Director of Revenue Cycle Management
About The Position
Overstory Health is a startup focused on providing patient-centric Partial Hospitalization (PHP) and Intensive Outpatient (IOP) programs for individuals with high-acuity mental health needs. The company aims to make behavioral healthcare more accessible. The Director of Revenue Cycle Management (RCM) will be responsible for building and leading the in-house billing function from the ground up. This role involves designing the RCM infrastructure and team, managing billing operations, and overseeing the transition from an outsourced partner to an internal team. The position requires a blend of strategic planning and hands-on operational work, with the expectation of growing the team and transitioning to a more strategic focus over time.
Requirements
- Prior startup experience, with comfort operating without established infrastructure or a large team.
- 5+ years of progressive RCM leadership experience.
- Behavioral health (Inpatient, PHP/IOP or outpatient behavioral health) RCM experience required.
- Demonstrated experience building or transforming an in-house RCM function.
- Experience managing Managed Medicaid and Commercial behavioral health payers.
- Demonstrated experience building an RCM or billing team from scratch, including hiring and onboarding.
- Willingness to be hands-on and in the weeds — keying claims, working AR, and troubleshooting alongside the team, especially in the first several months.
- Fluency in RCM terminology and workflows (claims, VOB/eligibility, payment posting, AR follow-up, denials management) paired with the ability to communicate clearly with non-billing stakeholders.
- Growth mindset — interested in scaling into a broader RCM leadership role as the function and team expand.
Responsibilities
- Build the RCM function from scratch, including hiring, training, and managing billers, AR specialists, and eligibility/VOB staff.
- Lead the transition of billing operations from an outsourced RCM partner to an in-house team, including phased sunset planning and risk mitigation.
- Review claims, troubleshoot denials, and understand the day-to-day mechanics of billing to manage effectively and identify process gaps.
- Track and report on key RCM metrics (days in AR, denial rates, clean claim rate, collections) and translate performance into ROI for the leadership team.
- Translate RCM performance and terminology for clinical, operations, and finance stakeholders.
- Ensure documentation, claims processes, and collections practices comply with payer requirements and relevant regulations.
Benefits
- 150K base with a 15% performance bonus
- Flexible time off policy (FTO)
- Comprehensive health insurance with no waiting period (medical, dental, vision)
- Short- and long-term disability coverage at no cost to employees
- 401(k) with company match up to 4% of income
- Supplemental benefits
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
