Director of Revenue Cycle Management

Responsibilities

• responsibilities will include: - A/R Management - Denials - Research root cause of denials, identify trends across payers and clinics, determine best course for revenue recovery, and implement denial prevention workflows and product enhancements - Agings - Identify issues and root causes of aged AR; ensure aged AR is properly prioritized and worked - Held Claims - escalate holds with various stakeholders and keep progression towards a resolution - Claims Management - Scrubbing Logic: Oversee claim

Requirements

• - Compliance and Quality Assurance: - Payer Compliance: Maintain exhaustive, up-to-date knowledge of regional Medicaid modifiers, centralized credentialing nuances, and telehealth billing rules.
• experience in revenue cycle management, RCM operations, or related roles, preferably in an early-stage startup, behavioral or mental health, or healthcare tech.
• Strong understanding of RCM processes, including billing, claims, collections, denial appeals, and accounts receivable management.
• - Collaborative & Independent Contribution: Proven ability to work effectively within a team environment, contributing to collective success, and independently driving RCM initiatives.
• - RCM Expertise: Deep understanding of the full revenue cycle, including billing, claims processing, collections, accounts receivable management, payer contracting, and compliance (e.g., CMS billing).
• - Communication & Collaboration: Excellent written and verbal communication skills, with proven ability to effectively collaborate with internal teams and external stakeholders (payers, vendors, providers).
• - Organizational & Time Management: Exceptional organizational and time management skills, with the ability to manage multiple priorities and projects in a fast-paced environment.
• - Tech Proficiency: Proficient in Google Suite, Slack, CRM/support software, and EHR/RCM management tools.
• Experience with various EMR/EHR work queue management within RCM is a plus. - Mission Alignment: Passion for Finni’s mission to democratize autism care and empower providers through robust RCM. - Adaptability & Agility: Comfortable thriving in a dynamic, fast-paced startup environment, embracing change, and navigating ambiguity with a proactive mindset.

Experience