Director, RCM

at Zócalo Health

Remote

Work From Home

Compensation:$150,000-$160,000

#communityhealth #healthequity #latinohealth #healthcare

About Us

Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. We are developing a new approach to care that is designed around our very own shared and lived experiences and brings care to our gente. Founded in 2021 on the idea that our communities deserve more than just safety nets, we are backed by leading healthcare and social impact investors in the country to bring our vision to life.

Our mission is to improve the lives of our communities—communities that have dealt with generations of poor experiences. These experiences include waiting hours in waiting rooms, spending mere minutes with doctors who don’t speak their language, and depending on their youngest kids to help them navigate our complex healthcare system. At Zócalo Health, we meet our members where they are, bringing care into their homes and neighborhoods through our team of community-based care providers and virtual care offerings.

We partner with community-based organizations, local healthcare providers, and health plans that recognize the value of culturally aligned care, which are not limited to brief interactions in an exam room. Together, we are building a new experience that revolves around the use of modern technology, culturally competent primary care, behavioral health, and social services to provide a radically better experience of care for every member, their family, and the communities we serve.

We are committed to expanding our reach to serve more members and their communities. We are looking for passionate individuals who share our belief that healthcare should be accessible, personalized, and rooted in the community. Join us in our mission to ensure that no one has to navigate the complexities of the healthcare system alone and that everyone receives the local, culturally competent care they deserve.

Role Description

The Director, Revenue Cycle Management (RCM) is a strategic leadership role responsible for overseeing the entire revenue cycle at Zócalo Health. This includes medical billing, claims submission, coding accuracy, collections, payment posting, denial management, payer relations, and performance reporting. The Director will provide direct oversight to the Revenue Cycle Manager and ensure compliance with payer-specific requirements, optimize revenue capture across all lines of business (including ECM, FFS, BH, CHW services), and support scalability as the organization expands across multiple markets.

This role reports to the Chief Financial Officer.

About the Role

Revenue Cycle Strategy & Oversight

• Own and execute the RCM strategy aligned with organizational goals and market expansion plans.
• Ensure accuracy and timeliness in claims submission, adjudication, and payment reconciliation.

Monitor and optimize KPIs such as denial rate, AR days, clean claims rate, and collection rate.

Team Leadership

• Supervise and support the Revenue Cycle Manager, fostering a high-performing and collaborative team culture.
• Oversee hiring, training, and performance evaluations for RCM staff.

Establish clear roles, workflows, and SOPs to ensure consistency and accountability across the team.

Operational Execution

• Collaborate with cross-functional stakeholders (Clinical Ops, Finance, Compliance, Product, and EHR Admin) to align RCM processes with clinical and operational workflows.
• Provide oversight on system configuration in the EHR (AthenaHealth) to ensure correct billing workflows, charge capture, and integration points.

Proactively identify and resolve process bottlenecks, gaps in documentation, or claims submission errors.

Payer Relations & Compliance

• Serve as the RCM point of contact for payer contract implementation and escalations.
• Maintain deep understanding of payer-specific requirements across Medi-Cal, Medicare, and commercial contracts.

Ensure compliance with federal and state billing regulations, coding standards, and contractual obligations.

Data & Reporting

• Develop and manage dashboards and reports to monitor revenue cycle performance.
• Present trends, risks, and opportunities to senior leadership.
• Ensure transparent, timely, and accurate financial reporting of revenue-related metrics.

Requirements for the Role

Education:

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field required; Master’s degree preferred.
• Equivalent years of additional work experience may substitute for the degree requirements.

Experience:

• 7+ years of progressive experience in revenue cycle management in a healthcare environment; experience with Medi-Cal or Medicaid contracts highly preferred.
• Experience with AthenaHealth or comparable EHR/billing systems required.
• Proven success in leading billing and RCM teams in a multi-payer, multi-service line environment.

Skills:

• Strong knowledge of CPT/ICD coding, denial management, and payer authorization workflows.
• Excellent organizational, analytical, and leadership skills.
• Exceptional interpersonal and communication skills, with the ability to work collaboratively across departments.

Benefits & Perks

• Ground floor opportunity; shape the direction of a fast-growing, high impact healthcare company
• Comprehensive benefits (medical/dental/vision)
• Generous home office stipend
• Competitive compensation
• Generous PTO policy including 6 paid holidays.

You must be authorized to work in the United States. We are open to remote work anywhere in the locations outlined in this job description.

At Zócalo Health Inc., we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Those seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.