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RCM Lead

1 month, 2 weeks ago
United States
Full-time
Mid Level
Operations Specialist
Operations
Apply Now
Nourish

Nourish

Nourish is an online tool advocating awareness and action for sustainable systems thinking in the communication design community. They provide tools, resources, case studies, articles, and a blog to help designers implement more sustainable strategies....

Software
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Description

  • Manage a high volume of patient-facing and internal billing questions, including denials, patient responsibility issues, and insurance coverage verifications.
  • Work claims end-to-end through the clearinghouse and coordinate with cross-functional stakeholders to ensure a smooth billing experience.
  • Streamline revenue cycle management processes by recommending automation, new tools, and improvements to individual workflow steps.
  • Support ad hoc RCM projects, including payer-specific billing efforts and new service line expansions.
  • Develop and maintain SOPs for RCM workflows and proactively identify process gaps and improvements.
  • Collaborate with Clinical Ops, Payer Ops, Customer Experience, Product, and Engineering teams to resolve billing and payer issues.
  • Communicate billing updates, escalate complex cases, and gather information needed to resolve patient or payer problems.
  • Test, evaluate, and optimize AI-powered billing tools and automation in partnership with Product and Engineering.

Requirements

  • 3+ years of experience in a revenue cycle, medical billing, or healthcare operations role.
  • Familiarity with insurance billing workflows, including claim submission, denial management, ERA reconciliation, and payer communications.
  • Strong patient-first communication skills with the ability to be professional, empathetic, and de-escalate billing concerns.
  • Highly organized and detail-oriented with strong follow-through and the ability to manage multiple tasks.
  • Comfort working in a dynamic, rapidly changing environment and adapting to evolving processes.
  • Eagerness to learn, take ownership, and proactively solve problems.
  • Interest in technology, automation, and using AI to improve billing operations.
  • Ability to work full-time and be legally authorized to work in the U.S.
  • NYC-based or remote candidates will be considered.

Interested in this position?

Apply directly on the company website

Apply Now

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