RCM Strategy & Ops, Healthtech — NYC (Onsite)

Carex Consulting Group; New York (NY); Sur place; USD 90 000 - 130 000; Plein temps

Résumé du poste

Carex Consulting Group in New York City is seeking a Revenue Cycle Management (RCM) Operator for an onsite, direct-hire role with a healthtech startup. You will shape, optimize, and scale RCM capabilities of an AI-powered platform, bridging revenue cycle expertise with product and customer success.

The role requires 2–6 years in RCM, healthcare billing knowledge, and ability to translate requirements into platform configurations, workflows, and training.

Qualifications

• 2–6 years of revenue cycle management experience within healthcare consulting, healthcare technology, or a provider organization.
• Deep understanding of healthcare billing workflows, payor contracting, claims management, denial resolution, and accounts receivable processes.
• Experience working with behavioral health billing operations, reimbursement requirements, or provider organizations strongly preferred.
• Ability to interpret EOBs, recognize denial patterns, troubleshoot reimbursement issues, and determine appropriate corrective actions.
• Experience working with healthcare technology platforms, billing systems, or RCM software to improve operational workflows.

Responsabilités

• Serve as a revenue cycle management subject matter expert, helping shape and optimize RCM functionality across an AI-powered healthcare technology platform.
• Evaluate customer billing workflows, identify operational inefficiencies, and translate business requirements into effective platform configurations and product enhancements.
• Review and interpret payor contracts, reimbursement structures, and billing requirements to inform operational and product decisions.
• Partner closely with product and engineering teams to develop, test, troubleshoot, and refine RCM features and capabilities.
• Guide customers through RCM‑related platform setup, workflow configuration, training, and go‑live activities.
• Investigate and resolve complex billing issues, claims denials, accounts receivable exceptions, and reimbursement discrepancies.
• Analyze explanations of benefits (EOBs), denial trends, and claims processing challenges to identify root causes and recommend solutions.
• Develop and deliver RCM training to help customers effectively adopt platform capabilities and improve revenue cycle performance.
• Support sales engineering efforts by providing RCM expertise during product demonstrations, customer discussions, and technical evaluations.
• Identify opportunities to leverage AI and automation to streamline billing processes, reduce administrative burden, and improve revenue cycle efficiency.
• Document customer feedback, operational challenges, and workflow improvements to establish repeatable processes and inform product development.
• Collaborate across customer‑facing, product, and technical teams to ensure RCM solutions align with evolving customer needs.

Connaissances

RCM Expertise

Behavioral Health Billing

AI / Automation in Billing

Cross-functional Collaboration

Data Analysis

Outils

RCM software

Description du poste

Carex Consulting Group in New York City is seeking a Revenue Cycle Management (RCM) Operator for an onsite, direct-hire role with a healthtech startup. You will shape, optimize, and scale RCM capabilities of an AI-powered platform, bridging revenue cycle expertise with product and customer success.

The role requires 2–6 years in RCM, healthcare billing knowledge, and ability to translate requirements into platform configurations, workflows, and training.