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Ownership:
- Own RCM end-to-end across Medicaid and Medicare, from eligibility and authorization through claims, denials, and collections.
- Manage patient billing, denial management, appeals, and centralize eligibility verification and payer reporting.
Strategy & Collaboration:
- Lead RCM strategy, team building, KPI development, and cross-functional collaboration with operations, product, and engineering.
- Analyze claims data to identify gaps, drive remediation, and improve collection rate and DSO.
Compliance & Systems:
- Ensure Medicaid and Medicare billing compliance and work directly with payers and provider groups.
- Select and implement RCM systems like Candid and Waystar to support multi-program billing at scale.
Pair Team
Pair Team is an AI-enabled medical group for Medicaid and Medicare, delivering whole-person care through community-based organizations. It is California's largest complex care provider and is building an AI platform to scale across the safety net.