Revenue Cycle Management (RCM) Lead

**Job Title:** Revenue Cycle Management (RCM) Lead **Department:** Clinical Operations **Reports to:** COO **About Luna Joy** Luna Joy is a leading provider of mental health services, specializing in supporting women through their mental wellness journey. We offer holistic therapy and medication management to help women overcome challenges like postpartum mental health issues. Our dedicated team of professionals works in a collaborative, flexible, and remote environment, ensuring comprehensive care for our clients. We are rapidly expanding and committed to improving access to quality mental health services across the U.S. Founded by Dr. Sipra Laddha and Shama Rathi, LunaJoy was built to fix the fragmented care Sipra saw in her own psychiatry practice. You'll work directly with our COO to build the financial engine that funds this mission. ### **Job Overview** We are seeking an experienced **Revenue Cycle Management (RCM) Lead** to oversee and optimize the end-to-end revenue cycle process. This role is responsible for driving collections, reducing denials, improving cash flow, and ensuring compliance while leading a high-performing billing and RCM team. In your first 30 days, you'll audit our current AdvancedMD workflows; by day 90, you will have transitioned our offshore billing team to a new performance-based incentive structure. As part of the Luna Joy team, you will play an essential role in directly supporting the mental health journey of one million women through purpose-driven innovation, unwavering compassion, and transformative care. You will need speed to adapt quickly and efficiently, as well as the drive to be 1% better every day, constantly striving for improvement. Additionally, you will demonstrate compassion and contribute to a positive work environment by giving and getting joy in your daily interactions. These values will enable you to effectively contribute to important areas of focus and responsibility. ### **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. * **Remote-First Culture:** Designed to support work from anywhere with autonomy. * **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._ Visa sponsorship is offered for this role.