Senior Manager, Revenue Cycle Management

The role

The Senior Manager, Revenue Cycle Management will own the revenue cycle from insurance verification through final collection. This role involves managing the claims process, owning the denials process, and tracking core revenue metrics.

What you will do

• Manage the claims process including codes, modifiers, and patient and insurance information.
• Own the denials process end to end.
• Prevent denials at the source by tracing patterns to coding rules or system settings.
• Track insurer implementation of cervical cancer testing 2027 coverage requirements.
• Own core numbers including net collection rate, denial rate, clean claim rate, days in accounts receivable, and cash collected.
• Keep aging balances low and cash flow predictable.
• Own the weekly revenue cycle dashboard and denial reporting.
• Supply evidence for insurance negotiations regarding product denials.
• Work with Product and Engineering on upstream fixes for insurance verification and data capture.

Required qualifications

• 7+ years in healthcare revenue cycle, at least 3 of them leading a team or a function.
• Experience billing something new such as a service, device, or care model that did not map onto existing codes.
• A track record of winning hard denials.
• Command of preventive coverage rules, including no cost sharing under the Affordable Care Act.
• Ability to describe how you have moved denial rate, net collection rate, and days in accounts receivable.
• Advanced Excel.
• Commercial insurance experience and multi-state billing at scale.
• Credentialing and provider enrollment experience, or a clear understanding of how enrollment gaps turn into denials.
• Comfort in an early-stage environment.
• Plain, clear communication.

Nice to have

• Telehealth, digital health, or lab and diagnostics billing.
• Preventive and wellness coding.
• Hands-on experience with Candid Health, Medallion, or other next-generation revenue cycle tooling.

Benefits

• Equity compensation
• Health insurance
• FSA /DCFSA options
• 401(k)
• Parental leave
• Flexible PTO
• Professional development support

About the company

Teal Health is on a mission to provide women with tools, access, and resources for informed health decisions, starting with cervical cancer screening. They aim to redesign women's health by offering the choice to self-collect from home.