Lead a team of revenue cycle professionals across billing, collections, and denials management, driving high billing operations performance
Manage team of onshore and offshore specialists across billing, payment posting, AR, and denials with clear ownership and accountability
Build SOPs, documentation, and scalable processes to ensure consistent and high-quality execution
Foster a culture of operational excellence and continuous improvement
Own AR performance and KPI management, including DSO, first-pass acceptance rate, denial rate, etc.
Own processes that ensure accurate charge capture, eligibility, and coding before claims are submitted
Build preventive workflows to reduce first-pass rejections
Partner with clinical, intake, credentialing, and coding teams to address upstream issues that drive repeat denials
Oversee timely claim submission, remit posting, and structured AR follow-up workflows
Maintain consistent follow-up cadence by age bucket, payer, and denial category
Ensure all claims are processed, followed up on, and escalated within defined SLAs
Lead a structured denial management program with root-cause categorization and recovery targets
Create SOPs for addressing common denial categories (coverage, coding, eligibility, prior auth, modifier issues, medical necessity, etc.)
Oversee appeals, corrected claims, and secondary billing processes
Build clear processes and service standards to ensure patient billing questions are answered accurately and promptly
Create feedback loops from patient inquiries to identify recurring pain points and implement improvements across billing workflows
Ensure compliance with payer policies, telehealth billing requirements, and documentation standards
Stay current on industry policies and billing best practices
Partner in management of billing systems and vendors and ensure swift resolution of any technical issues impacting billing

Requirements

Bachelor's degree required; Master's degree in Healthcare Administration, Business, or related field preferred
5+ years of progressive experience in healthcare revenue cycle management
3+ years of leadership experience in a healthcare setting
Experience with telehealth billing and reimbursement
Demonstrated success in improving revenue cycle metrics (e.g., clean claim rates, AR days, denial rates)
Strong understanding of healthcare reimbursement models, coding, and compliance requirements
Experience with revenue cycle management systems and healthcare technology platforms
Excellent analytical skills with the ability to translate data into actionable insights
Exceptional communication and leadership abilities
Experience utilizing modernized billing and EHR platforms such as Candid, Adonis, and Elation, highly preferred OR proven ability to learn new systems quickly

Benefits

Comprehensive health benefits (medical, dental, vision)
Unlimited PTO & 11 company holidays
Annual onsite gathering in NYC
Health Savings Account (HSA) & Flexible Spending Account (FSA) options
Long- and short-term disability coverage
Annual wellness stipend
401(k) plan
Parental leave & family planning support benefits
Company-issued laptop
Annual work-from-home stipend
Commuter benefits if applicable
Professional development and employee learning programs

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

revenue cycle managementbilling operationscollectionsdenials managementcharge capturecodingKPI managementdata analysistelehealth billinghealthcare reimbursement models

Soft Skills

leadershipcommunicationanalytical skillsoperational excellencecontinuous improvementaccountabilityproblem-solvingcollaborationprocess improvementcustomer service

Certifications

Bachelor's degreeMaster's degree in Healthcare AdministrationMaster's degree in Business