Billing (RCM) Manager

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 closed a funding round led by world-class investors and angels 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.

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.

As our Billing Manager, you'll drive financial success for our clients while ensuring exceptional service delivery:

Client Relationship Management

• 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

Revenue Recovery Leadership

• 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

Team & Process Optimization

• 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

Performance Analytics

• 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

Through these responsibilities, you'll help healthcare practices recover millions in lost revenue, allowing them to reinvest in patient care and practice growth while contributing to the evolution of our service offerings.

• You’re passionate about Joyful Health’s mission – you want to solve real, pressing problems for providers and put them in control of their businesses. You naturally empathize with users and enjoy designing solutions with their needs in mind.

• You have deep RCM experience

  • 5+ years experience in Revenue Cycle Management, with especially strong skills in Accounts Receivable (A/R) and Denials Management. You’re persistent, and love to dive deep into A/R challenges to recover revenue and get providers paid.

• You're a proven leader – with 2+ years experience directly managing billing teams or account teams

• You're customer-focused – you can build trust, manage expectations, and communicate complex billing concepts clearly

• You're data-driven – with the ability to analyze metrics, spot trends, and make data-informed recommendations

• You're a problem-solver – with excellent organizational skills and a proactive approach to account management

• You 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

• You're meticulously detail-oriented and organized – you can juggle multiple accounts, deadlines, and priorities without letting anything fall through the cracks. You can track and manage complex workflows across both customer communications and billing operations

• You're tech-savvy – with experience using major billing software systems (e.g., Epic, Athena, Kareo, AdvancedMD)

At Joyful Health, we’re on a mission to fix one of the most broken systems in healthcare.

Learn more about our culture and how we do work at Joyful here!

Joining us means having the opportunity to make a direct, meaningful impact on the lives of clinicians and the financial health of their practices. Here’s what you can expect from working with us:

🚀 Meaningful Impact You’ll be tackling one of the most complex challenges in healthcare—helping practices thrive in a chaotic financial landscape. Your work will directly contribute to solving one of the most hair on fire problems for providers, ensuring that they can focus on what they do best: caring for patients.

🔑 Autonomy & Ownership As an early team member, you’ll have significant autonomy and the chance to shape our company from the ground up. You’ll have ownership over your work and the freedom to challenge the status quo in an environment that values initiative and creativity.

📈 Growth & Learning We’re a small, ambitious team with big goals, which means you’ll be constantly learning and growing. You’ll take on new challenges, expand your skill set, and have direct access to experienced founders and advisors who are invested in your development. We also offer stipends for professional development courses & books (that we often will partake in together!) so we can all continuously grow.

💰 Competitive Compensation & Equity We believe that our team is our most valuable asset. We offer competitive compensation packages, strong equity, and the opportunity to share in the success of Joyful Health. We want you to feel supported, both financially and professionally, as we grow together.

❤️ Be Your Best Self We provide the benefits you need to stay happy and healthy, including comprehensive healthcare benefits, unlimited PTO (with a minimum of 10 days off a year), and flexibility so you can take care of yourself. We also organize regular team off-sites and events to ensure that even as we tackle big problems we enjoy the journey.

Please apply even if you don't meet 100% of the criteria. Nobody checks every box every time and we'd love to talk to you about how and why you can see yourself growing into this role. We're also very open to candidates with non-traditional experience.