RCM Operations Lead

Vaga não está no LinkedIn

🕒 Maio 26

🗽 New York – Remoto

🗽 New York – Remote

⏰ Tempo Integral

🟠 Sênior

⚙️ Operações

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Prosper

SiteLinkedInTodas as Vagas

1 - 10 funcionários

Fundada em 2021

🤝 B2B

📚 Educação

🌍 Impacto Social

B2B • Education • Social Impact

Prosper é uma iniciativa comunitária focada em transformar Birmingham, criando uma economia mais inclusiva e equitativa. Fundada em 2021, a Prosper colabora com diversos stakeholders para implementar estratégias que visam a criação, preparação e acesso a empregos, apoiando assim startups locais e pequenas empresas nos setores de saúde, tecnologia e manufatura. Sua missão é promover uma comunidade próspera e reverter as quedas econômicas na região.

Descrição

• Own end-to-end billing operations across the full claims lifecycle. • Lead and manage a team of 4+ offshore support staff. Set priorities, assign workstreams, review output, and keep the team on track. • Manage a high volume of billing questions and escalations from vendors and internal teams. • Support ad-hoc RCM projects, including state launches, new payer setup, provider enrollment, and credentialing gaps for existing clinicians.

🎯 Requisitos

• 5+ years of hands-on RCM experience, with strong familiarity across the claims lifecycle: denials, rejections, adjustments, resubmissions. Comfortable in Availity and standard provider portals. • Ownership-oriented. You keep workflows clean, follow up on open items without being asked, and treat the function like it's yours to run. • Clear communicator. You surface what matters in a format others can act on, and you stay responsive to the teams that depend on you. • Comfortable in a fast-moving environment. Startup or high-growth experience preferred. You manage multiple workstreams simultaneously and don’t need heavy oversight to stay organized. • You raise the bar. You're comfortable pushing back, flagging problems, and holding vendors and internal teams to a higher standard — even without formal authority.

🏖️ Benefícios

• Clients first - Our job is to solve real problems for our clients. Choose what makes life better for the client, even if it’s harder for us. Never lose sight of the person on the other side. • Find a Way - We use ingenuity, scrappiness, and determination to bend the world to accomplish our goals. We’re resourceful and do more with less. • Raise the Bar - We grow deliberately, by asking how things can improve and by giving and seeking feedback. We insist on the highest standards and keep pushing them higher. • Be a Good Person - Be kind, be honest, and make it fun to work here. Tell the truth even when it’s uncomfortable. Treat people with respect and go out of your way to do nice things for your teammates.