Director of RCM 259117

Medix™; Irvine (CA); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Meals provided at office

Job summary

Understood Care seeks a hands-on Revenue Cycle Management (RCM) Manager to oversee the full revenue cycle, leading a five-person remote billing team and driving performance across Medicare and related areas.

The role collaborates with operations and engineering to improve workflows, reduce denials, and implement technology-driven solutions in a growing healthcare organization.

Qualifications

• 2+ years in healthcare revenue cycle management including Medicare/Medicare Advantage.
• Hands-on Medicare and Medicare Advantage billing experience.
• Experience with payer contracting and provider credentialing.
• Strong ability to analyze data, dashboards, and performance reports.

Responsibilities

• Lead, coach, and manage a five-person remote RCM team with clear productivity and quality expectations.
• Oversee collection metrics: clean claim rate, denial rate, days in A/R, and net collection rate.
• Manage full Medicare/Medicare Advantage billing lifecycle: charge capture, claims, payments, denials, appeals.
• Oversee payer contracting and provider credentialing processes.
• Identify root causes of denials and implement corrective actions.
• Collaborate with operations and engineering to automate workflows and reporting.

Skills

Revenue cycle management

Medicare billing

Analytical skills

Problem-solving

Leadership

Communication

Job description

Schedule: Monday–Friday, 9:00 AM–9:00 PM

Job Overview

We are seeking a hands‑on Revenue Cycle Management (RCM) Manager to oversee the full revenue cycle, from claims submission through payment collection. This individual will lead a five‑person remote billing team, drive collection performance, and manage Medicare and Medicare Advantage billing, payer contracting, provider credentialing, and denials management.

The RCM Manager will collaborate closely with operations and engineering teams to identify root causes of denials, improve billing workflows, and implement technology‑driven solutions to increase efficiency and optimize revenue cycle performance. This is an opportunity for an experienced healthcare RCM professional or current supervisor ready to take the next step into a leadership role within a growing healthcare organization.

About the Company

We are a Medicare‑enrolled patient advocacy and care navigation company that connects patients with dedicated advocates to help them navigate the healthcare system. The company bills Medicare and Medicare Advantage for Principal Illness Navigation (PIN) and Community Health Integration (CHI) services.

As a small, fast‑moving organization, Understood Care brings operations and engineering teams together to streamline processes, automate workflows, and improve the patient and provider experience.

Key Responsibilities

• Lead, coach, and manage a five‑person remote RCM team, establishing clear productivity, quality, and performance expectations.
• Oversee collection goals and key revenue cycle metrics, including clean claim rate, denial rate, days in accounts receivable (A/R), and net collection rate.
• Manage the full Medicare and Medicare Advantage billing lifecycle, including charge capture, claims submission, payment posting, denials, and appeals.
• Oversee payer contracting and provider credentialing processes.
• Monitor and resolve claim rejections and denials by identifying root causes and implementing timely corrective actions.
• Partner with operations and engineering teams to prevent denials upstream and develop automated billing workflows and reporting tools.
• Identify opportunities to improve operational efficiency, streamline manual processes, and enhance revenue cycle performance through technology.
• Ensure billing practices comply with CMS guidelines and payer‑specific requirements.
• Analyze revenue cycle data, dashboards, and reports to monitor performance and identify improvement opportunities.
• Provide regular updates to leadership regarding collections, revenue performance, operational challenges, and improvement initiatives.

Required Qualifications

• At least 2 years of experience in healthcare revenue cycle management, including Medicare or Medicare Advantage billing and accounts receivable.
• Strong hands‑on experience billing Medicare and Medicare Advantage plans.
• Experience with payer contracting and provider credentialing.
• Demonstrated success improving collections, reducing denials, and optimizing billing processes.
• Strong analytical skills and the ability to interpret data, dashboards, and performance reports.
• Interest in collaborating with engineering teams to improve workflows and implement technology‑driven solutions.
• Strong problem‑solving, organizational, and communication skills.
• A proactive, hands‑on approach with a willingness to roll up your sleeves and take ownership of day‑to‑day operations.

Preferred Qualifications

• Experience with care management or time‑based billing codes, including Principal Illness Navigation (PIN), Community Health Integration (CHI), Chronic Care Management (CCM), or Principal Care Management (PCM).
• Background in care navigation, value‑based care, digital health, or a similar healthcare environment.
• Experience building or scaling a revenue cycle function within a startup or growing organization.
• Prior supervisory or team leadership experience, with the ability to develop and motivate a team.

Schedule and Work Environment

• Schedule: Monday–Friday, 9:00 AM–9:00 PM.
• Location: Onsite at the company's Irvine, California office.
• This is a salaried leadership position.
• Breakfast, lunch, and dinner are provided in the office each day.

Why Join Understood Care?

• Take ownership of the full revenue cycle and directly influence collection performance.
• Work alongside operations and engineering teams to develop innovative billing and automation solutions.
• Help improve access to care by supporting a patient advocacy and care navigation organization.
• Join a growing team where you can make a meaningful operational impact and help shape the future of its RCM function.