RCM Workflow Specialist

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 an 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 announced our $22M Series A led by CRV and world-class investors including the founders of MongoDB & KAYAK.

If you’re excited about combining real-world RCM expertise with product innovation, we’d love to meet you.

The RCM Workflow Specialist sits at the intersection of revenue cycle operations and product intelligence.

This is not a traditional billing role.

You are responsible for two things that most billing professionals have never been asked to do together: 1) work real claims at an expert level and 2) translate that expertise into the structured data and direct feedback that powers Joyful’s AI product. Every action you take — every agent decision you review, every denial you analyze, every correction you document — directly improves how our system understands and solves revenue cycle problems.

You are both:

• An expert-level RCM practitioner

• A collaborator who shapes how our AI learns

This role is part of the RCM Center of Excellence (CoE) and partners directly with the Engineering and Product teams.

• Work alongside engineers in a fast-moving, collaborative environment — engineers communicate directly and get to the point quickly; you need to be comfortable in that environment and able to hold your own on RCM expertise

• Tell us when something is wrong — if a proposed workflow doesn’t reflect how billing actually works, say so clearly and explain why

• Help validate whether features and agent behaviors reflect real-world RCM operations before they are released

• Act as the voice of the RCM practitioner in product development — you are shaping how the system thinks, not just reviewing what it does

• Leverage AI tools actively in your work — we expect everyone on this team to be pushing the boundary of what’s possible with the tooling available to them

• Recognize trends across claims, payers, and denial types

• Flag inconsistencies, contradictions, or unclear outcomes

• Surface edge cases and breakdowns in workflows

• Contribute to improving categorization logic, definitions, and SOP quality

This role is measured on quality, not quantity. Throughput is not a primary metric — the goal is expert-level accuracy and meaningful insight generation.

• Deep familiarity with Joyful workflows, the product interface, and labeling structure

• Producing accurate, well-reasoned claim documentation and agent QA labels

• Comfortable navigating payer systems and making independent decisions on clear-cut cases

• Establishing a working relationship with the Engineering team — communication style calibrated, expectations clear

• Independently working claims and QA-ing agent decisions across multiple denial categories

• Consistently producing high-quality labeled data with clear, confident rationale

• Actively identifying patterns and surfacing them as actionable insights — not just flagging problems

• Comfortable making confident calls on ambiguous cases with minimal escalation

• Feedback from Engineering that your product input is changing how they think about features

• Recognized as a trusted RCM expert within the CoE — the person Engineering and the RCM Architect team go to when something is hard

• Your corrections and labels have meaningfully improved agent performance — measurable reduction in agent errors in the categories you’ve been reviewing

• Contributing to the evolution of workflow definitions, SOPs, and labeling logic

• Operating at the frontier of what’s possible with AI-assisted billing — actively exploring where the system can do more

• 5+ years of experience in medical billing, A/R, or denials with hands-on, claim-level expertise

• Deep familiarity with payer portals, eligibility systems, and denial resolution workflows

• Experience working claims across denial categories and navigating ambiguous payer decisions

• Experience with specialties like ABA, behavioral health, or complex billing environments (preferred but not required)

• A track record of using AI tools, automation, or technology to work smarter — this is a non-negotiable. If you haven’t adopted AI into your workflow, this role is not the right fit.

Your work directly contributes to fixing one of healthcare’s most broken systems — and unlike most billing roles, you’ll see the impact of your expertise reflected in a product that gets smarter because of you.

You’re not just executing tasks — you’re shaping how the system learns, what it gets right, and where it needs to improve. This is a role with real influence.

Gain deep exposure to:

• Advanced RCM strategy and the RCM Center of Excellence

• AI product development in a way that almost no billing professional ever gets

• Data-driven operations at the frontier of healthcare technology

Comprehensive healthcare benefits, unlimited PTO (with a minimum of 10 days off a year), flexibility, and a team that cares about doing this right. We organize regular team off-sites and invest in your professional development.