Babylist · 1 month ago
Manager, Revenue Cycle Management
United States
Full-time
Remote
Senior Level
$111K/yr - $133K/yr
7+ years expBabylist is the leading registry, e-commerce, and content platform for growing families. The Manager, Revenue Cycle Management will build, lead, and scale the RCM function for Babylist Health, ensuring timely, accurate, and compliant reimbursement for durable medical equipment and other healthcare services.
BabyE-CommerceHealth CareInternetMarketplaceParentingToys
Hiring Manager
Danielle Bridgewater
Responsibilities
Lead end-to-end revenue cycle operations including charge entry, claims submission, payment posting, denial management, and AR follow-up. Establishing quality controls, monitoring key metrics (days in AR, denial rates, clean claim rates), and preventing backlogs to ensure timely reimbursements within filing deadlines
Build, manage, and develop a high-performing team of RCM professionals, creating a culture of accountability and continuous improvement through clear goals, mentorship, and data-driven decision-making
Serve as the primary point of contact and voice of Babylist with key insurance providers and partners, managing critical relationships that drive significant business volume
Develop and implement scalable workflows for claims management, payer recoupments, and patient billing that ensure compliance with regulatory requirements (HIPAA, CMS) and optimize EDI performance through clearinghouses and payer portals
Partner cross-functionally with Finance, Product, Engineering, Clinical Operations, and Customer Support to forecast cash flow, identify revenue opportunities, and design automated tools that reduce manual effort and improve operational visibility
Drive the adoption of technology and AI to automate routine processes, improve claims accuracy, and build scalable systems that support Babylist Health's expansion into new product lines
Establish operational mechanisms, SLAs, and observability metrics that ensure we never repeat past mistakes—building the disciplined, scalable foundation needed for continued profitable growth
Qualification
Required
7+ years of experience in healthcare revenue cycle management, with at least 5 years managing RCM or billing operations teams
Proven expertise in DME billing and payer management including claims submission, denial analysis, appeals, and reimbursement workflows
Deep knowledge of insurance provider requirements, EDI file types, and compliance frameworks (HIPAA, CMS)
Implemented or optimized RCM systems such as Brightree, Niko Health, or similar DME billing software
Data-driven leader with strong analytical and process improvement skills; proficient with Excel and/or BI reporting tools
Exceptional communicator who can translate technical billing issues into cross-functional strategies and serve as the voice of Babylist with insurance partners
Collaborative, hands-on leader who inspires trust, accountability, and performance across distributed teams
Strong operational discipline with the ability to establish SLAs, observability metrics, and scalable processes
Self-directed problem-solver who seeks to understand the 'why' behind processes and can navigate ambiguity in a fast-paced, high-growth environment
Comfortable and enthusiastic about working in an AI-forward environment where AI tools are part of daily operations
Embrace using technology to enhance work while keeping people at the center
Benefits
Company-paid medical, dental, and vision insurance
Retirement savings plan with company matching and flexible spending accounts
Generous paid parental leave and PTO
Remote work stipend to set up your office
Perks for physical, mental, and emotional health, parenting, childcare, and financial planning
Company
Babylist
Babylist is an online platform that offers baby registry for expecting parents and products such as toys, baby care, and clothing.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$40.65MKey Investors
Norwest
2021-11-04Series C· $40M
2018-02-15Series Unknown
2013-06-25Seed· $0.65M
Leadership Team
Natalie Gordon
CEO & Founder
Recent News
EIN Presswire
2025-09-30
Company data provided by crunchbase