Revenue Cycle Management Manager

About us:

Foodsmart is the leading telenutrition and foodcare solution, backed by a robust network of Registered Dietitians. Our platform is designed to foster healthier food choices, drive lasting behavior change, and deliver long-term health outcomes. Through our highly personalized, digital platform, we guide our 2.2 million members—including those in employer-sponsored health plans, regional and national Medicaid managed care organizations, Medicare Advantage plans, and commercial insurers—on a tailored journey to eating well while saving time and money.

Foodsmart seamlessly integrates dietary assessments and nutrition counseling with online food ordering and cost-effective meal planning for the entire family, optimizing ingredients both at home and on the go. We partner with national and regional retailers across the U.S., many of whom accept SNAP/EBT, making healthier food more accessible. Additionally, we assist members with SNAP enrollment and management, providing tangible access to nutritious food.In 2024, Foodsmart secured a $200 million investment from TPG’s Rise Fund, which supports entrepreneurs dedicated to achieving the United Nations’ Sustainable Development Goals. This investment will help us expand our reach, particularly to low-income workers who are disproportionately affected by diet-related diseases. 

At Foodsmart, our mission is to make nutritious food accessible and affordable for everyone, regardless of economic status. We are committed to a set of core values that shape our culture and work environment:

Measured: We make data-driven, truth-seeking decisions.

Impactful: We are fueled by achieving our mission and vision.

Collaborative: We help each other be better and create a positive environment.

Hungry: We maintain a healthy growth mindset, seeking to overcome challenges with courage.

Joyful: We take joy in each other, our work, and the privilege of doing this work.

Whether you're a dietitian, a commercial leader, or a technologist, working at Foodsmart means being part of a team that is passionate, supportive, and driven by a shared purpose. Join us in transforming the way people access and enjoy healthy food.

Learn more at www.foodsmart.com

About the role:

The Revenue Cycle Operations team is a highly collaborative and cross-functional team that manages the end-to-end patient billing processes and patient billing experience. The ideal candidate for this role will have extensive medical billing and claims knowledge and a passion for improving the overall RCM through product innovation and automation.

The role must be prepared to go beyond submitting claims to insurance carriers, addressing denied and rejected claims, and communicating issues to the team. It also requires a meaningful commitment to improving the RCM product suite at Foodsmart, including, but not limited to: identifying pain points in our processes and systems; collaboratively arriving at requirements with stakeholders around the business; working with Engineering to provide feedback on the developed solution(s); and maintaining a permanent growth mindset around quality assurance and enhancement of our RCM product ecosystem. 

Key Responsibilities:

• Own the end-to-end customer billing processes and experience: Manage all billing communications, ensuring a seamless process for both patients and health plans.
• Claims Management: Follow up on claims submissions to monitor reimbursement, communicate directly with our RCM partners and health plans to resolve billing matters.
• Error Analysis: Research, analyze, and review submitted claim errors and rejections, identifying areas for correction and implementing necessary changes to improve accuracy.
• Reporting and Documentation: Handle and prepare insurance claims and billing reports, contributing to the month-end closing processes.
• Stakeholder Liaison: Act as the primary liaison between internal stakeholders (including finance, product, and engineering teams) and external partners, ensuring effective communication and resolution of billing issues.
• Process Improvement: Identify pain points in our processes and systems, collaboratively arrive at requirements with stakeholders, and work with Engineering to provide feedback on developed solutions.
• Mentorship and Team Building: Support the growth of the RCM team, providing guidance and potentially adding new resources to enhance team capability.

You will:

• Own the end to end customer billing processes and experience to manage all billing communications
• Follow up on claims submission to monitor reimbursement, communicate directly with our RCM partners and health plans to resolve billing matters
• Research, analyze, and review submitted claim errors and rejections, identifying areas for correction and implementing necessary changes to improve accuracy. 
• Handle and prepare insurance claims and billing reports and contribute to the month end closing processes
• Address patient and health plan billing issues in collaboration with health plan managers.

You are:

• Advocate for Foodsmart by identifying and actively addressing challenges and roadblocks that may hinder reimbursements.
• Secure timely and complete reimbursements for the company by driving successful claims submissions through proactive efforts.
• Take pride in your work and approach every project with enthusiasm and excitement.
• Adaptable 

You have:

• Possesses 3-5 years of expertise in patient or medical billing, including claims submission and processing.
• Proficiency with Google Suite, including Google sheets and slides
• Tangible outcomes throughout your career, or at minimum a proven curiosity, to enhance systems and product for improved claims collections and data visibility 
• Previous experience working with different EMR and RCM softwares, as well as a diverse set of health plan portals
• Strong written and verbal communication skills in working with health plan partners to resolve payment issues favorably

About our benefits and perks:

Remote-First Company

Unlimited PTO

Healthcare Coverage (Medical, Dental, Vision)

401k, bonus, & stock options

Gym reimbursement 

Foodsmart is an equal opportunity employer and values diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any other protected class.