Director of Revenue Cycle Management

Finni Health•,

1d•$120,000 - $150,000

About The Position

As a Director of Revenue Cycle Management, you will play a critical role in optimizing our revenue cycle operations. Your primary 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 processing, ensuring logic adjustments (modifiers, rendering provider updates, contract rate validation) are handled seamlessly without delaying timely filing limits. Vendor Oversight: Manage, audit, and hold external billing vendors or offshore teams accountable to strict Service Level Agreements (SLAs) and productivity benchmarks. Team Management Performance manage a team of claims specialists to ensure denials are properly prioritized in terms of agings and AR amount Track team productivity and quality Strategic Leadership & Process Optimization System Design: Architect, implement, and continuously refine standard operating procedures (SOPs) across all billing, coding, authorization, and cash posting workflows. A/R Momentum: Drive strategies to consistently maximize net collections, minimize Days in A/R, and aggressively reduce write-offs. Cross-Functional Collaboration: Partner directly with Clinical Operations, Tech/Product, Compliance, and Finance to ensure clean data flow from initial client intake to final reimbursement. Compliance and Quality Assurance: Payer Compliance: Maintain exhaustive, up-to-date knowledge of regional Medicaid modifiers, centralized credentialing nuances, and telehealth billing rules. Audit Readiness: Keep the organization fully compliant with HIPAA regulations, state-specific prompt pay laws, and independent industry accreditation parameters. Additional Responsibilities: Adapt and take on evolving responsibilities and projects as Finni Health grows and the RCM landscape changes.

Requirements

7+ years of relevant 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.
Proven ability to work effectively within a team environment, contributing to collective success, and independently driving RCM initiatives.
Deep understanding of the full revenue cycle, including billing, claims processing, collections, accounts receivable management, payer contracting, and compliance (e.g., CMS billing).
Strong ability to analyze complex RCM data, identify trends, root causes of issues, and implement effective, data-driven solutions to optimize financial performance.
Demonstrated expertise in identifying inefficiencies and driving process improvements for RCM efficiency and effectiveness.
Excellent written and verbal communication skills, with proven ability to effectively collaborate with internal teams and external stakeholders (payers, vendors, providers).
Exceptional organizational and time management skills, with the ability to manage multiple priorities and projects in a fast-paced environment.
Proficient in Google Suite, Slack, CRM/support software, and EHR/RCM management tools.
Passion for Finni’s mission to democratize autism care and empower providers through robust RCM.
Comfortable thriving in a dynamic, fast-paced startup environment, embracing change, and navigating ambiguity with a proactive mindset.

Nice To Haves

Experience with various EMR/EHR work queue management within RCM is a plus.

Responsibilities

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
Identify issues and root causes of aged AR; ensure aged AR is properly prioritized and worked
Escalate holds with various stakeholders and keep progression towards a resolution
Oversee claim processing, ensuring logic adjustments (modifiers, rendering provider updates, contract rate validation) are handled seamlessly without delaying timely filing limits.
Manage, audit, and hold external billing vendors or offshore teams accountable to strict Service Level Agreements (SLAs) and productivity benchmarks.
Performance manage a team of claims specialists to ensure denials are properly prioritized in terms of agings and AR amount
Track team productivity and quality
Architect, implement, and continuously refine standard operating procedures (SOPs) across all billing, coding, authorization, and cash posting workflows.
Drive strategies to consistently maximize net collections, minimize Days in A/R, and aggressively reduce write-offs.
Partner directly with Clinical Operations, Tech/Product, Compliance, and Finance to ensure clean data flow from initial client intake to final reimbursement.
Maintain exhaustive, up-to-date knowledge of regional Medicaid modifiers, centralized credentialing nuances, and telehealth billing rules.
Keep the organization fully compliant with HIPAA regulations, state-specific prompt pay laws, and independent industry accreditation parameters.
Adapt and take on evolving responsibilities and projects as Finni Health grows and the RCM landscape changes.