6 дней назад
Senior RCM Associate (AI)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Senior RCM Associate (AI): Managing end-to-end billing, claims, denials, insurance verifications, and revenue cycle processes for an AI-native digital health system with an accent on patient billing resolution, payer workflows, and operational reliability. Focus on optimizing RCM processes, developing SOPs, and testing AI-powered billing automation across new service lines and payer contracts.
Location: Fully remote, with an option to work from the NYC office.
Company
is an AI-native, dietitian-led digital health system providing insurance-covered metabolic healthcare across all 50 states.
What you will do
- Manage patient-facing and internal billing questions, including denials, patient responsibility investigations, and insurance coverage verifications.
- Process claims end to end through the clearinghouse and coordinate with clinical operations, payer operations, customer experience, and product teams.
- Improve revenue cycle management processes by identifying automation opportunities, optimizing workflows, and supporting payer-specific billing projects and new service lines.
- Develop and maintain standard operating procedures, identify process gaps, and recommend improvements.
- Communicate billing updates, escalate complex cases, and collect information needed to resolve patient and payer issues.
- Test and optimize AI-powered billing tools with Product and Engineering teams.
Requirements
- 2+ years of experience in revenue cycle management, medical billing, or healthcare operations.
- Familiarity with insurance billing workflows, including claim submission, denial management, ERA reconciliation, and payer communications.
- Professional, empathetic communication skills and the ability to de-escalate billing concerns.
- Strong organization, attention to detail, prioritization, and follow-through.
- Interest in technology, automation, and using AI to improve billing operations.
Nice to have
- Medical coding background with a CPC or CCS credential.
Culture & Benefits
- Full-time remote work with an option to work from the NYC office.
- Work in a rapidly changing environment focused on solving complex healthcare problems.
- Cross-functional collaboration with Clinical Ops, Payer Ops, Customer Experience, Product, and Engineering.
- Opportunity to contribute directly to AI-powered healthcare and billing automation.
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