RCM Lead

Job Summary

To support all billing and revenue cycle operations, the full-time RCM Lead will manage patient billing inquiries, oversee claim workflows, and optimize RCM processes, with the flexibility to work either remotely or from New York City.

Key responsibilities:

• Manage a high volume of patient-facing and internal billing questions, including resolving denials and processing insurance coverage verifications
• Work claims end-to-end via the clearinghouse and collaborate with cross-functional stakeholders to ensure a smooth billing experience
• Support efforts to streamline existing RCM processes by suggesting automation, optimizing workflows, and maintaining reliable execution

Required qualifications:

• 3+ years of experience in a revenue cycle, medical billing, or healthcare operations role
• Familiarity with insurance billing workflows, including claim submission and denial management
• Strong organizational skills and detail-oriented approach with effective follow-through
• Ability to communicate professionally and empathetically, especially in de-escalating billing concerns
• Interest in technology and automation, with a proactive approach to utilizing AI in billing processes