Director of Revenue Cycle Management

Finni Health Inc.

Job Overview

Location

US Remote

Job Type

Full-time

Full Job Description

📋 Description

• Lead end-to-end revenue cycle management (RCM) operations for a rapidly growing healthcare startup focused on autism care providers, ensuring optimal cash flow and compliance across all billing and collections processes.
• Manage accounts receivable (A/R) by identifying root causes of denials, analyzing payer and clinic-specific trends, and implementing prevention workflows and product enhancements to reduce write-offs and improve recovery rates.
• Oversee aging A/R portfolios, prioritizing and directing efforts to resolve long-standing claims while minimizing days in A/R and maximizing net collections.
• Manage held claims by escalating unresolved issues with payers, providers, and internal teams, ensuring continuous progress toward resolution within timely filing limits.
• Oversee claim scrubbing logic, including modifier adjustments, rendering provider updates, and contract rate validation, to ensure accurate and timely claim submission without compromising deadlines.
• Audit and manage external billing vendors and offshore teams, holding them accountable to strict SLAs, productivity benchmarks, and quality standards for claims processing and denial resolution.
• Performance manage a team of claims specialists, tracking productivity, quality metrics, and prioritization of denials based on aging and AR value to drive team efficiency and outcomes.
• Architect, implement, and continuously refine standard operating procedures (SOPs) for billing, coding, authorization, and cash posting workflows to standardize and scale RCM operations.
• Drive strategic initiatives to reduce A/R days, increase collection rates, and minimize revenue leakage through data-driven process improvements and system enhancements.
• Collaborate directly with Clinical Operations, Tech/Product, Compliance, and Finance teams to ensure seamless data flow from client intake through final reimbursement, maintaining data integrity across systems.
• Maintain comprehensive, up-to-date knowledge of regional Medicaid modifiers, centralized credentialing requirements, telehealth billing rules, and state-specific prompt pay laws.
• Ensure full compliance with HIPAA regulations, industry accreditation standards, and federal/state billing mandates, maintaining audit readiness at all times.
• Adapt to evolving RCM challenges as Finni Health scales, taking ownership of new projects and responsibilities aligned with company growth and regulatory changes.
• Leverage EHR/RCM management tools and work queue systems to monitor, prioritize, and resolve claims efficiently, ensuring operational continuity and accuracy.
• Champion Finni’s mission to democratize autism care by ensuring providers have reliable, efficient RCM infrastructure to sustain and grow their practices.

🎯 Requirements

• 7+ years of experience in revenue cycle management, RCM operations, or related healthcare finance roles
• Deep expertise in billing, claims processing, denial appeals, accounts receivable management, and payer contracting
• Proven track record of optimizing RCM processes, reducing days in A/R, and improving net collections in a fast-paced environment
• Strong analytical skills with ability to identify trends, root causes, and implement data-driven solutions for financial performance improvement
• Experience managing external billing vendors or offshore teams with strict SLA accountability
• Proficiency in EHR/RCM systems, CRM tools, Google Suite, and Slack

🏖️ Benefits

• Opportunity to work at a high-growth healthcare startup backed by General Catalyst and Y Combinator
• Fully remote position with flexibility to work across the United States
• Mission-driven environment focused on democratizing autism care and empowering providers
• Exposure to cutting-edge EHR and RCM technology in a scalable, innovative product ecosystem

Skills & Technologies

Remote

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Finni Health Inc.

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About Finni Health Inc.

Finni Health is a healthcare technology company that provides insurance and benefits administration services for employers. It offers a platform that simplifies health plan selection, enrollment, and management for small and medium-sized businesses. The company integrates with existing payroll and HR systems to automate benefits administration, reduce administrative burden, and provide employees with digital tools to understand and use their health benefits.

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