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About the Role
Teal Health is hiring a Senior Manager of Revenue Cycle Management to oversee the entire payment process, from insurance verification to final collection. This role requires a blend of strategic thinking and hands-on execution, reporting directly to the Principal, Revenue Strategy & Operations.
Responsibilities
- Manage the claims process, ensuring correct codes, modifiers, patient and insurance information, and provider details are accurate before submission.
- Build checks to catch errors before claim submission.
- Own the denials process end-to-end, including working, prioritizing, and escalating denials.
- Prevent denials by identifying and fixing root causes such as coding rules, system settings, provider enrollment issues, or skipped eligibility checks.
- Track insurer implementation of the 2027 cervical cancer testing coverage requirement and identify policy or claims setup shortcomings.
- Use denial patterns in appeals and communicate findings to the Principal, Revenue for contracting discussions.
- Own core revenue cycle metrics: net collection rate, denial rate, clean claim rate, days in accounts receivable, and cash collected, analyzing them by insurer, state, and month.
- Explain all movements in key metrics.
- Maintain low aging balances and predictable cash flow by deciding when to appeal, rebill, or stop working a claim.
- Own the weekly revenue cycle dashboard and denial reporting.
- Collaborate with the data team to automate report generation from source systems.
- Provide data for insurance negotiations, detailing which products deny, denial rates, reasons, and costs.
- Identify patients better served by self-pay routing at intake.
- Collaborate with Product and Engineering on upstream fixes like improved insurance verification, cleaner data capture, and automated routing, providing specific reasons for claim failures.
- Write down and formalize processes in an early-stage environment.
Requirements
- 7+ years in healthcare revenue cycle, with at least 3 years leading a team or function.
- Experience billing for new services, devices, or care models that required mapping to existing codes.
- Proven ability to run controlled claim batches to understand insurer behavior.
- Track record of winning difficult denials, including building cases from guidelines, clinical evidence, regulations, and financial data.
- Comfort writing directly to medical directors.
- Command of preventive coverage rules, including ACA's no cost sharing and how federal screening guidelines become health plan obligations.
- Demonstrated ability to positively impact denial rates, net collection rates, and days in accounts receivable.
- Ability to fix root causes of denials, preventing recurrence.
- Advanced Excel proficiency and ability to build independent analyses.
- Experience with commercial insurance and multi-state billing at scale.
- Experience with credentialing and provider enrollment, or a strong understanding of how enrollment gaps cause denials.
- Comfort working in an early-stage environment where processes are being developed.
- Clear and concise communication skills for diverse audiences (engineers, finance leaders, patient support agents).
Skills
- Advanced Excel
- SQL (Preferred)
- Telehealth billing (Preferred)
- Digital health billing (Preferred)
- Lab and diagnostics billing (Preferred)
- Preventive and wellness coding (Preferred)
- Experience with Candid Health, Medallion, or similar next-generation revenue cycle tooling (Preferred)
Location
- Hybrid (San Francisco)
Work Type
- Full-time
- Hybrid
Experience Level
- Senior Manager
- 7+ years in healthcare revenue cycle
- 3+ years leading a team or function
Salary/Compensations
- $140,000 – $185,000
Benefits
- Equity compensation
- Health insurance
- FSA /DCFSA options
- 401(k)
- Parental leave
- Flexible PTO
- Professional development support
About the Company
- At Teal Health, we’re on a mission to provide women with the tools, access, and resources they need to make informed decisions about their health, starting with cervical cancer screening.
- We believe it’s time to redesign women’s health and put women, their preferences, and their experiences at the center.
- By offering women the choice to self-collect from the comfort and convenience of home, we can expand access to life-saving preventive care and help eliminate cervical cancer in the U.S.
- Our Values: We boldly champion the future women deserve. We do this through our values, which are to elevate women, expect exceptional, and learning, every day.
- The Teal team lives our values and uses them to guide our decisions when building Teal.
Equal Opportunity
- Teal Health is an equal opportunity employer. We are committed to building a diverse and inclusive team and do not discriminate on the basis of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status.