# RCM Lead

**Company:** [Nourish](https://hotfix.jobs/companies/nourish)
**Location:** Remote
**Role:** Revenue Operations
**Experience:** 3+ years
**Skills:** Revenue Cycle Management, Medical Billing, Claim Submission, Denial Management, Era Reconciliation, Payer Communications, Insurance Verification, Sop Development, AI Automation, Healthcare Operations
**Posted:** 2026-07-07

> The RCM Lead manages end-to-end billing and revenue cycle operations, resolving patient claims and denials while optimizing processes and SOPs. Requires 3+ years in medical billing or healthcare ops, familiarity with insurance workflows, and enthusiasm for AI-powered automation tools.

## Job Description

## 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.

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