Finni Health
Credentialing Manager
US Remote
Sponsorship not specifiedDetected 16 days ago
Project ManagementCRMProcess ImprovementEHR/EMRCommunicationCollaborationProblem SolvingTime ManagementAdaptabilityAccounts PayableClaims Management
About the role
- We've experienced rapid growth and are backed by top-tier investors like General Catalyst and YCombinator.
- We seek smart, driven individuals eager to innovate in a dynamic, fast-paced environment.
- WHAT YOU WILL BE DOING: As a Credentialing Manager (Individual Contributor), you will play a critical role in optimizing our revenue cycle operations.
Responsibilities
- Analytical & Problem-Solving: Strong ability to analyze complex RCM data, identify trends, root causes of issues, and implement effective, data-driven solutions to optimize financial performance.
- Communication & Collaboration: Excellent written and verbal communication skills, with proven ability to effectively collaborate with internal teams and external stakeholders (payers, vendors, providers).
- Organizational & Time Management: Exceptional organizational and time management skills, with the ability to manage multiple priorities and projects in a fast-paced environment.
- Drive efforts to scale Finni's network of insurance contracts and unblock stalled applications with payers, ensuring efficient onboarding and ongoing relationship management.
- Triage questions around payer enrollment updates, status, and general questions for providers and their respective support staff
- Collaborate extensively with product, provider success, compliance, HR, finance, and other teams to align RCM efforts with overall business objectives and drive strategic goals.
- We democratize autism care by providing access to our insurance network, purpose-built EHR software, HR solutions, and clinical support.
Requirements
- Proven ability to work effectively within a team environment, contributing to collective success, and independently driving credentialing initiatives.
- You are a proactive and collaborative individual contributor with a strong background in revenue cycle management, driven by a commitment to operational excellence and financial performance.
- Strong understanding of the payer credentialing processes, including core credentialing prerequisites, credentialing blockers and solutions to remediate, roster management, and demographic updates.
- Medicaid experience is required.
Nice to have
- Experience with various EMR/EHR work queue management within RCM is a plus.
- Tech Proficiency: Proficient in Google Suite, Slack, CRM/support software, and EHR/RCM management tools.
Benefits
- Finni Health empowers autism care providers to start, run, and grow their own practices.
- 5+ years of relevant experience in credentialing or related roles, preferably in an early-stage startup, behavioral or mental health, or healthcare tech.
- Adapt and take on evolving responsibilities and projects as Finni Health grows and the RCM landscape changes.
- Ready to make a significant impact at a rapidly growing healthcare startup?
- Lead workflow optimization initiatives within RCM, manage specific projects, and drive continuous process improvements to maximize reimbursement and minimize denials.
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This listing is sourced directly from Finni Health's careers page and normalized into a canonical job model.