Director, Revenue Cycle Management

Responsibilities

• Own the end-to-end revenue cycle including eligibility, charge capture, coding, claim submission, and denial management
• Lead the configuration of Candid Health, including payer rules and fee schedules
• Serve as the revenue cycle lead for the Healthie EHR implementation and transition
• Establish and maintain data integrity for payer, plan, provider, and contract data
• Build and manage revenue cycle reporting such as cash forecasts, AR aging, and denial trends
• Manage payer relationships, escalations, and underpayments
• Lead and develop a small RCM team to scale operations efficiently

Requirements

• 7+ years in healthcare revenue cycle with 3+ years in leadership
• Deep professional physician/practitioner billing experience
• Hands-on experience with modern billing platforms (Candid Health preferred)
• Proven experience with EHR implementation or migration
• Fluency with CPT, HCPCS, ICD-10, and modifiers
• Track record of reducing denials and days in AR
• Experience managing commercial payer escalations and performance issues
• Ability to work remotely and communicate asynchronously

Preferred Qualifications

• Telehealth or digital health billing experience
• Familiarity with preventive services and ACA-mandated coverage
• Experience with Healthie EHR
• Proficiency with SQL, BI tools, or advanced spreadsheet modeling
• Startup or small company experience

Benefits

• Salary: $140k
• Unlimited PTO plus company holidays
• 401(k) eligibility
• Remote-first work environment with high autonomy

About the Company

SimpliFed provides parents with tools to navigate baby feeding questions from pregnancy through the feeding journey. Their platform connects families to licensed lactation and maternal health providers through various healthcare partnerships.