RCM Operations Lead

This is a fully remote position, open to applicants in New York.

📋 Description

• Take charge of comprehensive billing operations throughout the entire claims lifecycle.

• Lead and oversee a team of 4+ offshore support personnel. Establish priorities, assign tasks, evaluate outputs, and ensure the team remains focused.

• Handle a significant volume of billing inquiries and escalations from both vendors and internal departments.

• Assist with various ad-hoc RCM projects, such as state launches, setting up new payers, provider enrollment, and addressing credentialing gaps for current clinicians.

⛳️ Requirements

• Over 5 years of direct RCM experience, with a solid understanding of the claims lifecycle: including denials, rejections, adjustments, and resubmissions. Proficient in Availity and standard provider portals.

• Demonstrates a sense of ownership. You maintain organized workflows, follow up on outstanding items proactively, and approach the function as if it were your own to manage.

• Effective communicator. You present critical information in a manner that others can act upon, and you remain responsive to the teams that rely on your support.

• Adaptable in a dynamic environment. Experience in a startup or high-growth setting is preferred. You manage multiple projects concurrently and require minimal oversight to remain organized.

• You elevate standards. You are comfortable pushing back, identifying issues, and holding both vendors and internal teams accountable to higher expectations—even in the absence of formal authority.

🏝️ Benefits

• Clients first - Our mission is to address genuine challenges faced by our clients. Choose options that enhance the client experience, even if it presents difficulties for us. Always remember the individual behind the request.

• Find a Way - We leverage creativity, resourcefulness, and determination to navigate obstacles and achieve our objectives. We maximize our resources and accomplish more with less.

• Raise the Bar - We grow intentionally, constantly seeking ways to improve while welcoming and providing feedback. We uphold the highest standards and continuously strive to raise them further.

• Be a Good Person - Exhibit kindness, honesty, and make the workplace enjoyable. Speak the truth, even in challenging situations. Treat colleagues with respect and actively seek opportunities to help your teammates.