Director of Revenue Cycle Management

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.