Head of Revenue Cycle Management

Experity is the leading software and services company for on-demand healthcare in the U.S. We provide software solutions that remove complexities and simplify operations for 5700+ urgent care clinics across the country. We create, maintain, and support products to facilitate the complete on-demand healthcare experience: from patients finding clinics and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team is committed to changing healthcare for the better by innovating and revolutionizing on-demand healthcare for millions of patients across the country.

Experity offers the following:

• Benefits - Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision.
• Ownership - All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful!
• Employee Assistance Program - This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more.
• Flexibility - Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.
• Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones.
• Career Development - Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.
• Team Building - We bring our Team Members together when we can to strengthen the team, build relationships, and have fun! We even have a family company picnic and a holiday party.
• Total Compensation - Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.

Job Summary:

The Head of Revenue Cycle Management (RCM), reporting directly to the CEO, provides strategic leadership to Experity's Revenue Cycle Management operations, encompassing comprehensive RCM services and Contracting, and Credentialing (C&C). This executive role is charged with transforming the RCM division into a highly automated, client-centric service organization leveraging cutting-edge AI technologies. Additionally, the incumbent will regularly interact with and present to Experity's Board of Directors, actively support strategic sales initiatives, and maintain an executive-level presence when engaging with enterprise clients. This position will lead the assessment, identification, development, and implementation of strategies, technologies and initiatives focused on developing and enhancing the performance of Experity's RCM function.

Responsibilities:

Strategic Leadership:

• Provide visionary leadership in developing and executing strategic initiatives to maximize operational efficiencies, revenue optimization, and client satisfaction within the RCM and C&C divisions.
• Collaborate closely with the CEO and the executive leadership team to define and implement long-term strategic objectives for revenue cycle operations aligned with Experity's broader corporate strategy.
• Engage with and regularly report strategic progress, performance outcomes, and key operational insights directly to the Board of Directors.

Best-in-Class Operations:

• Drive the strategic adoption of advanced technologies and AI-based automation tools in collaboration with Product and Engineering leadership to significantly enhance operational performance and scalability.
• Establish, monitor, and refine robust performance benchmarks and industry-leading best practices across all RCM processes, including internal team members and Business Process Outsourcing (BPO) partners.
• Develop comprehensive policies and procedures designed to consistently deliver scalable, high-quality outcomes, exceed financial goals, and ensure rigorous compliance across the client lifecycle.
• Oversee continuous improvement initiatives aimed at increasing client compliance, operational excellence, and satisfaction, particularly during client onboarding and ongoing service delivery.

Sales and Client Relationship Management:

• Actively participate in strategic sales processes, including providing executive-level presence in high-value client interactions, proposals, and negotiations.
• Ensure swift resolution of complex operational and client-related issues, maintaining accountability across departments to sustain and enhance client satisfaction and retention.

Talent and Organizational Development:

• Foster a culture of high performance, accountability, and regulatory compliance among internal RCM teams and BPO partners.
• Establish effective communication frameworks that proactively disseminate critical operational insights, updates, and strategic information to internal stakeholders and senior executives.

Financial Management:

• Maintain ultimate accountability for achieving all strategic, operational, and financial objectives of the RCM operations, including budgetary oversight and resource allocation.

Education:

• Bachelor's degree or equivalent combination of education and experience.

Travel:

• Ability to travel as needed.

Experience:

• 10 years of proven experience in a RCM operations role.
• Six years of RCM Operations leadership experience.

Preferred:

• Experience applying lean methodologies
• CPA
• Experience managing employees and clients through times of business disruption due to external factors (ie. payor or vendor crisis, pandemics, etc.)

Team Member Competencies:

• Along with CEO, accountable to board for financial, operational, and budgetary goals/needs.
• Devises and executes strategic plans throughout organization.
• Ensures achievement of collective organizational KPIs and metrics (teams set lead measures; ELT approves).
• Establishes brand, culture, values, and purpose.
• Guides leaders and teams in executing company and department strategy.
• Makes critical operational and organizational decisions.
• Set parameters for company POG.
• Sets goals and KPIs for organizational success.
• Sets overall organizational strategy.
• Works with department(s) and team(s) to develop POGs (teams develop and recommend; ELT approves).

Every team member exhibits our core values:

• Team First
• Lift Others Up
• Share Openly
• Set and Crush Goals
• Delight the Client

Our urgent care solutions include:

• Electronic Medical Records (EMR): Software that healthcare providers use to input patient data, such as medical history, diagnoses, treatment plans, medications, and test results.
• Patient Engagement (PE): Software that shows patients the wait times at various clinics, allows patients to reserve a spot in line if there's a wait, and book the appointment.
• Practice Management (PM): Software that the clinic front desk staff uses to register the patient once they arrive for their appointment.
• Billing and Revenue Cycle Management (RCM): Software that manages coding, billing and payer contracts for clinics so they don't have to.
• Teleradiology: Board certified radiologist providing accurate and timely reads of results from X-rays, CT scans, MRIs, and ultrasounds, for our urgent care clients.
• Consulting: Consulting services for urgent care clinics to assist with opening, expanding and enhancing client's businesses