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Senior Director, RCM
Daybreak Health. Own the revenue cycle end to end, from enrollment through cash .
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