Director, Revenue Cycle Management - Bicycle Health

Of the 10 million Americans struggling with opioid misuse, only 1 in 10 receive treatment. This is an accessibility crisis, and Bicycle Health is on a mission to solve it by bringing life-saving care to the 89% currently left behind. Through a single app, Bicycle Health combines Medication for Opioid Use Disorder (MOUD) with behavioral healthcare, drug screening, therapy, and peer support.

As Director of Revenue Cycle Management, you’ll sit at the center of Bicycle Health’s rapid expansion—partnering directly with the CFO and cross-functional leaders to revolutionize the billing and collections engine from the ground up.

Compensation & Benefits

Target Pay Range: $150,000 - $175,000 + Equity
Compensation is determined by education, experience, knowledge, skills, internal equity, and alignment with market data.

• Discretionary PTO + 8.5 days of additional sick time + 10 paid holidays
• Paid parental leave
• 100% Employer Paid Employee Medical, Dental, and Vision Insurance
• Employer Paid STD & LTD
• 401(k)
• $50 monthly Remote Work Stipend

What You'll Do

• Operate and manage the Athena EHR billing system.
• Manage the offshore Revenue Cycle Management (RCM) vendor to ensure timely billing, collections, and the completion of the month-end close.
  • Identify and mitigate potential risk and compliance issues.
  • Educate teams on emerging billing guidelines, telehealth regulations, and behavioral health practices.
• Partner closely with Compliance to ensure full adherence to state and federal regulatory requirements.
• Direct daily operations for the billing, financial coordination, and financial counseling teams, driving productivity and high team satisfaction.
• Train and mentor team members on RCM best practices and industry benchmarks to improve key metrics and foster accountability.
• Own end-to-end revenue cycle transformation projects, including code optimization and expanding coverage under Value-Based Care (VBC) and Fee-for-Service (FFS) contracts.
• Collaborate with Accounting to ensure accurate revenue recognition in accordance with GAAP.
• Partner with Product, Engineering, and Operations to automate claims billing processes and rapidly resolve system billing issues.
• Define and report on core revenue cycle KPIs to leadership.
• Coordinate cross-functionally (Marketing, Payor Relations, Clinical Ops, CSS) to plan and execute new payor launches.
• Lead end-to-end project management for new payment structures as Bicycle Health expands program offerings.
• Evaluate and implement new RCM software and technology systems.

What We're Looking For

• At least 10 years of experience in healthcare revenue cycle management.
• At least 5 years of supervisory experience.
• Certified billing or coding certification required.
• Experience with Athena EHR billing system preferred.
• Expertise in telemedicine billing and coding for SUD/OUD/G Codes.
• Working knowledge of industry best practices in Revenue Cycle processes: billing, charge capture, contractual adjustments, third-party reimbursements, and collections and cash management.
• Fundamental knowledge of revenue integrity (i.e. CPT and ICD-10 coding) and documentation requirements for billing and compliance.
• Advanced Excel/Google Sheets skills.
• Persistence when working/communicating with payers.
• Experience working cross-functionally with different teams.
• Experience project managing internal projects.
• Comfortable working with the ambiguity of a fast-paced startup.
• Exceptional written and verbal communication skills.
• Attention to detail, exceptional organizational and problem-solving skills.
• Degree in health administration or related degree preferred.
• Consistent access to a private work environment with high-speed internet and professionally appropriate surroundings for frequent video conferencing.

Additional Requirements

• Candidates must be currently authorized to work in the United States on a full-time basis and physically reside within the US. Visa sponsorship is not available.
• Full-time position (40 hours per week).

About Bicycle Health

Bicycle Health is a telemedicine group that specializes in the evidence-based treatment of individuals with Opioid Use Disorder using buprenorphine. We believe addiction treatment should be available to everyone who needs it. And with our technology-driven approach, we work to reach as many people as possible. Our innovative model has achieved clinical outcomes that exceed expectations for standard-of-care in-person treatment nationally. Our mission is to increase access to high quality, affordable, convenient, and confidential Opioid Use Disorder treatment for all.