Mochi Health
Revenue Cycle Manager
San Francisco, CA · Full-time
Sponsorship not specified$130k-$160kDetected 26 days ago
AR/VRICD-10LeadershipCollaboration
About the role
- Mochi Health is entering a new phase of clinical growth, including the expansion of insurance-reimbursed services for our patient population.
- You will report directly to the Head of Operations and work closely with clinical ops, insurance ops, and our product and engineering teams.
Responsibilities
- Maintain credentialing timelines and payer enrollment status across the provider network
- Support payer contracting and in-network participation strategy as we expand care programs
- Partner with coding, clinical, and finance teams to ensure accurate CPT and ICD-10 documentation and submission
- Monitor denial trends, conduct root cause analysis, and implement corrective workflows
- Build and maintain reporting on key RCM metrics: denial rate, days in AR, clean claim rate, net collection rate
- Actively integrate AI-assisted tools into credentialing and RCM workflows, including prior authorization support, coding suggestion tools, and payer portal automation
- Identify high-volume manual processes that can be reduced through automation and partner with product and engineering to scope and ship improvements
- At Mochi, we believe your best work happens when you feel your best-so we've designed an environment that fuels your creativity, supports your growth, and makes every day exciting.
Requirements
- 3-5 years of experience in provider credentialing, revenue cycle management, or insurance operations
- Hands-on experience with RCM and billing platforms (Candid or equivalent), credentialing management tools, and practice management systems
- Solid working knowledge of E&M coding, CPT/ICD-10, and CMS billing and telehealth billing guidelines
Nice to have
- Experience with multi-entity or multi-state provider networks
- Background in direct primary care or GLP-1/metabolic telehealth
- CPMSM, CPCS, or CRCR certification
- Experience owning or supporting prior authorization workflows and payer escalation processes
Compensation
- 💸 Competitive Compensation – We offer a top-of-market salary and a generous equity package—because you deserve to share in the upside you help create.
Benefits
- 💰 Transport's on us - Transportation benefits to make commuting painless
- 🚀 High-Impact Work - Be part of shaping the future of digital healthcare during an exciting period of growth and innovation.
- ✨ All the standard bits -401(k) match, unlimited PTO, fully covered life insurance, super primo medical dental and vision for our injury prone team.
- 💸 Competitive Compensation - We offer a top-of-market salary and a generous equity package-because you deserve to share in the upside you help create.
- The base salary for this full-time position ranges from $130,000 to $160,000, in addition to equity and benefits.
- Manage end-to-end provider credentialing and payer enrollment across multiple states and medical entities
- Coordinate with medical directors and credentialing bodies on initial and re-credentialing cycles
- Own the operational buildout of E&M billing for the Wellness Plus program, from claim submission through payment reconciliation
- Evaluate new health tech tooling as the landscape evolves and bring informed recommendations to the team
- Actual compensation within this range is determined by various factors, such as job-related skills, experience, relevant education or training, and location.
Equal opportunity
- Mochi Health is an Equal Opportunity Employer. We make all employment decisions based solely on merit. We provide equal employment opportunities to all applicants and employees without discrimination on the basis of race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, disability status, or any other applicable legally protected characteristic. We prohibit any form of discrimination or harassment. This policy applies to all terms and conditions of employment, including hiring.
- Accommodations
- Mochi Health complies with the Americans with Disabilities Act (ADA), as amended by the ADA Amendments Act, and all applicable state or local laws. We will reasonably accommodate qualified individuals with a disability during the application process and throughout employment as required by law.
- If you need any assistance or accommodations due to a disability, please contact us at hr@joinmochi.com.
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This listing is sourced directly from Mochi Health's careers page and normalized into a canonical job model.