Director, Revenue Cycle Management

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October 24

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Circle Medical - a UCSF Health Affiliate

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Healthcare Insurance • Telecommunications

Circle Medical is a healthcare service provider offering convenient and accessible primary care through video and in-person appointments. As an affiliate of UCSF Health, the company is focused on providing comprehensive care, including ADHD treatment, gender-affirming care, mental health support, sleep care, and much more. Circle Medical emphasizes a patient-friendly approach, allowing patients to verify insurance and book appointments easily via their app, ensuring they receive timely and appropriate care. The service is known for delivering top-rated care with a network of over 400 active providers across multiple states in the U. S.

11 - 50 employees

Founded 2018

⚕️ Healthcare Insurance

📡 Telecommunications

📋 Description

• Lead the end-to-end revenue cycle function across coding, billing, and collections, ensuring operational efficiency and compliance with payer and regulatory standards. • Manage and develop two direct reports, fostering a culture of accountability, transparency, and continuous improvement. • Partner with the VP of Operations, and Senior Product Manager and Leadership Team to define short and long-term RCM strategies aligned to company objectives. • Oversee daily RCM operations for a high-volume telehealth practice with extensive payer contracts and multi-state presence. • Ensure accurate charge capture and coding practices that support compliant reimbursement and appropriate provider documentation. • Own key workflows and process maps for claim submission, follow-up, denials, and appeals; identify and resolve friction points quickly. • Collaborate with Product and Engineering teams to improve automation, EDI connectivity, and billing system integrations. • Enhance, track, and report on KPIs to identify areas for improvement and drive performance. • Partner with Business Intelligence to develop automated dashboards and monthly reporting packages. • Drive data-driven performance reviews with sub-teams to identify trends, root causes, and opportunities for process improvement. • Serve as the operational liaison between RCM, Clinical, Telehealth Operations and Patient Support to ensure documentation and billing alignment. • Partner with Contracting and Credentialing to ensure accurate payer setup, EDI enrollment, and fee schedule updates. • Collaborate with Finance on cash forecasting, revenue recognition, and variance analysis. • Maintain compliance with payer and state telehealth billing requirements. • Lead initiatives to improve claim accuracy, reduce denials, and accelerate cash collections. • Proactively identify automation and system enhancement opportunities to improve efficiency and scalability.

🎯 Requirements

• 5+ years of experience in roles with increasing responsibility, scaling high-growth, or technology-enabled services organizations with at least 3 years in a leadership role • Bachelor’s or Master’s degree in Healthcare Administration, Business, Finance, or a related field • Strong communication, and stakeholder management skills with the ability to translate strategy into a clear execution plan • Deep understanding of healthcare operations, including revenue cycle management, payer contracting, provider onboarding, and patient engagement. • Experienced data-driven operator with experience building KPIs, dashboards, and performance management frameworks. • Exceptional leadership skills with the ability to inspire teams, build consensus, and influence across functions. • Demonstrated ability to thrive in fast-paced, ambiguous, and rapidly evolving environments.

🏖️ Benefits

• Flexible vacation & sick leave (eligibility after 90-days) • 10 paid holidays • $500 annual education and development reimbursement • Medical, Dental, Vision benefits, Life & additional supplemental coverage options • 401K + Company Matching Program per eligibility