Director of Revenue Cycle Management(RCM) Services

The posting, as Practice By Numbers wrote it

Reports to: Head of Customer Experience

About Practice by Numbers
Practice by Numbers is an all-in-one business platform for dental practices. We use data, automation, and AI to help practices grow, run more efficiently, and take better care of their patients. About 2,000 practices already run on us, and there are more than 100,000 independent practices in the U.S. still to win.

We're a profitable, sales-led vertical SaaS company approaching $20M in annual revenue, mostly on monthly subscriptions billed through Stripe. Our teams work out of the Seattle area and our engineering hub in India.
We are launching revenue cycle management as a new business line, informed by what we see in our data and hear from our customers.

The Role
You will be the first hire in our RCM business and will build it from the ground up. There is no existing RCM team, established operation or operating playbook to inherit. You will develop the service, build the organization across the US and India, establish the operating standards and own revenue growth.

This role brings the dental billing expertise at scale that we are establishing within PbN. You will be our senior dental RCM authority, guide the executive team on how the business should operate and turn the business plan into a functioning service.

You will build the customer-facing roles in the US and the delivery operation in India, decide which responsibilities sit in each country, and establish service and support hours. Significant travel to Gurgaon during the first year is required to hire, train and build the India operation in person.

What You'll Do
The service and customer plan

• Provide the full revenue cycle service: pre-visit insurance verification, claims, payment posting, denial management, appeals and follow-up on patient balances after insurance payment
• Make detailed verification a core part of the service. Patient-specific payer calls and portal research will identify frequency limits, waiting periods, downgrade clauses and the correct employer-group fee schedule before treatment, helping practices avoid billing issues and reduce front-desk workload
• Give patient balance follow-up clear ownership to manage aging balances and potential write-offs
• Deliver through PbN employees hired and trained to a common standard, working directly in each client's existing dental software. Verification will be priced transparently as a separate line item to reflect the work involved
• Launch alongside our software, with the first 100 to 200 practices expected to come from existing PbN customers, then expand to practices outside our customer base after the first year
• Focus initial growth on consultative expansion within established customer relationships: assess each practice's billing performance and costs, explain the op

[…]
iew a clinical note and assess whether the documentation supports the coding

• Detailed knowledge of PPO plan design, including annual maximums, waiting periods, frequency limits, downgrades, missing-tooth clauses and replacement clauses
• Daily working experience in at least two of Dentrix, Eaglesoft, Open Dental and Ascend
• Direct experience hiring, training or running an offshore delivery team in India or a comparable market, with operational ownership beyond vendor oversight
• Strong writing skills for SOPs, appeal letters and training material, and the ability to design processes with automation in mind
• Ability and willingness to meet the significant India travel requirement

Preferred experience

• DSO or group-practice central billing experience
• Establishing a service or delivery center from scratch
• Familiarity with hiring in India

Compensation, Benefits and Reporting
Salary range: $150,000 – $180,000 per year. Final pay within this range depends on experience and skills.
Other compensation: This role is eligible for a performance bonus and may be eligible for equity.
Benefits:

• Medical, dental, and vision coverage
• 401(k) with company match
• Paid time off
• Paid holidays
• Maternity and parental leave

Reporting: You will report to the Head of Customer Experience, work closely with the executive team and have responsibility for shaping how the RCM business operates.

Application and Hiring Process
Please apply if you are interested in this role. Shortlisted candidates will be asked to sign an NDA before interviews begin, as discussions will cover non-public operating details.

We are running a highly selective hiring process for this role. We expect the overall search and interview process to take 90 to 120 days as we assess a broad pool of candidates, so please expect longer intervals between interviews.

Thank you for your patience throughout the process.

Compensation
The base pay range for this role is $150,000 – $180,000 per year.