.

• Strong communication skills with executives, capable of translating complex billing insights into clear recommendations with associated trade-offs.

• Ability to influence stakeholders and drive changes without direct authority, particularly within Clinical Operations, Product, and Engineering departments.

🏝️ Benefits

• Competitive equity package.

• Comprehensive medical, dental, and vision insurance, with Daybreak covering a substantial portion of premiums for 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.