Назад
Company hidden
6 дней назад

Senior RCM Associate (AI)

Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
Для мэтча и отклика нужен Plus

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

hirify.global 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.

Будьте осторожны: если работодатель просит войти в их систему, используя iCloud/Google, прислать код/пароль, запустить код/ПО, не делайте этого - это мошенники. Обязательно жмите "Пожаловаться" или пишите в поддержку. Подробнее в гайде →