About Tono Health
Tono Health is redefining specialty medicine, starting with Dermatology. From our flagship clinic in DUMBO, our physicians deliver comprehensive medical and cosmetic dermatology, with dedicated specialty programs that draw patients from around the world.
Beyond our DUMBO flagship, Tono extends across 33 states in partnership with leading health systems, physicians, and cancer centers. We are backed by Village Global, Oncology Ventures, HOF, and other leading investors in healthcare and technology.
We are modern, technology-forward, and growing quickly practice. We believe specialty medicine deserves the same level of detail, environment, and human grace that defines the world's great houses of hospitality. We are building that here, and we are looking for someone exceptional to help us do it.
About the Role
The Revenue Cycle Management (RCM) Administrator owns the end-to-end financial health and operational billing workflows of the practice. This hybrid role bridges the gap between clinical operations and financial performance, ensuring seamless billing workflows, high clean-claim rates, and optimized revenue capture. The ideal candidate will manage third-party RCM vendors, resolve complex billing disputes, maintain payer portals, and implement strategic processes to minimize denials and accelerate cash flow.
Key Responsibilities
- Accounts Receivable & Patient Collections: Actively monitor and reduce insurance and patient aging accounts receivable to keep 30/60/90+ day buckets well below industry benchmarks. Manage the outstanding invoice work queue and lead recovery strategies for post-visit patient balances (deductibles, co-insurance, self-pay).
- Front-Desk Accountability & Coaching: Establish and enforce targets for Time of Service (TOS) collections. Coach front-of-house and clinical operations staff on card-on-file capture, active eligibility verification, handling payment objections, and introducing flexible payment solutions.
- Daily Reconciliation & Financial Integrity: Reconcile all daily patient payments (credit cards, financing, cash) against the EHR schedule to guarantee zero revenue leakage. Investigate and resolve system discrepancies for daily closeouts.
- Strategic RCM & Key Metric Ownership: Own practice financial targets, cash collections, and net recovery performance. Monitor core KPIs—including Net Collection Rate (NCR), Clean Claim Rate (CCR), First Pass Resolution Rate (FPRR), and Denial Rate—and present operational insights to executive leadership.
- Claims Lifecycle & Denial Prevention: Partner with billing vendors to clear work queues (coding queries, eligibility flags, registration errors). Analyze root causes of claim rejections/denials to build front-end preventive workflows and track evolving payer policy updates.
- Vendor & SLA Accountability: Lead regular cadences with third-party RCM vendors to audit claim backlogs and ensure adherence to Service Level Agreements (SLAs) regarding submission and appeal turnaround times.
- Systems Maintenance & Credentialing: Supervise practice and provider profiles across insurance databases (specifically Availity). Maintain the chargemaster, fee schedules, NPIs, Tax IDs, and provider contracts to prevent clearinghouse rejections.
- Patient Advocacy & Clinical Alignment: Serve as the escalation point for complex patient billing inquiries. Collaborate with clinical leadership to enforce timely chart closures and detailed logging required for payer audits.
What Success Looks Like
- Precision in the Numbers. Before the morning clinic rush, you have already reviewed yesterday’s ledger and cleared the overnight EHR queue. You notice a subtle coding mismatch on a complex cosmetic-medical procedure before it ever reaches the clearinghouse—correcting it quietly behind the scenes and preventing a multi-week payment delay.
- Empowering the Front Line. A front-desk coordinator feels hesitant to navigate a high past-due balance with a returning patient. You step in with warm, effortless coaching, guiding them through the script and showing them how to seamlessly introduce payment options like Klarna and Affirm. By the afternoon, the coordinator handles a complex check-in conversation independently with complete confidence.
- Graceful Escalation. A patient calls, anxious and confused by a deductible charge on their post-visit invoice. Rather than reciting rigid policy, you bring empathetic, high-touch customer care. You break down their explanation of benefits with total transparency, adjust a minor clerical discrepancy on the spot, and turn a frustrated caller into a lifelong clinic advocate.
- Vendor Mastery & Accountability. In your weekly meeting with our third-party billing team, you do not just skim reports—you enforce accountability. Spotting a slight uptick in claim rejections, you pinpoint a missing modifier, hold the vendor to their submission SLA, and instantly unlock thousands in delayed cash flow.
- Digital & Operational Harmony. You move fluidly between EHR systems, Candid, and Availity portals. While our clinical teams provide world-class dermatological care across 33 states, your backend rigor ensures clean credentialing, active payer schedules, and daily closeouts with zero revenue leakage.
- The Seamless Close. It is month-end. Clean claim rates hit record high benchmarks, aging AR over 90 days remains near zero, and executive leadership receives a clear, actionable picture of net collections. The financial engine runs accurately, efficiently, and gracefully in the background.
Qualifications & Skills
- Experience: 4+ years of dedicated experience in healthcare Revenue Cycle Management (RCM), medical billing, or practice administration. Experience in dermatology, multi-specialty practices, or telehealth environments is highly preferred.
- Platform Proficiency: Deep familiarity with medical clearinghouses, Electronic Health Record (EHR) systems, RCM management platforms (e.g., Candid), and advanced proficiency in Availity.
- Coding Expertise: Strong working knowledge of ICD-10, CPT, HCPCS coding guidelines, and CMS-1500 rules.
- Analytical Skills: Proven ability to analyze complex financial data, interpret KPIs, and translate metrics into actionable operational workflows.
- Leadership & Communication: Track record of mentoring administrative staff, coaching team members on financial conversations, and driving operational accountability.
Why Join Us?
Our Mission: Expanding access to life-changing care to more patients in more places Over 135 million Americans face months-long waits for specialty care. At Tono Health, we are changing that. It starts at our DUMBO practice, where we deliver comprehensive medical and cosmetic dermatology, and extends through the technology and partnerships we are building to bring world-class specialty care to patients across 33 states and growing, alongside leading cancer centers, health systems, and the broader healthcare ecosystem. You will play a key role in shaping how we build it.
What You’ll Get:
- High impact: Directly shape patient care and the growth of a fast-scaling startup redefining access to world-class medicine.
- Leadership access: Work closely with our founding team, with real room to grow your skill set and your career.
- Supportive culture: A fast-paced, mission-driven environment where your contributions are seen and valued.
- Modern workspace: A beautifully designed Brooklyn office with sweeping views of Manhattan.
Benefits:
- Health insurance
- Paid time off
Work Location: In-person in Brooklyn office
Pay: $85,000.00 - $98,000.00 per year
Benefits:
- Flexible schedule
- Health insurance
- Paid time off
Work Location: In person
