Revenue Cycle Management Lead

Описание вакансии

As our Revenue Cycle Management (RCM) Lead, you will own and optimize revenue cycle performance in a high-growth, scaling healthcare organization. You will serve as the operational owner of claims management, accounts receivable performance, payer enrollments, and vendor oversight. This is a high-impact individual contributor role responsible for ensuring revenue integrity, improving cash flow, and proactively identifying revenue risk. You will operate with autonomy, serve as the internal subject matter expert for revenue cycle operations, and provide actionable performance insights to leadership.

Comp | Perks | Benefits

• The base pay range for this position is $38.00 - $48.00 per hour\\
• Robust and affordable Medical, Dental, and Vision plan options
• Flexible time off policy

\\Base pay offered may vary depending on job-related knowledge, skills, and experience. An annual incentive plan and stock options may be provided as part of the compensation package, in addition to a full range of medical, financial, and/or other benefits, dependent on the position offered.

What you get to do every day

• Own end-to-end revenue cycle performance across claims submission, denial management, and A/R follow-up
• Manage and hold external billing vendors accountable to defined KPIs and service expectations
• Monitor first-pass resolution rates, denial trends, and aging buckets to proactively mitigate revenue risk
• Lead monthly vendor performance reviews and implement corrective action plans as needed
• Own aged A/R performance, with specific focus on reducing >60 and >90-day balances
• Identify systemic causes of payment delays and implement process improvements
• Develop and maintain recurring KPI dashboards for leadership visibility
• Analyze trends in denials, payer performance, and reimbursement variance
• Deliver data-driven recommendations to improve net collection rate and accelerate cash flow
• Surface emerging revenue risks with proposed solutions
• Oversee EFT, ERA, and payer enrollment processes to prevent reimbursement disruption
• Maintain accurate credentialing and payer setup data within RCM systems
• Ensure payer configurations align with contracted reimbursement terms
• Develop and maintain SOPs for core revenue cycle workflows
• Identify opportunities for automation and operational efficiency
• Serve as internal subject matter expert for revenue cycle best practices
• Act as primary RCM liaison across Provider Operations, Clinical, and Finance teams
• Support operational initiatives that impact revenue performance

What you bring to the role

• 5+ years of progressive experience in revenue cycle management, medical billing, or healthcare operations
• Strong knowledge of ICD-10, CPT, payer reimbursement methodologies, and claims lifecycle management
• Experience with EFT/ERA setup and payer enrollment processes
• Strong analytical skills with ability to translate data into operational action
• Excellent communication skills with experience presenting performance insights to leadership
• Experience with payer contracting and credentialing is preferred
• Experience in a high-growth or startup healthcare environment is preferred

All Company policies and procedures are subject to change without notice based on business needs. This includes, but is not limited to, the locations where we hire remote, hybrid, or onsite employees.

U.S. Applicants Only

Don’t meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Thirty Madison we are dedicated to building a diverse, inclusive and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions. Contact us at recruiting@thirtymadison.com to request accommodation.

About Thirty Madison

Thirty Madison is a family of specialized healthcare brands devoted to creating exceptional outcomes for all. Each of its specialized brands is focused on a specific ongoing condition, and thoughtfully designed to support the unique needs of its community with personalized treatments and care; with Keeps for men's hair loss, Cove for migraine,  Facet for skin conditions, and NURX for sexual health. With empathy at the heart of its innovation, its proprietary care model empowers hundreds of thousands of people with ongoing conditions with the accessible, effective treatments across a lifetime of care. In just four years, we’ve built a number of brands and are continuing to grow rapidly, recently raised a $140m Series C, and are backed by some of the best healthcare and consumer investors, including HealthQuest Capital, Mousse Partners, Bracket Capital, Polaris Partners, Johnson & Johnson, Maveron, Northzone, among others.

We are honored to become Great Place to Work certified and be included on BuiltIn's 2021 list of Best Places To Work in New York City, and Best Midsize Companies To Work For. We've also been recognized by Forbes' Best Startup Employers, being named as one of America's Best Places to Work 2022. This recognition is a true testament to our hardworking team and company culture. As we continue to grow, we pride ourselves on finding passionate individuals who truly embody our core values and mission each and every day. Learn more at ThirtyMadison.com. 

\This employer participates in E-Verify and will provide the federal government with your I-9 Form information to confirm that you are authorized to work in the U.S.\

\*Please be aware that there are fraudulent entities who are falsely claiming to be or represent Thirty Madison in order to solicit sensitive personal information or payment. Thirty Madison is not in any way associated with these entities or practices. The safety and integrity of those seeking employment with us is of the utmost importance and we actively work with our legal and security teams to prevent future incidents.

Thirty Madison will never ask for sensitive information or payment when engaging with job seekers. The entities use many methods to perpetuate these scams, including but not limited to: participating in a text-only interview, using Thirty Madison’s trademarks on their correspondence, or providing you with a seemingly legitimate offer letter. If you suspect you are a victim of this scamming, we encourage you to cease further contact and report the crime to The Federal Trade Commission.