Billing (RCM) Manager

Joyful Health•New York City, NY

1d•Remote

About The Position

Building the financial operating system for healthcare, and bringing the joy back to healthcare by fixing the financial chaos behind it. The healthcare payment system is a complex and inefficient maze - healthcare practices leave $125 billion in revenue uncollected each year, lost in the chaos of fragmented financial data, manual workflows, and opaque payer systems. This financial uncertainty leaves practices struggling to stay afloat, while valuable revenue slips through the cracks. Joyful Health is building the AI-powered financial operating system for healthcare practices. Our mission is to bring the joy back to running a private practice by simplifying financial operations so providers can focus on patient care. We spent 10 months working as fractional CFOs for a dozen practices, doing this work side by side with providers as we developed our product. We just announced our $22M Series A led by CRV and world-class investors including the founders of MongoDB & KAYAK. 🚀 We have an enormous opportunity in front of us. The broken healthcare payment ecosystem impacts practices of all sizes, and the opportunity to make a real difference is massive. Role Description We're looking for a proactive and experienced Billing Manager to join our team. This role is a unique blend of revenue cycle management (RCM) expertise and customer success. The Billing Manager will be the primary point of contact for a portfolio of client accounts, overseeing both the financial health of each account and the performance of the billing teams assigned to them. This position sits at the critical intersection of revenue operations and client success. You'll be responsible for both maximizing revenue recovery through effective billing team management AND ensuring client satisfaction through proactive relationship management. This dual focus requires someone who's equally comfortable diving into the details of denial trends and having strategic conversations with practice leaders about their financial health. The ideal candidate is excited about this balanced approach - taking ownership of client outcomes while implementing the operational excellence needed to deliver results. This role will report directly to the Head of RCM. This role is full-time. We are open to remote candidates for this role. The base pay range for this role is $90,000–$130,000 per year.

Requirements

5+ years experience in Revenue Cycle Management, with especially strong skills in Accounts Receivable (A/R) and Denials Management.
2+ years experience directly managing billing teams or account teams
Experience using major billing software systems (e.g., Epic, Athena, Kareo, AdvancedMD)

Nice To Haves

Passionate about Joyful Health’s mission – you want to solve real, pressing problems for providers and put them in control of their businesses.
Naturally empathize with users and enjoy designing solutions with their needs in mind.
Persistent, and love to dive deep into A/R challenges to recover revenue and get providers paid.
Customer-focused – you can build trust, manage expectations, and communicate complex billing concepts clearly
Data-driven – with the ability to analyze metrics, spot trends, and make data-informed recommendations
Problem-solver – with excellent organizational skills and a proactive approach to account management
Thrive in a hybrid role – you're excited about both managing client relationships and overseeing billing operations, taking ownership of account success while ensuring maximum revenue recovery
Meticulously detail-oriented and organized – you can juggle multiple accounts, deadlines, and priorities without letting anything fall through the cracks.
Can track and manage complex workflows across both customer communications and billing operations
Tech-savvy

Responsibilities

Serve as the main point of contact for a portfolio of healthcare practices, building trust and ensuring high satisfaction
Collaborate closely with clients to understand their business needs and proactively offer solutions
Deliver regular performance updates and financial insights to clients, translating complex metrics into actionable recommendations
Manage day-to-day billing operations, ensuring accurate claims submission, timely follow-up, and clean A/R management
Lead QA processes for worked denials and A/R to maintain high-quality standards
Oversee denial management, developing effective appeal strategies and tracking resolution
Identify account risks early and develop action plans to mitigate revenue leakage
Guide and prioritize the work of billing specialists to maximize revenue recovery
Monitor team capacity and performance, proactively addressing resource needs
Drive process improvements that enhance both efficiency and financial outcomes
Support client onboarding and transitions, ensuring smooth implementation of our services
Track and analyze key account metrics (A/R aging, denial rates, collection percentages)
Identify trends across accounts to inform best practices and process improvements
Translate data insights into strategic recommendations for both clients and internal teams