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Posted 7 hours ago
Revenue Cycle Manager
Mochi HealthRevenue Cycle Manager
Requirements
3-5 years experience in RCM or credentialing, Health tech or telehealth experience, Proficiency in payer portals, Knowledge of CPT/ICD-10 coding, Team management experience
Skills
Revenue Cycle ManagementE&M Coding
About the role
Responsibilities
- Manage end-to-end provider credentialing and payer enrollment across multiple states and medical entities
- Own the operational buildout of E&M billing, from claim submission through payment reconciliation
- Monitor denial trends, conduct root cause analysis, and implement corrective workflows
- Integrate AI-assisted tools into credentialing and RCM workflows
- Manage and develop a small team supporting credentialing and RCM operations
- Partner with coding, clinical, and finance teams to ensure accurate documentation
Requirements
- 3-5 years of experience in provider credentialing, revenue cycle management, or insurance operations
- Experience in health tech or telehealth building or scaling workflows
- Hands-on experience with RCM and billing platforms (Candid or equivalent)
- Expert-level proficiency with major commercial payer portals (Availity, UnitedHealthcare Link, NaviNet)
- Solid working knowledge of E&M coding, CPT/ICD-10, and CMS billing guidelines
- Experience managing a small team
Preferred Qualifications
- 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 prior authorization workflows
About the Company
Mochi Health is building an AI-driven marketplace that makes healthcare discoverable, connecting patients to the right providers, transparent pharmacy pricing, and affordable medications.
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Mochi Health · San Francisco
