ABOUT FINNI HEALTH Finni Health empowers autism care providers to start, run, and grow their own practices. We democratize autism care by providing access to our insurance network, purpose-built EHR software, HR solutions, and clinical support. We've experienced rapid growth and are backed by top-tier investors like General Catalyst and Y Combinator. We seek smart, driven individuals eager to innovate in a dynamic, fast-paced environment. WHAT YOU WILL BE DOING: 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. ABOUT YOU: You are a proactive and collaborative individual contributor with a strong background in revenue cycle management, driven by a commitment to operational excellence and financial performance. * Experience: 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. * Collaborative & Independent Contribution: Proven ability to work effectively within a team environment, contributing to collective success, and independently driving RCM initiatives. * RCM Expertise: Deep understanding of the full revenue cycle, including billing, claims processing, collections, accounts receivable management, payer contracting, and compliance (e.g., CMS billing). * Analytical & Problem-Solving: Strong ability to analyze complex RCM data, identify trends, root causes of issues, and implement effective, data-driven solutions to optimize financial performance. * Process Optimization: Demonstrated expertise in identifying inefficiencies and driving process improvements for RCM efficiency and effectiveness. * Communication & Collaboration: Excellent written and verbal communication skills, with proven ability to effectively collaborate with internal teams and external stakeholders (payers, vendors, providers). * Organizational & Time Management: Exceptional organizational and time management skills, with the ability to manage multiple priorities and projects in a fast-paced environment. * Tech Proficiency: Proficient in Google Suite, Slack, CRM/support software, and EHR/RCM management tools. Experience with various EMR/EHR work queue management within RCM is a plus. * Mission Alignment: Passion for Finni’s mission to democratize autism care and empower providers through robust RCM. * Adaptability & Agility: Comfortable thriving in a dynamic, fast-paced startup environment, embracing change, and navigating ambiguity with a proactive mindset. Ready to make a significant impact at a rapidly growing healthcare startup? We'd love to hear from you!