Revenue Cycle Management Director

Welcome to Brightline! We are searching for a scrappy, hands-on Director of Revenue Cycle Management to help build and grow our revenue cycle function from the ground up. As a key player in a fast-paced startup, you will combine strategic leadership with execution. You will be responsible for overseeing end-to-end Revenue Cycle Management, including eligibility verification, claims submission, denial management, cash applications, and reporting. You’ll drive revenue growth while ensuring compliance with all regulatory requirements. This dynamic role will require you to be hands-on in day-to-day operations while also developing scalable systems to support our rapid growth.

Responsibilities:

Optimize RCM Infrastructure:

• Develop and implement scalable, best-in-class revenue cycle processes to support the company’s growth and improve operational efficiency.

• Optimize claims processing, coding accuracy, charge capture, and collections workflows to reduce denials and accelerate reimbursements.

• Refine standardized policies, procedures, and best practices across the revenue cycle, from patient intake to final collections.

Drive Measurable Performance Gains:

• Analyze key performance metrics, including denial rates, net collection rate, AR days, and cash flow trends, ensuring proactive issue resolution and continuous process improvements.

• Oversee a structured denials management program, focusing on root cause identification, appeals success, and process refinements to minimize preventable denials.

• Drive collection rate improvements by enhancing payer communications, optimizing patient billing processes, and improving financial transparency.

• Ensure timely and accurate claim submissions, reducing A/R aging and bad debt exposure while improving reimbursement timelines.

Strengthen Reporting & Data-Driven Decision-Making:

• Establish a structured reporting cadence, providing leadership with clear visibility into RCM performance, financial risks, and opportunities for improvement.

• Analyze payer performance, reimbursement trends, and claim adjudication patterns to optimize revenue recovery strategies.

Leadership & Cross-Functional Collaboration:

• Start as a team of one, with the opportunity to build, scale, and lead a team of medical coding and billing specialists as we grow.

• Serve as the primary point of contact for RCM, providing clear direction and insights across finance, product, operations, partnerships, and clinical teams.

• Partner with finance and accounting to align on forecasting, revenue recognition, and cash flow optimization.

• Work closely with product and engineering to identify and implement tech-enabled solutions that enhance RCM efficiency.

• Collaborate with operations to ensure seamless patient billing, eligibility verification, and provider credentialing.

Audits & Compliance: 

• Conduct regular compliance audits, ensure accuracy, and stay ahead of coding regulation changes to mitigate compliance risks.

Requirements: 

• 7+ years of hands-on revenue cycle experience, ideally within a startup or fast-growing environment.

• Scrappy, resourceful problem solver who thrives in a startup environment with limited resources but a big vision.

• Data-driven with a strong focus on revenue cycle metrics and process improvement.

• Collaborative communicator who enjoys working across teams and has the ability to train and coach others as we scale.

• Passionate about healthcare, particularly pediatric mental health, and excited to contribute to a transformative mission.

• Comfortable in a fast-moving, constantly evolving environment with a flexible, can-do attitude.

• Passionate about building in a high-growth, fast-paced environment.

• Loves a challenge and can think on your feet, finding creative solutions to problems as they arise.

• Excited about driving both strategy and execution in a scrappy, startup environment.

• Ability to work independently while also contributing to a larger, collaborative team effort.

Preferred: 

• Experience working in telehealth or with telehealth companies.

• Experience working in in-person mental health clinics.

• Experience with Candid Health and other healthcare technology platforms.

• Expertise in coding for mental and behavioral health.

• Familiarity with 270/271 X12 files (real-time eligibility) and experience working with JIRA and engineering teams. 

We offer several benefits, perks, and stipends:

• Medical, Dental, Vision, Long-Term Disability, Life Insurance, Flexible Spending Account, and 401k

• 14 Company Holidays, flexible time off, paid sick days, parental leave

• Health and Wellness Stipend and Professional Development Reimbursement

  At Brightline we have built a total rewards philosophy that includes fair, equitable, competitive, geo-based compensation that is performance and potential based. Our strategy is based on robust market research, including external advisory specializing in national compensation, and thoughtful input from every level of our organization. It is a combination of a cash salary, equity, benefits, wellbeing, and opportunity. In compliance with the Equal Pay for Equal Work Act, the annual base salary range for applicants is $120,000-$180,000.

Our Commitment to Building a Diverse, Equitable, and Inclusive Workforce

At Brightline, we believe that Diversity, Equity, Inclusion, and Belonging are essential to the foundation upon which our mission is built. We are committed to:

• building a future where all families can access inclusive, high-quality care

• creating an environment that encourages our employees to show up authentically, reach their highest potential, and have an equal opportunity to thrive

• systematically evaluating and improving our inherent beliefs, observed behaviors, structures, and systems

• ensuring that every employee, candidate, client, and family we serve is valued and respected

About Brightline

Brightline is a therapy and psychiatry practice that delivers expert pediatric, teen, and parental mental health care to families and kids up to age 18. Brightline’s virtual and in-person outpatient services include diagnostic evaluation, therapy, psychiatry services (e.g. medication management), and psychological testing (to assess learning differences, school readiness, executive functioning difficulties [e.g. ADHD], and autism). In addition to Brightline’s generalized support, we offer focused programs including those that support anxiety, obsessive compulsive disorders, ADHD, and disruptive behaviors. Founded in 2019, Brightline has delivered care to tens of thousands of families with industry-leading results. We’ve been nationally recognized for clinical excellence and innovation for several years — recent awards include the Fast Company 50 Most Innovative Companies (2022) and Behavioral Health Business Companies to Watch Award (2024). Brightline is based in Palo Alto and is backed by investors including Boston Children’s Hospital, Northwell Health, Blue Cross Blue Shield of Massachusetts, Google Ventures, KKR, and Oak HC/FT.