Rcm Service Lead

Build and lead the RCM practice Design the service model, packaging, and SLAs. Stand up a delivery model with lean U.S. oversight paired with offshore exception handling. Build the playbooks and SOPs, then hire and lead the team. Own compliance and PHI risk at scale.

Full-cycle RCM operations and quality Own the full cycle — eligibility, prior auth, coding/modifier QA, claim scrubbing, payment posting, denials and appeals, AR, patient collections, and credentialing. Apply deep rehab-therapy expertise across PT/OT/SLP and specialty practices. Own the KPI scorecard: days in AR, clean-claim rate, net collections, denial rate, and cost to collect.

Partner with Product and Engineering on the billing roadmap(Central to the role, not a side task.) Translate real billing needs into product requirements, co-own the roadmap, and propose automation that reduces denials and compresses cost-to-serve. Dogfood the EMR and close the loop between what the service needs and what the product builds.

Drive strategy and go-to-market Benchmark pricing, support sales and deal cycles, own client outcomes with Customer Success, and manage key external partners.

- 5+ years in full-cycle revenue cycle management, with deep, hands-on expertise in outpatient rehabilitation therapy billing (PT/OT/SLP).

- You know the 8-minute rule, KX threshold, plan-of-care certification, GP/GO/GN and CQ/CO modifiers, therapy authorization, denials and appeals, and AR cold.

- Proven leadership of RCM operations and teams, including building processes and playbooks from scratch and managing distributed or offshore staff.

- A track record of improving RCM KPIs — measurably reducing denial rates and days in AR and lifting net collections.

- Demonstrated ability to partner with product/engineering teams or to translate operational needs into software and tooling requirements.

- Comfort operating as a hands-on builder in an early-stage, ambiguous environment — pragmatic, data-driven, an excellent communicator, and genuinely customer-obsessed. Based in the United States and authorized to work in the U.S.