Rcm manager

• Appeal Denials: Work with payers to understand the cause of denials and recover lost revenue. Partner with other stakeholders to obtain the corrections/information needed to successfully appeal denials
• Denial Trend Analysis: Determine the root cause of denials and determine what is needed for denial prevention in terms of product enhancements or workflows
• Operational Efficiency and Project Management: Lead workflow optimization initiatives within RCM, manage specific projects, and drive continuous process improvements to maximize reimbursement and minimize denials
• RCM Strategy & Execution: Contribute to the development and implementation of effective processes for billing, claims processing, revenue collections, and cash posting, ensuring accuracy and timeliness
• Cross-Functional Collaboration: Collaborate extensively with product, provider success, compliance, HR, finance, and other teams to align RCM efforts with overall business objectives and drive strategic goals
• Additional Responsibilities: Adapt and take on evolving responsibilities and projects as Finni Health grows and the RCM landscape changes

• 5+ years of relevant experience in revenue cycle management, RCM operations, or related roles, preferably in an early-stage startup, behavioral or mental health, or healthcare tech
• Strong understanding of RCM processes, including billing, claim denials, collections, and accounts receivable management
• Proven ability to work effectively within a team environment, contributing to collective success, and independently driving RCM initiatives
• Deep understanding of the full revenue cycle, including billing, claims processing, collections, accounts receivable management, payer contracting, and compliance
• Strong ability to analyze complex RCM data, identify trends, root causes of issues, and implement effective, data-driven solutions to optimize financial performance
• Demonstrated expertise in identifying inefficiencies and driving process improvements for RCM efficiency and effectiveness
• Excellent written and verbal communication skills, with proven ability to effectively collaborate with internal teams and external stakeholders (payers, vendors, providers)
• Exceptional organizational and time management skills, with the ability to manage multiple priorities and projects in a fast-paced environment
• Proficient in Google Suite, Slack, CRM/support software, and EHR/RCM management tools
• Passion for Finni’s mission to democratize autism care and empower providers through robust RCM
• Comfortable thriving in a dynamic, fast-paced startup environment, embracing change, and navigating ambiguity with a proactive mindset

Experience with various EMR/EHR work queue management within RCM is a plus