Revenue Cycle Management (RCM) Lead

Key Responsibilities:

• Lead and manage the full revenue cycle: eligibility, coding, charge entry, billing, AR, and collections.
• You'll own the RCM strategy for 10k+ monthly claims across 15 states, focusing on reducing our 12% denial rate to <5% within 6 months.
• Monitor and improve KPIs such as days in AR, denial rates, clean claim rate, and net collections.
• Oversee claims submission, follow-ups, appeals, and payment posting.
• Develop and enforce RCM policies, workflows, and best practices.
• Collaborate with clinical, operations, finance, and IT teams to resolve revenue blockers.
• Identify root causes of denials and implement corrective actions.
• Ensure compliance with payer, regulatory, and HIPAA requirements.
• Train, coach, and performance-manage RCM staff.
• Support audits and payer communications.

Qualifications:

• 5+ years of experience in medical billing and revenue cycle management
• 2+ years in a leadership or supervisory role
• Strong knowledge of payer rules, CPT, ICD-10, and reimbursement models
• Proven ability to improve collections and reduce AR
• Experience managing offshore or distributed teams (preferred)
• Excellent analytical, problem-solving, and communication skills.

Nice to Haves:

• Experience with EHR / PM systems (AdvancedMD, Athena, Kareo, etc.)
• Familiarity with Excel / Google Sheets.
• Knowledge of BI or reporting tools (Power BI, Looker, etc. – a plus)

Why Luna Joy?

• Mission-Driven Purpose: Be a part of an organization dedicated to improving access to mental health care, empowering individuals, and creating positive, lasting change in our communities.
• Flexibility & Work-Life Balance: We offer a fully remote work environment that allows you to work from wherever you're most comfortable. Embrace the freedom of remote work while staying connected with a supportive team. This flexibility enables you to create a workspace that fits your needs, allowing you to focus on making a meaningful impact from anywhere.
• Collaborative & Inclusive Culture: Join a community of diverse talent who share your passion for making a difference. We foster a culture of collaboration, growth, and mutual support to help you thrive in your role.
• Rewarding Compensation: We recognize the value of your work with fair pay, bonuses, and opportunities for advancement as we continue to expand our reach and impact in the mental health space.

Compensation & Benefits:

• Access to educational resources and a supportive community of like-minded professionals.

Interview Process

HR Screen: The first phase involves an initial screening with HR. During this stage, we will discuss your experience, skills, and alignment with Luna Joy’s values and culture. This step ensures that you meet the basic qualifications and provides an opportunity for you to learn more about the company and the role.

Second Phase with Hiring Manager: Candidates who pass the HR screen will move on to an interview with the Hiring Manager. In this phase, we dive deeper into your technical abilities, role-specific competencies, and how you approach challenges. The Hiring Manager will assess your fit within the team and your ability to contribute to Luna Joy’s mission.

Offer Stage: After the second phase, successful candidates will move to the offer stage. We will present a formal offer that includes compensation, benefits, and any additional details about the role. This is also your opportunity to ask any final questions before making your decision.

Onboarding & Training: Once the offer is accepted, the onboarding process begins. You will be guided through setting up tools, learning about Luna Joy’s systems and workflows, and engaging in any role-specific training. This phase ensures a smooth transition into your new role, setting you up for success from day one.

Inclusion Statement

At Luna Joy, we are committed to fostering a diverse, inclusive, and equitable workplace where all team members feel valued and respected. We believe that diversity of backgrounds, experiences, and perspectives strengthens our ability to support women’s mental health. We encourage individuals from all backgrounds, including those from historically underrepresented groups, to apply and join us in creating a positive impact in our communities. Everyone is welcome at Luna Joy, and we are dedicated to building a work environment where you can thrive and bring your whole self to work.

A meeting lands on your calendar

If they’re a yes, I book the chat. You show up — that’s the whole job-hunt.