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Daybreak Health

Senior Director, RCM

Daybreak Health

. Own the revenue cycle end to end, from enrollment through cash .

Posted 10/15/2026full-timeRemote • United StatesSenior💰 $175,000 per yearWebsite

About the role

Key responsibilities & impact
  • Own the revenue cycle end to end, from enrollment through cash
  • Lead the RCM team and report to the President and Co-Founder
  • Manage AR and denials by tracing issues to workflow, payer-rule, or system root causes
  • Run metrics and reporting for net collection rate, days in AR, clean claim rate, denial rate, and cost to collect
  • Own EHR, clearinghouse, and billing platform relationships and configuration
  • Identify process gaps and build solutions with Engineering when product changes are needed
  • Own real-time eligibility and benefits verification, patient responsibility, and estimates at intake
  • Influence Clinical Operations workflows and drive upstream behavior change
  • Identify and implement automation and AI for billing, posting, follow-up, and reconciliation with appropriate controls
  • Partner with Finance on close, accruals, reserves, AR allowance, forecasts, and variance explanations
  • Build compliance discipline for confidentiality, EOBs, statements, minor-consent handling, HIPAA, and payer audits
  • Present directly to executives and partner with Finance, Clinical Operations, Product, Engineering, and Credentialing
  • Ensure reporting, workflows, automation, forecasting, and compliance practices improve as the company scales

Requirements

What you’ll need
  • 10+ years in RCM, including 5+ years leading RCM teams
  • Experience in one or two startups
  • Deep outpatient behavioral health and Medicaid/MCO billing expertise
  • Practical, hands-on use of AI and automation to improve how work gets done, with good judgment about where human review still matters
  • Track record of standing up reporting, automating manual work, and leading system migrations
  • Comfort owning numbers publicly and being wrong out loud when the forecast misses
  • Strong executive communication and ability to turn complicated billing findings into clear recommendations with tradeoffs
  • Ability to influence stakeholders and drive change without direct authority, especially across Clinical Operations, Product, and Engineering

Benefits

Comp & perks
  • Generous equity package
  • Medical, dental, and vision coverage, with Daybreak covering a significant share of premiums for employees and dependents
  • Flexible unlimited time off, company holidays, and quarterly mental health days
  • Fully remote work from anywhere in the United States