Leads RCM operations for AI-powered denial management platform, building and scaling billing teams, owning performance reporting and client advisory, while partnering with Product/Engineering to enhance AI capabilities. Requires 7+ years in healthcare RCM with team leadership experience.
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About the role
Responsibilities
Build and scale internal and offshore RCM teams, ensuring KPIs and SLAs are consistently met
Serve as a trusted advisor to clients, translating operational performance into clear insights and forward-looking recommendations
For workflows not yet automated, oversee collectors and billers and develop the processes that allow them to work quickly and accurately on customer claims
Own reporting across leading and lagging indicators — denial rate, first-pass resolution, A/R aging, cost-to-collect, net collection rate — and act on the data
Monitor AI agent performance across calling, payer portals, and denial workflows; investigate issues and surface trends
Partner with Product and Engineering to expand AI capabilities, share payer-specific insights, and shape platform features
Work alongside engineers to interpret workflow data and identify opportunities to layer in automation
Requirements
7+ years in healthcare RCM, with at least 3 years leading high-functioning teams of 15 or more
Experience building RCM operations from the ground up — not just running a mature org
Proven track record managing offshore billing or AR teams
Strong analytical skills and comfort working directly with data and engineering teams
Bias for action, high ownership, and ability to thrive in an early-stage environment
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