Revenue Cycle Management
6 days ago
Fay is a 3-sided AI platform redefining preventative care with a b2b2c business in a box. We're one of the fastest growing companies in tech and the fastest growing company in wellness history. We combine clinical expertise with smart systems. The result? More affordable, effective care for the people who need it most.
Behind the platform is a Marvel team of builders deeply connected to the problem we're solving. We pride ourselves on attracting superstar talent - the kind that's driven the best growth-to-burn metrics since early Airbnb, Stripe, and WhatsApp. Those aren't our words, though. That's straight from our investors at General Catalyst, Forerunner, 1984, and Goldman Sachs.
If you're excited to build at the intersection of AI, healthcare, and real-world impact - we'd love to meet you.
About the Role
We are seeking a dynamic Revenue Cycle Management (RCM) Lead to transform Fay's RCM function and drive significant improvements in our claims success rates. This is a high-impact role where you'll build scalable systems from the ground up, leverage data-driven insights to optimize our billing processes, and play a critical role in our company's growth trajectory.
What You'll Do
- Transform RCM Operations: Lead the development of a systematized and scalable approach to revenue cycle management, significantly increasing claims success rates across key payer and state combinations
- Drive Process Optimization: Reduce unnecessary iterations in the billing process by quickly identifying root causes of denials and implementing pattern recognition solutions
- Build Data-Driven Systems: Assess and analyze internal data to identify opportunities for insurance revenue collection improvements and determine strategy for accelerating progress against key commercial KPIs
- Automate Workflows: Build and maintain automated workflows to streamline processes, either independently or in collaboration with our Engineering team to develop high-value platform features
- Monitor Performance: Own and monitor metrics that track the health of our Insurance Operations, proactively identifying and resolving process issues
- Scale Operations: Design and implement systems that will support Fay's long-term growth while ensuring compliance and operational efficiency
- Cross-Functional Collaboration: Work closely with internal stakeholders to deliver a seamless, high-quality experience across the entire RCM lifecycle
Required Experience:
- 6+ years of experience, including 2+ years of hands-on Revenue Cycle Management experience at a venture backed startup
- Proven track record of building revenue cycle functions from minimal infrastructure into best-in-class systems at a high-growth company
- Demonstrated success in resolving claims rate issues and payer-related challenges
- Previous experience in consulting or banking preferred
Fay is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
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