[Hiring] Director of Revenue Cycle Management Services @Practice By Numbers

Role Description

You will be the first hire in our RCM business and will build it from the ground up. There is no existing RCM team, established operation or operating playbook to inherit. You will develop the service, build the organization across the US and India, establish the operating standards and own revenue growth.

This role brings the dental billing expertise at scale that we are establishing within PbN. You will be our senior dental RCM authority, guide the executive team on how the business should operate and turn the business plan into a functioning service.

You will build the customer-facing roles in the US and the delivery operation in India, decide which responsibilities sit in each country, and establish service and support hours. Significant travel to Gurgaon during the first year is required to hire, train and build the India operation in person.

What You'll Do

• Provide the full revenue cycle service: pre-visit insurance verification, claims, payment posting, denial management, appeals and follow-up on patient balances after insurance payment.
• Make detailed verification a core part of the service, including patient-specific payer calls and portal research.
• Give patient balance follow-up clear ownership to manage aging balances and potential write-offs.
• Deliver through PbN employees hired and trained to a common standard, working directly in each client's existing dental software.
• Launch alongside our software, with the first 100 to 200 practices expected to come from existing PbN customers.
• Focus initial growth on consultative expansion within established customer relationships.
• Design and build the customer-facing team in the US, defining the roles needed to manage practice relationships.
• Determine which functions and activities remain in the US and which are delivered from India.
• Hire the Senior Manager of RCM Operations in India, then jointly recruit, train and establish the first delivery team in Gurgaon.
• Define customer service and support hours, time-zone coverage and staffing requirements.
• Create the operating playbooks, SOPs, training materials and management routines the business needs.
• Own RCM revenue and grow adoption among existing software customers.
• Lead practice-level financial reviews and develop service proposals and pricing.
• Build the workflows for verification, claims, posting, denials, appeals and patient collections.
• Act as the coding and escalation authority for CDT, clinical documentation, narratives, attachments and appeals.
• Own relationships with the first group of RCM clients and hold the delivery teams accountable for service commitments.
• Own the core metrics: attach rate, denial rate, first-pass acceptance, accounts receivable over 90 days and net collections.
• Travel to Gurgaon, India for in-person hiring, training and setting up the delivery operation.

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, Health Information Management or a related field (required).
• An MBA, Master of Health Administration (MHA) or related master's degree (preferred).

Requirements

• 8+ years in dental revenue cycle management, including leading a team of 200 or more or managing a large portfolio of practices.
• Demonstrated revenue growth within an existing customer base.
• Hands-on CDT expertise, including the ability to review a clinical note and assess whether the documentation supports the coding.
• Detailed knowledge of PPO plan design, including annual maximums, waiting periods, frequency limits, downgrades, missing-tooth clauses and replacement clauses.
• Daily working experience in at least two of Dentrix, Eaglesoft, Open Dental and Ascend.
• Direct experience hiring, training or running an offshore delivery team in India or a comparable market.
• Strong writing skills for SOPs, appeal letters and training material.
• Ability and willingness to meet the significant India travel requirement.

Preferred Experience

• DSO or group-practice central billing experience.
• Establishing a service or delivery center from scratch.
• Familiarity with hiring in India.

Benefits

• Medical, dental, and vision coverage.
• 401(k) with company match.
• Paid time off.
• Paid holidays.
• Maternity and parental leave.

Application and Hiring Process

Please apply if you are interested in this role. Shortlisted candidates will be asked to sign an NDA before interviews begin, as discussions will cover non-public operating details.

We are running a highly selective hiring process for this role. We expect the overall search and interview process to take 90 to 120 days as we assess a broad pool of candidates, so please expect longer intervals between interviews.

Thank you for your patience throughout the process.