RCM - Billing Lead

What we do

We’re fixing one of the most broken and costly pieces of the US healthcare system: medical billing.

Today, healthcare providers spend over $250B each year on administrative overhead just to get paid by insurance. Medical billing is expensive because it’s nuanced and hard - maybe ~100x harder than credit card payment processing - and because it’s traditionally done by armies of humans who track and manage complex rules and processes specific to individual insurance companies with little or no supporting software.

We’re rethinking medical billing from the ground up, building software backed by best-in-class data science (and, soon, a dash of machine learning) to automate much of this complexity so healthcare providers can get paid dramatically more easily and inexpensively.

What You’ll Be Doing

As a Billing Lead you'll manage a team of billers that handle our client's claims, including prioritization of work, monitoring of team productivity & quality, and claims analysis to ensure we achieve excellent customer outcomes and KPIs.

• You’ll be leading, supporting, and unblocking our talented billing team to ensure billing targets are attained 

• You’ll be identifying and owning initiatives that continually increase the focus areas and operational effectiveness of our billing team 

• You’ll be identifying and flagging patterns in our billing lifecycle to help inform product and engineering solutions

Who You Are

• You have previous experience leading medical billing teams and are viewed as an empowering leader.

• You have strong analytical skills - you have a learning and investigative mindset and value those mindsets in others.

• You approach RCM from a preventive standpoint vs being reactive - you have a mindset of preventing denials/rejections upstream.

• You have a wide range of experience across multiple specialties, multi state billing, and tele-health billing.

• You have a wide range of Revenue Cycle Management experience such as EDI Enrollments, Payment Posting and Reconciliation, Denial Resolution and Management, etc.

• You are capable of rolling up your sleeves but can be flexible / resourceful to adapt to the ever changing needs of the business.

• You are a clear and concise communicator; you enjoy the challenge of explaining complicated ideas in simple terms, both in-person and in writing.

The estimated starting annual salary range for this position is $105,000 - $125,000 USD. The listed range is a guideline from Pave data, and the actual base salary may be modified based on factors including job-related skills, experience/qualifications, interview performance, market data, etc. Total compensation for this position may also include equity, sales incentives (for sales roles), and employee benefits. Given Candid Health’s funding and size, we heavily value the potential upside from equity in our compensation package. Further note that Candid Health has minimal hierarchy and titles, but has broad ranges of experience represented within roles.