Build and lead a new dental revenue cycle management business across the United States and India. The role owns service design, dental billing operations, revenue growth, client relationships, hiring, training, SOPs, workflows, performance metrics, and delivery standards. Responsibilities include insurance verification, claims, payment posting, denials, appeals, patient collections, coding guidance, and practice-level financial reviews. Significant travel to Gurgaon is required to establish the India delivery operation.
Location: United States, remote; hybrid from our Redmond, WA office for candidates based in Washington
Travel: Will require travel to Gurgaon, India
Employment type: Full-time
Reports to: Head of Customer Experience
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.
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.
- 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 opportunities and build proposals around that analysis
Build the US and India organization
- Design and build the customer-facing team in the US, defining the roles needed to manage practice relationships, onboarding, service communication and escalations
- Determine which functions and activities remain in the US and which are delivered from India, including responsibilities, decision authority, handoffs and escalation paths
- Hire the Senior Manager of RCM Operations in India, then jointly recruit, train and establish the first delivery team in Gurgaon
- Define customer service and support hours, time-zone coverage and staffing requirements, and work with the Senior Manager to turn those commitments into India shift patterns, capacity plans and reliable coordination between the two countries
- Create the operating playbooks, SOPs, training materials and management routines the business needs, with automation in mind from the start. SOPs, appeal letters and training content will be a major part of your first six months
Revenue and service performance
- Own RCM revenue. In the first year, grow adoption among existing software customers in partnership with the teams that already manage those relationships
- Lead practice-level financial reviews, identify billing and collection opportunities, and develop service proposals and pricing grounded in each practice's numbers
- Build the workflows for verification, claims, posting, denials, appeals and patient collections, and set the service standards communicated to clients
- Act as the coding and escalation authority for CDT, clinical documentation, narratives, attachments and appeals, with hands-on guidance on complex cases
- Own relationships with the first group of RCM clients and hold the delivery teams accountable for service commitments
- Own the core metrics: attach rate (RCM adoption within our software customer base), denial rate, first-pass acceptance, accounts receivable over 90 days and net collections
Travel and On-Site Leadership
This role requires you to travel to Gurgaon, India. Expect trips during the first year, including extended early stays for in-person hiring, hands-on training and setting up the delivery operation.
The launch plan includes working alongside the Senior Manager in Gurgaon during the first couple of months, followed by regular returns throughout the first year. After year one, expect visits as needed.
What You BringEducation
- Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, Health Information Management or a related field (required)
- An MBA, Master of Health Administration (MHA) or related master's degree (preferred)
Required experience and qualifications
- 8+ years in dental revenue cycle management, including leading a team of 200 or more or managing a large portfolio of practices
- Demonstrated revenue growth within an existing customer base. Experience adding services to established software relationships is especially relevant to our initial sales approach
- Hands-on CDT expertise, including the ability to review 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.
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.
The base pay range for this role is $150,000 – $180,000 per year.
Similar Jobs
Artificial Intelligence • Fintech • Insurance • Marketing Tech • Software • Analytics
Handles inbound calls and warm leads, consults customers on insurance needs, recommends appropriate coverages, and converts prospects into policyholders. The role requires sales or service experience, strong communication and persuasion skills, PC proficiency, and obtaining a Property and Casualty license. Employees complete paid remote training, work a five-day schedule including one weekend day, and meet specified home-office and internet requirements.
Top Skills:
PcWired High-Speed Internet
Blockchain • Fintech • Mobile • Payments • Software • Financial Services
Build and operate database and storage platform software, including services, APIs, and developer tools for provisioning, migrations, upgrades, and lifecycle management. Solve scaling, performance, reliability, and data correctness challenges across databases, distributed systems, cloud infrastructure, and networking. Partner with engineering teams on schemas and platform adoption, lead technical projects through rollout, participate in on-call response, and use AI-assisted tools in development.
Top Skills:
Ai-Assisted Engineering ToolsAmazon ElasticacheAPIsAWSAws AuroraBackend ServicesDynamoDBGoJavaKubernetesMySQLObservability ToolingOpensearchRedisRubyVitess
Information Technology • Internet of Things • Energy • Utilities • Infrastructure as a Service (IaaS)
Lead new-business sales for CrescoNet’s managed AMI service across Florida, Georgia, and North Carolina. Build territory and pipeline plans, develop senior utility relationships, create complex new-logo opportunities, and manage deals from initial engagement through business case, contract, and first revenue. The role requires direct software or managed-services sales experience with US electric utilities, strong utility-industry knowledge, hands-on prospecting, and the ability to close complex opportunities independently.
Top Skills:
AdmsAmiAsset Management SystemsCisDermsGrid AnalyticsGrid CybersecurityGridwide OneHesMdmsOmsSaaSUtility IotWork Management Systems
What you need to know about the San Francisco Tech Scene
San Francisco and the surrounding Bay Area attracts more startup funding than any other region in the world. Home to Stanford University and UC Berkeley, leading VC firms and several of the world’s most valuable companies, the Bay Area is the place to go for anyone looking to make it big in the tech industry. That said, San Francisco has a lot to offer beyond technology thanks to a thriving art and music scene, excellent food and a short drive to several of the country’s most beautiful recreational areas.
Key Facts About San Francisco Tech
- Number of Tech Workers: 365,500; 13.9% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Google, Apple, Salesforce, Meta
- Key Industries: Artificial intelligence, cloud computing, fintech, consumer technology, software
- Funding Landscape: $50.5 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Sequoia Capital, Andreessen Horowitz, Bessemer Venture Partners, Greylock Partners, Khosla Ventures, Kleiner Perkins
- Research Centers and Universities: Stanford University; University of California, Berkeley; University of San Francisco; Santa Clara University; Ames Research Center; Center for AI Safety; California Institute for Regenerative Medicine
