Director of Revenue Cycle Management at Sleep Doctor

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Full Time

Start Date

Immediate

Expiry Date

11 Jun, 26

Salary

200000.0

Posted On

13 Mar, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Eligibility Verification, Prior Authorization, Claims Submission, Denial Management, Patient Collections, API Integration, EHR Systems, Payor Contracting, AI/ML, Root-Cause Analytics, FHIR, HL7, X12, HIPAA Compliance, Team Leadership

Industry

Wellness and Fitness Services

Description

About Us At Sleep Doctor, we’re helping millions get a full night's rest. As the most trusted name in sleep health, we make better sleep possible with proven support, clear answers, and hands-on care that fits real life. Across our brands—SleepDoctor.com, SleepFoundation.org, and SleepApnea.org—we combine clinical expertise with consumer-first experiences to help people understand their sleep, tackle real challenges, and wake up to healthier, more energized lives. If you’re passionate about making better sleep possible—and want to help reshape the future of sleep care—we’d love to meet you. About the Role This is a rare ground-floor opportunity. Sleep Doctor is expanding aggressively into insurance-based care—and this Director of RCM is one of the earliest and most critical hires in that journey. You’re not inheriting a mature function: you’re designing and building it. We are looking for a hands-on, visionary Director of Revenue Cycle Management to architect and lead our end-to-end RCM infrastructure from scratch. You’ll cover the full billing spectrum—clinical services and DME—across both commercial and government payors nationwide. Working closely with our VP of Product and clinical leadership, you’ll build a next-generation, digital-first revenue cycle that is automated by default, transparent to patients, and built to scale. This role begins as an individual contributor—you’ll be deep in the work, setting up systems, forging payor relationships, and getting the fundamentals right. As the insurance segment grows, you’ll evolve into a people leader, building and scaling the RCM team and function around you. If you’ve ever wanted to build something from the ground up at a company that is redefining what healthcare can look like—this is that role. What You'll Do Phase 1: Design & Build Lead the end-to-end design and implementation of Sleep Doctor’s RCM infrastructure—spanning eligibility verification, prior authorization, claims submission (clinical and DME), denial management, and patient collections. Architect the “to-be” state: a modern, API-driven, largely automated revenue cycle built for both commercial and government payors nationwide. Partner with engineering and vendor partners to integrate clearinghouses, EHR/practice management systems, and payer APIs into a unified, compliant billing platform. Define the “Clean Claim” baseline for both clinical services and DME—establishing data validation rules, documentation requirements, and submission standards. Ensure seamless parallel operation of cash-pay and insurance flows without introducing friction to the patient journey. Partner with the Director of Payor Contracting on enrollment and contracting groundwork, establishing relationships with key commercial and government plans. Phase 2: Automate & Optimize Drive aggressive automation across the revenue cycle using AI/ML tools—targeting prior auth packaging, clinical documentation assembly, claims scrubbing, denial prediction, and appeals generation. Build intelligent denial management workflows with root-cause analytics, payer-specific rule engines, and automated appeals—targeting a near-100% clean claim rate and minimal days in AR. Design patient-facing billing experiences that deliver radical transparency: real-time eligibility, upfront cost estimates, and frictionless balance resolution. Leverage FHIR, HL7, and X12 standards to future-proof the platform and ensure interoperability as our payor mix and service lines expand. Define, instrument, and own core RCM KPIs: first-pass resolution rate, denial rate, days in AR, net collection rate, and cost to collect. Ongoing Ownership Serve as the internal RCM subject matter expert—the go-to voice on payor policy, reimbursement trends, coding requirements, and regulatory changes across clinical and DME billing. Collaborate cross-functionally with Clinical, Product, Finance, Engineering and Operations to ensure the revenue cycle serves both business goals and patient outcomes. Maintain an uncompromising standard for HIPAA compliance and data integrity across all billing and collections activity. As the insurance segment scales, recruit, lead, and develop a high-performing RCM team—building the function and org structure from the ground up. Own the long-term RCM roadmap, balancing speed-to-value with platform stability and scalability. What We Are Looking For Deep RCM Expertise: 8+ years in Revenue Cycle Management in healthcare, with hands-on experience across the full billing lifecycle—eligibility, prior auth, claims, denials, appeals, and patient collections. You know the difference between an 835 and an 837 and how to make them work in a modern cloud environment. Clinical & DME Billing Experience: You’ve managed RCM for both clinical services and durable medical equipment. Bonus points for experience with Home Sleep Studies (HSS), CPAP/PAP therapy, or sleep medicine billing. Government & Commercial Payor Knowledge: You understand the nuances of billing across Medicare, Medicaid, and major commercial plans nationwide—including payor-specific rules, fee schedules, and compliance requirements. Automation-First Mindset: You’re not here to manage a status quo process—you want to eliminate manual work through smart system design, AI tooling, and workflow automation. You see every manual step as a future automation opportunity. Tech-Forward Approach: Comfortable talking APIs with engineers and system architecture with stakeholders. Fluent in healthcare data standards: X12, HL7, FHIR. Clearinghouse and practice management platform experience required. Builder Mentality: You’ve built RCM functions or capabilities from scratch—not just inherited and managed them. You thrive in ambiguity, move fast, and know how to get things done with limited resources. Player-Coach Orientation: You’re energized by doing the work yourself in the early stages and equally energized by the idea of building and leading a team as the business scales. You don’t need a team to be effective—but you know how to grow one. Patient-First Philosophy: You believe the best RCM is nearly invisible to the patient—frictionless, transparent, and built around their experience, not just operational efficiency. Cross-Functional Fluency: You understand that most billing problems don’t start in billing. You build strong working relationships with Operations, Customer Service, and Clinical teams—because you know that upstream process gaps, intake errors, and documentation issues are the root cause of most downstream RCM failures. You’re as comfortable in an ops workflow review as you are in a payor contract negotiation. Who We Are We play an important in the health & wellness decisions of our audiences, and it’s a responsibility we don’t take lightly. We invest thoughtfully to provide the most expert-driven, audience-first experience We embody rapid, sustainable growth. Run into a challenge or a new opportunity? Everyone on the team rolls up their sleeves and digs in We’re going to push you to ask big questions and find bold answers. Everyone has a seat at the table, regardless of their title or job description In Seattle, our positions adopt a hybrid model, recognizing the importance of in-person collaboration and remote work. Our newly renovated-office remains open five days a week to those who thrive in a traditional office-environment. We love a good celebration! We enjoy what we do because of who we do it with, and take time to celebrate every win – whether ours or a teammate’s Compensation Range $150,000 - $200,000/yr. Note that final compensation is subject to the candidate’s specific qualifications and location, as well as the needs of the company. This position is eligible to participate in the company’s bonus program. The Company currently provides medical, vision, and dental insurance and 100% of the employee medical, vision, and dental premiums covered by the Company. There is an option to participate in both a medical FSA and dependent care FSA. We offer a 401(k) plan, with fully matching contributions up to 3% of salary and 50% matching from 3% to 5% of salary. There is a company paid life-insurance policy, and the option to participate in a voluntary pet-insurance policy. You will be eligible for Paid Time Off in accordance with the company’s policies. Our Seattle-based employees will receive commuter benefits. Sleep Doctor is committed to bringing together individuals from diverse backgrounds and perspectives. We strive to create an inclusive environment where everyone can thrive and be their authentic self, feel a sense of community, and do great work together. We are proud to be an equal opportunity employer open to all qualified applicants.

Responsibilities

The Director will initially act as an individual contributor, designing and implementing the end-to-end Revenue Cycle Management (RCM) infrastructure from scratch, covering clinical services and DME across all payors. As the insurance segment grows, the role will transition to leading and scaling the RCM team while owning the long-term roadmap and driving aggressive automation.