RCM Strategy & Operations Manager at Duet

About Us

Duet empowers Nurse Practitioners (NPs) to tackle the primary care crisis by leading their own practices, closing the gap in access while keeping care local. We’re a well-funded seed-stage company led by experienced entrepreneurs and Nurse Practitioners, and backed by investors like Lerer Hippeau and Kairos.

We’re building a vertically integrated platform to help NP practices thrive as independent businesses. From patient engagement to revenue forecasting, from care delivery to community building, our solutions are driven by data and designed to let NPs focus on what matters most: caring for their communities.

About the Role

We’re looking for an RCM Strategy & Operations Manager to be a trusted partner to our NP practices on everything billing and revenue. Reporting to the Head of RCM, you’ll be the person who keeps the financial engine running - monitoring performance, resolving issues, and making sure practices never have to wonder what’s happening with their revenue cycle.

Equal parts operational expert, clear communicator, and proactive problem-solver, you’ll own the day-to-day RCM health of a portfolio of practices, translating complex billing data into plain-English updates, flagging issues before they snowball, and collaborating across Duet’s internal teams to keep everything moving. This role is perfect for someone who thrives in a fast-paced environment, takes ownership seriously, and genuinely cares about helping independent practices succeed.

What You’ll Do

• RCM Monitoring & Performance: Track key health indicators (denial rates, A/R aging, claim submission lag, and collections trends) and surface issues before they become problems. Maintain accurate, up-to-date tracking of open items and practice-level RCM status.

• Billing Issue Resolution: Investigate and resolve billing issues across the full claim lifecycle, from submission through payment posting, denial resolution, and appeals. Nothing falls through the cracks on your watch.

• Practice Communication: Communicate proactively with practices via email and video, translating complex billing data into clear, actionable updates. You’re the person they trust to tell them what’s happening and what to do about it.

• Compliance Guidance: Provide guidance to practice staff on payer requirements, documentation standards, and billing best practices. Help practices stay ahead of issues rather than reacting to them.

• Vendor & Internal Coordination: Coordinate with billing partners, track outstanding items, escalate appropriately, and close the loop with practices. Be the connective tissue between practices and Duet’s internal RCM team.

• Process Improvement: Flag systemic or recurring issues to RCM leadership. Contribute to building the playbook: developing templates, workflows, and rituals that help us scale RCM operations with consistency and care.

What You Bring

• 4–6 years of experience in RCM consulting, billing operations, or a client-facing healthcare revenue role, ideally supporting multiple practices or clients simultaneously.

• Deep fluency in the full revenue cycle: charge capture, claim submission, payment posting, denial management, appeals, and A/R resolution.

• Ability to quickly diagnose RCM performance issues. You can look at a denial report or aging bucket and know where to start.

• Experience advising practice staff or clients on payer requirements, coding accuracy, and documentation standards. Not just flagging problems, but explaining them.

• Comfort navigating multiple EMR and practice management platforms (specific systems are trainable; the instinct to figure them out is not).

• Strong written and verbal communication skills. You can translate a complex EOB dispute into a three-sentence email a practice owner actually understands.

• Organized and dependable across a full book of practices. Nothing slips, and you don’t need to be chased.

• Proactive by default: you surface issues before clients ask, and you come with a plan, not just a problem.

Who Will Thrive Here

• Operational doers who love getting to the bottom of a problem and closing it out clean.

• Clear communicators who can translate billing complexity into confident, plain-language updates.

• Self-starters who can manage a full portfolio without being handed a checklist every morning.

• Folks with a heart for healthcare and a head for process, who take pride in keeping practices financially healthy.

• People who bring ownership, humility, and hustle to their work.

The salary range for this role is $110,000-$140,000 base salary plus equity. This role is hybrid in NYC.