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Manager, Revenue Cycle Management

babylist.com Logo

Babylist

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Location:
United States

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Category:
IT - Administration

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Contract Type:
Not provided

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Salary:

111012.00 - 133215.00 USD / Year
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Job Description:

The Manager, Revenue Cycle Management (RCM) will build, lead, and scale the RCM function for Babylist Health — ensuring timely, accurate, and compliant reimbursement for durable medical equipment (DME) and other healthcare services. Reporting to the Vice President of Health & Support, this leader will oversee all aspects of the billing and collections lifecycle, drive efficiency and accuracy, and manage a team of RCM professionals focused on delivering an excellent patient financial experience.

Job Responsibility:

  • Lead end-to-end revenue cycle operations including charge entry, claims submission, payment posting, denial management, and AR follow-up
  • Establish quality controls, monitor key metrics (days in AR, denial rates, clean claim rates), and prevent backlogs to ensure timely reimbursements within filing deadlines
  • Build, manage, and develop a high-performing team of RCM professionals
  • Create a culture of accountability and continuous improvement through clear goals, mentorship, and data-driven decision-making
  • Serve as the primary point of contact and voice of Babylist with key insurance providers and partners
  • Develop and implement scalable workflows for claims management, payer recoupments, and patient billing
  • Ensure compliance with regulatory requirements (HIPAA, CMS) and optimize EDI performance through clearinghouses and payer portals
  • Partner cross-functionally with Finance, Product, Engineering, Clinical Operations, and Customer Support to forecast cash flow, identify revenue opportunities, and design automated tools
  • Drive the adoption of technology and AI to automate routine processes, improve claims accuracy, and build scalable systems
  • Establish operational mechanisms, SLAs, and observability metrics to build a disciplined, scalable foundation for growth

Requirements:

  • 7+ years of experience in healthcare revenue cycle management
  • At least 5 years managing RCM or billing operations teams
  • Proven expertise in DME billing and payer management including claims submission, denial analysis, appeals, and reimbursement workflows
  • Deep knowledge of insurance provider requirements, EDI file types, and compliance frameworks (HIPAA, CMS)
  • Experience implementing or optimizing RCM systems such as Brightree, Niko Health, or similar DME billing software
  • Data-driven leader with strong analytical and process improvement skills
  • Proficient with Excel and/or BI reporting tools
  • Exceptional communicator who can translate technical billing issues into cross-functional strategies
  • Collaborative, hands-on leader who inspires trust, accountability, and performance across distributed teams
  • Strong operational discipline with the ability to establish SLAs, observability metrics, and scalable processes
  • Self-directed problem-solver who seeks to understand the 'why' behind processes and can navigate ambiguity
  • Comfortable and enthusiastic about working in an AI-forward environment where AI tools are part of daily operations
  • Embraces using technology to enhance work while keeping people at the center
What we offer:
  • Competitive salary with equity and bonus opportunities
  • Company-paid medical, dental, and vision insurance
  • Retirement savings plan with company matching and flexible spending accounts
  • Generous paid parental leave and PTO
  • Remote work stipend to set up your office
  • Perks for physical, mental, and emotional health, parenting, childcare, and financial planning

Additional Information:

Job Posted:
December 06, 2025

Employment Type:
Fulltime
Work Type:
Remote work
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