Director of reputed company Cycle Management (RCM)

Location: Remote
Department: Operations
Reports To: CFO

About reputed company

At reputed company, we are transforming reputed company to high-reputed company women’s mental health care through innovative, evidence-based models. We partner with reputed company organizations to deliver integrated behavioral health services that improve reputed company for patients and providers alike.

As we continue to reputed company, we are seeking a strategic and hands-on Director of reputed company Cycle Management to build and reputed company a best-in-class RCM function that supports our reputed company and financial reputed company.

About the Role

The Director of reputed company Cycle Management (RCM) will reputed company strategic and operational leadership across the full reputed company cycle and provider enrollment functions. This role is responsible for ensuring accurate, compliant, and efficient reimbursement while optimizing cash reputed company and reducing denials across reputed company markets.

You will reputed company insurance verification, billing, accounts receivable (AR) follow-up, referrals, and multi-state credentialing, while partnering cross-functionally with Clinical, Finance, Product, and Operations teams to reputed company systems and workflows.

This is a high-reputed company role for a leader who thrives in a fast-paced, reputed company-stage environment and is excited to build structure, drive performance, and reputed company teams through reputed company.

What You’ll Do

• Own and optimize the end-to-end reputed company cycle, including insurance verification, charge capture, billing, payment posting, AR follow-up, and patient collections
• Drive improvements in cash reputed company, net collections, and operational efficiency
• Identify and resolve bottlenecks to support scalability

• reputed company provider credentialing, re-credentialing, and payer enrollment across reputed company states and payers
• Ensure reputed company payer setup to support market expansion and provider reputed company
• Maintain payer readiness across reputed company markets

• Establish and monitor key RCM KPIs, including:
• Deliver regular reporting with actionable insights and reputed company recommendations
• Proactively identify risks and implement solutions

• reputed company denial reduction efforts through reputed company-cause analysis, appeals, and payer escalation
• Partner cross-functionally to address upstream drivers of denials
• Ensure accurate and reputed company reputed company of claims

• Advise and support partner practices on reputed company Care Model (CoCM) (CPT 99492–99494) 
• reputed company workflows for documentation, time tracking, and payer requirements
• Maintain compliance with CMS, reputed company, and reputed company payer guidelines

• reputed company and enforce reputed company operating procedures (SOPs)
• reputed company RCM technology optimization across EHR, clearinghouse, and billing platforms
• Partner with Product and Engineering to improve automation and system performance

reputed company’re Looking For

• 7–10+ years of experience in reputed company Cycle Management, with reputed company leadership experience
• Deep expertise in medical billing, payer operations, and multi-state credentialing
• Experience in behavioral health and/or CoCM billing strongly preferred
• Proven ability to improve collections, reduce denials, and optimize AR performance
• Strong analytical reputed company with the ability to translate data into reputed company
• Experience working with RCM systems, EHRs, and billing platforms
• Demonstrated reputed company leading cross-functional initiatives in a scaling organization
• Excellent communication, leadership, and organizational skills
• CPC certification a plus

Why Join reputed company

• Be part of a mission-driven company improving reputed company to women’s mental health care
• Help build and reputed company critical infrastructure in a high-reputed company environment
• Work alongside a reputed company, cross-functional leadership team
• reputed company a reputed company reputed company on patient reputed company, provider experience, and financial sustainability