Location: Hybrid (San Francisco)
Employment Type: Full-time
Department: G&A
Reports to: Principal, Revenue
Why We Are Hiring For This RoleWe are hiring a Senior Manager of Revenue Cycle Management to own how Teal gets paid, from insurance verification through final collection. The role is equal parts strategy and hands-on execution. This role reports directly to our Principal, Revenue Strategy & Operations. This role reports directly to our Principal, Revenue Strategy & Operations,
What You'll Do- Manage the claims process - correct codes, modifiers, patient and insurance information, and provider on the claim - and build the checks that catch errors before submission.
- Own the denials process end to end - how denials get worked, prioritized, and escalated.
- Prevent denials at the source. Trace each pattern back to the coding rule, system setting, unenrolled provider, or skipped eligibility check behind it, and fix that.
- Track how each insurer is implementing the cervical cancer testing 2027 coverage requirement and where their published policy or claims setup falls short of it. Use that in appeals, and hand the pattern to the Principal, Revenue, when it belongs in a contracting conversation.
- Own the core numbers: net collection rate, denial rate, clean claim rate, days in accounts receivable, and cash collected. Know them by insurer, by state, and by month, and explain every movement.
- Keep aging balances low and cash flow predictable. Decide when to appeal, when to rebill, and when to stop working a claim.
- Own the weekly revenue cycle dashboard and the denial reporting beneath it. Work with our data team so the numbers come out of the source systems instead of being rebuilt by hand each week.
- Supply the evidence for our insurance negotiations: which products deny, at what rate, for what reason, and what it costs us. Flag which patients are better served by routing to self-pay at intake. Contracting itself stays with the Principal, Revenue.
- Work with Product and Engineering on the upstream fixes - better insurance verification at registration, cleaner data capture, automated routing - and tell them precisely why claims are failing.
What We're Looking ForRequired- 7+ years in healthcare revenue cycle, at least 3 of them leading a team or a function.
- Experience billing something new - a service, device, or care model that did not map onto the existing codes. You know how to run a controlled batch of claims to learn what an insurer will actually do.
- A track record of winning hard denials. Point to a coverage dispute where the first three answers were no, and describe the case you built from the guideline, the clinical evidence, the regulation, and the dollars. You are comfortable writing directly to a medical director.
- Command of preventive coverage rules, including no cost sharing under the Affordable Care Act and how a federal screening guideline becomes an obligation for a health plan.
- Numbers you have moved: denial rate, net collection rate, days in accounts receivable. Come prepared to describe one problem you found, what caused it, what you changed, and what it was worth.
- You fix causes, not claims. The same denial should not come back next week.
- Fluency with data. Advanced Excel is required. You build your own analysis.
- Commercial insurance experience and multi-state billing at scale.
- Credentialing and provider enrollment experience, or a clear understanding of how enrollment gaps turn into denials.
- Comfort in an early-stage environment. Much of the process here is not yet written down, and you will be the one writing it.
- Plain, clear communication, whether the audience is an engineer, a finance leader, or a patient support agent.
Preferred- SQL experience.
- Telehealth, digital health, or lab and diagnostics billing.
- Preventive and wellness coding.
- Hands-on experience with Candid Health, Medallion, or other next-generation revenue cycle tooling. Our stack is modern and still evolving.
Our Systems- Healthie - electronic health record and scheduling
- Candid Health - claims
- Stedi - insurance eligibility checks
- Medallion - credentialing and enrollment
Experience with the aboveis useful, although fluency in new systems matters more than familiarity with ours.
The expected annual base salary range for this role is $140.000 - $185,000. Actual compensation within this range is based on factors such as skills, experience, location, and qualifications. This position is also eligible for equity and benefits.
Benefits:Benefits may include:
- Equity compensation
- Health insurance
- FSA /DCFSA options
- 401(k)
- Parental leave
- Flexible PTO
- Professional development support
