Director of Revenue Cycle Management

Pair Team is a public benefit company reimagining care for the safety net. As an AI-enabled medical group for Medicaid and Medicare, we deliver medical, behavioral, and social care by integrating shelters, pantries and other community-based organizations into our whole-person model. As California’s largest complex care provider, we’ve proven our impact to reduce avoidable emergency care, including a 52% and 26% reduction in ER visits and hospitalizations respectively.

Once scaled nationally, our approach would save tax payers $150B per year.

With our years of experience and vast data collected, we are now building an AI platform that embeds social work agents across the safety net to truly unify our fragmented healthcare and welfare system. By scaling our country’s frontline medical and social services workforce, we aim to bring high-touch care to everyone.

At Pair Team, we’re not just delivering care—we’re transforming it. We’re building a future where high-touch, community-driven care is accessible to everyone, especially the most underserved.

As a Director of Revenue Cycle Management at Pair Team, you will play a critical role in building the RCM function that allows our technology-enabled service to improve healthcare access and outcomes for underserved communities. You will own RCM end to end — from eligibility and authorization through claims, denials, and collections — across Medicaid and Medicare. and other service lines.

This is a hands on, build-it-yourself role for someone who can both set RCM strategy and get into the claims data themselves to find and fix collection gaps. You'll build the team, systems, and processes that let RCM scale alongside a fast-growing, mission-driven company.

This is a fully remote position reporting up to the VP of Finance and Biz Ops.

• Own the RCM function end to end across Medicaid and Medicare — from eligibility and authorization through claims, denials, and collections.
• Lead RCM strategy: team building, hiring/managing RCM staff, KPI development and reporting, and cross-functional collaboration with operations, product, and engineering to build supporting tooling and processes.
• Run deep analysis on claims data to identify gaps, drive remediation with cross-functional stakeholders, and improve collection rate and DSO.
• Manage patient billing and coinsurance collection processes
• Own denial management and appeals, driving down rejection and denial rates.
• Centralize eligibility verification, authorizations, and payer reporting under RCM.
• Work directly with payers and provider groups to remediate claims issues and manage payer reporting relationships.
• Partner with Finance on revenue reconciliation, cash application, and collections reporting.
• Ensure compliance with Medicaid and Medicare billing requirements.
• Select, implement, and optimize RCM systems to support multi-program billing and scale with growth.
• Build scalable, automated processes suited to a fast-moving startup.

• 8+ years of progressive Revenue Cycle Management (RCM) experience, with end-to-end ownership across eligibility/enrollment, charge capture, coding, claims submission, denials management, and collections.
• Deep, hands‑on knowledge of Medicaid and Medicare billing across the full revenue cycle, ideally including FFS, risk‑based arrangements, and other healthcare billing structures.
• Experience building and leading teams in a high-growth, early‑stage startup.
• Highly analytical and self‑sufficient: able to independently query and dig into claims data (no dependency on a separate analytics team), generate insights, and use them to drive collection rate improvements.
• Strong communication and collaboration skills across finance, accounting, operations, product, and…