Full-Time Revenue Cycle Management Director

Welcome to Brightline! We are searching for a scrappy, hands-on Director of Revenue Cycle Management to help build and grow our revenue cycle function from the ground up.

As a key player in a fast-paced startup, you will combine strategic leadership with execution. You will be responsible for overseeing end-to-end Revenue Cycle Management, including eligibility verification, claims submission, denial management, cash applications, and reporting.

You’ll drive revenue growth while ensuring compliance with all regulatory requirements. This dynamic role will require you to be hands-on in day-to-day operations while also developing scalable systems to support our rapid growth.

1. Optimize RCM Infrastructure:
   • Develop and implement scalable, best-in-class revenue cycle processes to support the company’s growth and improve operational efficiency.
   • Optimize claims processing, coding accuracy, charge capture, and collections workflows to reduce denials and accelerate reimbursements.
   • Refine standardized policies, procedures, and best practices across the revenue cycle, from patient intake to final collections.
2. Drive Measurable Performance Gains:
   • Analyze key performance metrics, including denial rates, net collection rate, AR days, and cash flow trends, ensuring proactive issue resolution and continuous process improvements.
   • Oversee a structured denials management program, focusing on root cause identification, appeals success, and process refinements to minimize preventable denials.
   • Drive collection rate improvements by enhancing payer communications, optimizing patient billing processes, and improving financial transparency.
   • Ensure timely and accurate claim submissions, reducing A/R aging and bad debt exposure while improving reimbursement timelines.
3. Strengthen Reporting & Data-Driven Decision-Making:
   • Establish a structured reporting cadence, providing leadership with clear visibility into RCM performance, financial risks, and opportunities for improvement.
   • Analyze payer performance, reimbursement trends, and claim adjudication patterns to optimize revenue recovery strategies.
4. Leadership & Cross-Functional Collaboration:
   • Start as a team of one, with the opportunity to build, scale, and lead a team of medical coding and billing specialists as we grow.
   • Serve as the primary point of contact for RCM, providing clear direction and insights across finance, product, operations, partnerships, and clinical teams.
   • Partner with finance and accounting to align on forecasting, revenue recognition, and cash flow optimization.
   • Work closely with product and engineering to identify and implement tech-enabled solutions that enhance RCM efficiency.
   • Collaborate with operations to ensure seamless patient billing, eligibility verification, and provider credentialing.
5. Audits & Compliance:
   • Conduct regular compliance audits, ensure accuracy, and stay ahead of coding regulation changes to mitigate compliance risks.

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