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Head of Revenue Cycle Management

Company: Tbwa Chiat/Day Inc
Location: San Francisco
Posted on: February 10, 2025

Job Description:

As the Head of Revenue Cycle Management (RMC) at Mochi Health, you'll be responsible for overseeing all aspects of the healthcare revenue cycle, from patient intake and insurance verification to claims processing, payment collection, and denial management. You'll ensure efficient operations, optimize revenue capture, and ensure compliance with industry regulations though a period of extreme growth, establishing practices, protocols and systems to guarantee success.What You'll Do

  • Develop and implement RCM strategies to maximize revenue, improve cash flow, and reduce claim denials.
  • Oversee billing, coding, claims management, and payment posting to ensure timely reimbursements.
  • Ensure adherence to healthcare billing regulations, including HIPAA, CMS guidelines, and payer policies.
  • Manage provider credentialing and payer enrollment to maintain in-network participation and minimize reimbursement delays.
  • Monitor key RCM performance metrics (e.g., days in accounts receivable, denial rates, cash collection) and drive improvements.
  • Evaluate RCM software solutions for increased efficiency and collaborate with our Product and Engineering teams to bring improvements to fruition.
  • Hire, train and develop RCM and billing staff to maintain high performance and compliance standards.Who You Are
    • Bachelor's or Master's degree in Healthcare Administration, Finance or a related field.
    • 7+ years of experience in revenue cycle management, preferably in a leadership role.
    • Strong knowledge of medical billing, coding (CPT, ICD-10), and insurance payer regulations.
    • Familiarity with the Affordable Care Act and Preventative Billing Codes.
    • Experience with EHR/RCM software such as Epic, Cerner or Athenahealth.
    • Proven ability to analyze financial data, improve revenue performance, and manage large teams.
    • Excellent communication and problem solving skills.Life at Mochi
      • Comprehensive Health Coverage - Medical, dental, and vision insurance to keep you at your best.
      • Financial Security - 401(k) with company matching and fully covered life insurance.
      • Time to Recharge - Unlimited PTO, generous company holidays, and flexibility to take the time you need.
      • Wellness First - Group activities, mindfulness sessions, and fitness perks to support your well-being.
      • Connection & Community - Team lunches, office hangouts, and offsite meetups to build meaningful relationships.
      • High-Impact Work - Shape the future of digital healthcare at a pivotal moment in our growth.
      • Competitive Compensation - Top-tier salary and a generous equity package.
      • Fast-Paced & Exciting - Join a hypergrowth team that moves fast and builds with purpose.
      • World-Class Team - Work alongside top engineers, product leaders, and operators in a high-performance environment.
      • Prime Location - Enjoy a vibrant workspace in downtown San Francisco.The base salary for this full-time position ranges from $250,000 to $325,000, in addition to equity and benefits. The salary range listed in each job posting represents the minimum and maximum targets for new hire salaries across all locations. Actual compensation within this range is determined by various factors, such as job-related skills, experience, relevant education or training, and location.
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Keywords: Tbwa Chiat/Day Inc, San Francisco , Head of Revenue Cycle Management, Executive , San Francisco, California

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