Billing Lead

What we do

We’re fixing one of the most broken and costly pieces of the US healthcare system: medical billing.

Today, healthcare providers spend over $250B each year on administrative overhead just to get paid by insurance. Medical billing is expensive because it’s nuanced and hard - maybe ~100x harder than credit card payment processing - and because it’s traditionally done by armies of humans who track and manage complex rules and processes specific to individual insurance companies with little or no supporting software.

We’re rethinking medical billing from the ground up, building software backed by best-in-class data science (and, soon, a dash of machine learning) to automate much of this complexity so healthcare providers can get paid dramatically more easily and inexpensively.

We were in the Y Combinator W20 batch and have since been well funded by a world-class group of funds (8VC, First Round Capital, BoxGroup) + angel investors. We're now helping our customers -- >10x more than we had back in YC -- treat opioid addiction, provide holistic care for women (Tia), provide equitable access to birth control (The Pill Club), lose weight, increase access to mental health care, and much more. This is such important and gratifying work; we can't wait for you to join our team and help support some of the most important innovation happening in healthcare today!

Our Values

We spend at least as much time with our coworkers as we do with our closest friends + family - if we intend to do the most important + challenging work of our lives, it’s important that these folks energize us, support us, inspire us, and push us to do our best work. This is what you can expect of your teammates at Candid.

• Persistence + ownership of outcomes. We wear many hats and aren’t afraid to run through walls to solve hard problems.
• Personal + professional growth. We push ourselves to learn new things and embrace challenges, even if it means that we sometimes fail. We value and react quickly to constructive feedback.
• Prioritization of mental + physical health. We work really hard, but this is a marathon, not a sprint. When we’re in the office, we home-cook healthy meals for lunch. When we’re sheltering at home, we check in on each others’ sleep + exercise at each daily standup. We’re not shy about talking about our feelings and emotional wellbeing during 1:1s.
• Embracing diversity. We build better products, have a better chance of fixing broken parts of the US healthcare system, and enjoy our work more when we bring more perspectives to the table. We’re excited to work with folks from underrepresented backgrounds and who otherwise look or think differently than we do.

What You’ll Be Doing

You will be responsible for working closely with the RCM Lead for oversight of Candid’s onshore and offshore billing teams including prioritization of work, monitoring of team productivity & quality, and claims analysis to ensure we achieve excellent customer outcomes and KPIs.

• You’ll be leading, supporting, and unblocking our talented billing team to ensure billing targets are attained
• You’ll be identifying and owning initiatives that continually increase the focus areas and operational effectiveness of our billing team
• You’ll be identifying and flagging patterns in our billing lifecycle to help inform product and engineering solutions

Who You Are

• You have previous experience leading medical billing teams and are viewed as an empowering leader.
• You have strong analytical skills - you have a learning and investigative mindset and value those mindsets in others.
• You approach RCM from a preventive standpoint vs being reactive - you have a mindset of preventing denials/rejections upstream.
• You have a wide range of experience across multiple specialties, multi state billing, and tele-health billing.
• You have a wide range of Revenue Cycle Management experience such as EDI Enrollments, Payment Posting and Reconciliation, Denial Resolution and Management, etc.
• You are capable of rolling up your sleeves but can be flexible / resourceful to adapt to the ever changing needs of the business.
• You are a clear and concise communicator; you enjoy the challenge of explaining complicated ideas in simple terms, both in-person and in writing.

Pay Transparency

The estimated starting annual salary range for this position is $95,000 - $125,000 USD. The listed range is a guideline from Pave data, and the actual base salary may be modified based on factors including job-related skills, experience/qualifications, interview performance, market data, etc. Total compensation for this position may also include equity, sales incentives (for sales roles), and employee benefits. Given Candid Health’s funding and size, we heavily value the potential upside from equity in our compensation package. Further note that Candid Health has minimal hierarchy and titles, but has broad ranges of experience represented within roles.