Director of Revenue Cycle Management

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $185k - $215k / year

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 20%

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Logo of Pair Team

Pair Team

11 - 50 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Pair Team is dedicated to connecting underserved communities with high-quality care. They connect vulnerable patients to local care teams, ensuring access to physical, mental, and social services. Through partnerships with local community organizations, they provide whole-person care, coordination of care, and resources. Their community network includes registered nurses, behavioral health clinicians, and various healthcare providers, aimed at improving outcomes and wellbeing for community members. Focus is given on building trust and providing a holistic approach to patient care, reducing emergency room visits, and engaging previously unengaged patients with primary care providers.

📋 Description

• Own the RCM function end to end across Medicaid and Medicare, from eligibility and authorization through claims, denials, and collections • Lead RCM strategy, including team building, hiring and managing RCM staff, KPI development and reporting, and cross-functional collaboration • Analyze claims data to identify gaps, drive remediation, and improve collection rate and DSO • Manage patient billing and coinsurance collection processes • Own denial management and appeals, reducing rejection and denial rates • Centralize eligibility verification, authorizations, and payer reporting under RCM • Work directly with payers and provider groups to remediate claims issues and manage payer reporting relationships • Partner with Finance on revenue reconciliation, cash application, and collections reporting • Ensure compliance with Medicaid and Medicare billing requirements • Select, implement, and optimize RCM systems for multi-program billing and growth • Build scalable, automated processes for a fast-moving startup • Report to the VP of Finance and BizOps

🎯 Requirements

• 8+ years of progressive Revenue Cycle Management (RCM) experience, with end-to-end ownership across eligibility/enrollment, charge capture, coding, claims submission, denials management, and collections • Deep, hands-on knowledge of Medicaid and Medicare billing across the full revenue cycle, ideally including FFS, risk-based arrangements, and other healthcare billing structures • Experience building and leading teams in a high-growth, early-stage startup • Ability to independently query and analyze claims data, generate insights, and drive collection rate improvements • Strong communication and collaboration skills across finance, accounting, operations, product, and engineering • Experience implementing RCM solutions such as Candid, Waystar, etc. • Ownership mindset and ability to drive results • Ability to thrive in a fast-paced, complex, low-red-tape early-stage environment • Passion for serving individuals with complex chronic needs, including homelessness, severe mental illness, and substance use disorder • E-Verify employment eligibility verification for new hires • Passing a pre-employment background check is required

🏖️ Benefits

• Equity compensation package • Medical, dental & vision with HSA/FSA and company HSA contribution • Remote-first with equipment and $100/mo home office stipend • Flexible PTO and 12 paid holidays • 100% company-paid life, disability & AD&D • Backup childcare, caregiver concierge, and financial guidance resources

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