Director of Revenue Cycle Management

Pair Team

2d•$185,000 - $215,000•Remote

About The Position

As a Director of Revenue Cycle Management at Pair Team, you will play a critical role in building the RCM function that allows our technology-enabled service to improve healthcare access and outcomes for underserved communities. You will own RCM end to end — from eligibility and authorization through claims, denials, and collections — across Medicaid andMedicare. and other service lines. This is a hands on, build-it-yourself role for someone who can both set RCM strategy and get into the claims data themselves to find and fix collection gaps. You'll build the team, systems, and processes that let RCM scale alongside a fast-growing, mission-driven company. This is a fully remote position reporting up 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.
Highly analytical and self-sufficient: able to independently query and dig into claims data (no dependency on a separate analytics team), generate insights, and use them to 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: drives results for the mission, business, and customer experience.
Thrives 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.

Responsibilities

Own the RCM function end to end across Medicaid and Medicare — from eligibility and authorization through claims, denials, and collections.
Lead RCM strategy: team building, hiring/managing RCM staff, KPI development and reporting, and cross-functional collaboration with operations, product, and engineering to build supporting tooling and processes.
Run deep analysis on claims data to identify gaps, drive remediation with cross-functional stakeholders, and improve collection rate and DSO.
Manage patient billing and coinsurance collection processes
Own denial management and appeals, driving down 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 to support multi-program billing and scale with growth.
Build scalable, automated processes suited to a fast-moving startup.