RCM Lead

Key Responsibilities

• Manage a high volume of patient-facing and internal billing questions, including resolving denials, investigating patient responsibility questions, and processing insurance coverage verifications.
• Work claims end-to-end via our clearinghouse and partner with cross-functional stakeholders to ensure a smooth billing experience for patients and providers.
• Support efforts to streamline existing RCM processes by providing suggestions for automation or new tools, optimizing individual steps, and maintaining consistent, reliable execution.
• Support ad-hoc RCM projects, including payer-specific billing efforts and new service line expansions.
• Develop and maintain SOPs for RCM workflows, flagging process gaps and proactively suggesting improvements.
• Collaborate with cross-functional partners to communicate billing updates, escalate complex cases, and gather information needed to resolve patient or payer issues.
• Partner with Product and Engineering teams to test, evaluate, and optimize AI-powered billing tools and automation, contributing feedback that shapes RCM technology.

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.
• Patient-first communicator: professional, empathetic, and able to de-escalate billing concerns.
• Highly organized and detail-oriented, with strong follow-through.
• Energized by technology and automation; excited by using AI to improve billing and comfortable shaping tool development.

Nice-to-Haves

• Passion for Nourish’s mission in nutrition and solving America’s healthcare crisis.
• Proactive, problem-solving mindset in a dynamic, rapidly changing environment.
• Experience building and optimizing RCM processes as a company scales into new service lines and payer contracts.