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Salary: USD 140,000 - 185,000 / annual
Teal Health is a women's health company focused on cervical cancer screening, offering at-home self-collection to expand access to preventive care. You will join as Senior Manager of Revenue Cycle Management, reporting to the Principal of Revenue Strategy & Operations, owning the complete claims-to-cash process.
Your responsibilities include:
- Managing the end-to-end claims process: ensuring correct coding, modifiers, patient/insurance information, and provider details; building error-detection systems before claim submission.
- Owning denials management: working, prioritizing, and escalating denied claims; identifying root causes and preventing recurrence.
- Preventing denials at source by tracing patterns to coding rules, system settings, provider enrollment gaps, or eligibility checks and implementing fixes.
- Tracking insurer implementation of the 2027 cervical cancer testing coverage requirement, using gaps in policy or claims setup for appeals and contracting conversations.
- Owning core revenue cycle metrics: net collection rate, denial rate, clean claim rate, days in accounts receivable, and cash collected—tracked by insurer, state, and month.
- Managing cash flow: deciding when to appeal, rebill, or stop working claims; keeping aging balances low.
- Owning the weekly revenue cycle dashboard and denial reporting; partnering with the data team to automate reporting from source systems.
- Providing evidence for insurance negotiations: identifying which products deny, at what rates, for what reasons, and the financial impact; flagging patients better served by self-pay routing.
- Collaborating with Product and Engineering on upstream fixes: better insurance verification at registration, cleaner data capture, and automated routing.
You will work in an early-stage environment where many processes are not yet documented, and you will help establish them. The role requires clear communication across engineers, finance leaders, and patient support teams.
REQUIREMENTS:
- 7+ years in healthcare revenue cycle, with at least 3 years leading a team or function.
- Experience billing new services, devices, or care models that don't map to existing codes; ability to run controlled claim batches to learn insurer behavior.
- Track record of winning hard denials: ability to build cases from guidelines, clinical evidence, regulations, and financial impact; comfort writing to medical directors.
- Command of preventive coverage rules, including ACA no cost-sharing and how federal screening guidelines become health plan obligations.
- Demonstrated impact on denial rate, net collection rate, or days in accounts receivable; ability to describe a problem, its root cause, your solution, and the financial outcome.
- Focus on fixing root causes, not individual claims.
- Advanced Excel proficiency; ability to build your own analysis.
- Commercial insurance experience and multi-state billing at scale.
- Credentialing and provider enrollment experience, or clear understanding of how enrollment gaps create denials.
- Comfort in early-stage environments with incomplete documentation.
- Clear, plain communication across technical and non-technical audiences.
PREFERRED:
- SQL experience.
- Telehealth, digital health, or lab/diagnostics billing experience.
- Preventive and wellness coding expertise.
- Hands-on experience with Candid Health, Medallion, or similar modern revenue cycle platforms.
