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Reporting directly to our Senior Manager of Revenue Cycle Operations, the RCM Lead will support all billing and revenue cycle operations at Nourish, including helping manage our team of offshore reps., resolving patient billing tickets, managing claim workflows, and building and optimizing end-to-end RCM processes as we scale into new service lines and payer contracts.

This role is critical to Nourish's core operations - you'll work cross-functionally with our Clinical Ops, Payer Ops, Customer Experience, and Product teams. The work you do directly impacts our patients (ensuring billing is never a barrier to care), our dietitians (enabling a smooth payment experience), and our payers.

This role is full-time and fully remote (with option to work from our NYC office).

• Manage patient-facing and internal billing questions - including, but not limited to, 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 our patients and providers.
• Own SOP development end to end, designing the processes the team follows rather than simply executing existing ones
• Support efforts to streamline existing RCM processes by providing suggestions for automation or new tools, optimizing individual steps, and maintaining consistent, reliable execution.
• Lead ad-hoc RCM projects - including payer-specific billing efforts and new service line expansions.
• Directly manage and coach a team of offshore reps, assigning work, reviewing quality, and holding the team accountable to the SOPs you build.
• Develop and maintain SOPs for RCM workflows, flagging process gaps and proactively suggesting improvements to the team.
• Collaborate with cross-functional partners to communicate billing updates, escalate complex cases, and gather information needed to resolve patient or payer issues.
• Partner with our Product and Engineering teams to test, evaluate, and optimize AI-powered billing tools and automation - actively contributing feedback that shapes how our RCM technology evolves.

• You are detail-oriented and organized. You enjoy keeping things on track and meeting deadlines. You're comfortable managing multiple tasks/wearing many hats and prioritizing effectively.
• You're proactive and eager to learn. You seek opportunities to take ownership of tasks and enjoy problem-solving when challenges arise. You welcome the opportunity to learn new flows or help optimize our operations.
• You approach challenges with a problem-solving mindset, adapting to obstacles and finding effective solutions to keep progress on track. Overcoming roadblocks and finding creative solutions energizes you.
• You thrive in a dynamic environment. You're energized by a rapidly improving (and thus changing) workplace. Changes to processes and workflows don't stress you out - you see them as opportunities to learn and grow.
• You're passionate about Nourish's mission. You're interested in nutrition and are eager to contribute to solving America's healthcare crisis.

• You have experience in an operations role, with bonus points for a background in revenue cycle, medical billing, or healthcare.
• You're familiar with insurance billing workflows - including claim submission, denial management, ERA reconciliation, and payer communications.
• You're a patient-first communicator - professional, empathetic, and able to de-escalate billing concerns while keeping things moving.
• You're highly organized and detail-oriented, with strong follow-through; you take things all the way through the finish line.
• You're energized by technology and automation - you don't just adapt to new tools, you seek them out. You're excited by the idea of using AI to make billing smarter and are comfortable shaping how those tools get built and used.
• Medical coding background (CPC/CCS credentialed) a plus

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