Director of Revenue Cycle Management

Osmind is building the Osmind Psychiatry Innovation Network (OPIN) a revolutionary managed services organization focused on supporting independent psychiatric practices particularly those offering innovative treatments like TMS Spravato and other interventional modalities. We are seeking an experienced strategist and hands-on RCM leader to build and scale our RCM operations from the ground up serving as a cornerstone of our services offering launching in 2025. This role is designed for a player coach who can manage the daily billing operations while crafting and executing a forward-thinking roadmap that aligns billing processes with the company’s long-term goals.

Position Overview

As Head of RCM you will be responsible for designing implementing and scaling best-in-class RCM operations to support psychiatric practices across the United States. This role combines strategic leadership with hands-on operational execution to build both onshore and offshore teams focused on maximizing revenue for our provider network while maintaining high-quality standards and compliance.

Key Responsibilities

• Strategy & Leadership

• Develop and execute the overall RCM strategy for our RCM services offering

• Build and lead high-performing teams across US and international locations

• Set and monitor KPIs to ensure operational excellence and financial targets

• Manage vendor relationships and partnerships

• Oversee team performance and professional development

• Operations & Process Design

• Design end-to-end centralized RCM workflows for complex psychiatric billing including interventional treatments and establish processes for benefits verification prior authorization claims submission and denials management

• Create quality assurance frameworks and compliance protocols

• Implement best practices for clean claims submission and denial prevention

• Develop standard operating procedures and documentation

• Technology & Systems

• Partner with product/engineering teams to define requirements for RCM technology tools

• Evaluate and implement RCM software solutions and automation tools

• Drive automation initiatives to improve efficiency

• Financial Performance & Analytics

• Set and achieve revenue cycle performance targets

• Monitor key metrics including clean claim rates days in AR denial rates

• Develop reporting frameworks to track team and financial performance

• Identify opportunities for revenue optimization

• Provide regular performance updates to leadership

• Compliance & Risk Management

• Ensure compliance with healthcare regulations and billing requirements and stay current with changes in billing rules and regulations

• Maintain documentation of policies and procedures

• Conduct regular audits of billing practices

• Client Success

• Ensure high satisfaction levels among provider clients

• Act as an escalation point for complex billing issues

• Build relationships with key provider accounts

Required Experience

• 10+ years of healthcare RCM experience with at least 5 years in leadership roles

• Proven track record building and scaling RCM operations from scratch including both US-based and offshore teams

• Deep understanding of behavioral health billing particularly for specialized treatments and procedures

• Experience implementing and optimizing RCM technology solutions

• Strong background in healthcare compliance and regulatory requirements

• History of achieving strong financial results through effective RCM operations

• Experience managing teams of 30+ across multiple locations

Preferred Experience

• Direct experience with psychiatric or behavioral health billing

• Knowledge of TMS Spravato or ketamine therapy billing requirements

• Previous experience at a managed services organization or large medical group

• Experience building RCM operations in India or the Philippines

• The ideal candidate will combine deep technical RCM expertise with strong leadership abilities and a track record of building high-performing teams across multiple geographies. They should be entrepreneurial and excited about building new operations from the ground up while maintaining focus on compliance and quality.

$140000 - $160000 a year

Depending on experience and location

The reasonably estimated national salary range for this position is between $ 140000 - $160000 annually plus an equity package for eligible employees. Actual compensation will be commensurate with the candidate’s experience and local cost of labor. In addition Osmind offers a wide range of comprehensive and inclusive employee benefits including healthcare dental vision generous family leave FSA/DCFSA mental health benefits a 401(k) plan and flexible paid time off.

#LI-Remote

This is a unique opportunity to help build a transformative healthcare organization from the ground up while solving critical challenges for psychiatric providers and their patients. The successful candidate will play a key role in shaping the future of mental healthcare delivery.