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Finni Health empowers autism care providers to start, run, and grow their own practices by providing insurance network access, EHR software, HR solutions, and clinical support. The company is backed by top-tier investors including General Catalyst and Y Combinator and is experiencing rapid growth.
As Credentialing Manager, you will optimize revenue cycle operations and play a critical role in scaling Finni's insurance network. Your responsibilities include:
• Payer Network Management: Drive efforts to scale Finni's network of insurance contracts, unblock stalled payer applications, and ensure efficient onboarding and ongoing relationship management.
• Offshore Team Management: Oversee the enrollment submission team to ensure productivity expectations are met, active payer follow-up is timely and accurate, and all activities are properly recorded in the credentialing platform.
• Customer Triage: Handle questions from providers and their support staff regarding payer enrollment updates, status, and general enrollment inquiries.
• Compliance and Quality Assurance: Ensure strict adherence to payer regulations, industry standards (CMS billing, NCQA Guidelines, Delegated Credentialing), and internal policies while maintaining high service and compliance standards across all RCM functions.
• Operational Efficiency and Project Management: Lead workflow optimization initiatives within RCM, manage specific projects, and drive continuous process improvements to maximize reimbursement and minimize denials.
• Cross-Functional Collaboration: Work extensively with product, provider success, compliance, HR, finance, and other teams to align RCM efforts with business objectives and drive strategic goals.
• Adapt to evolving responsibilities and projects as the company grows and the RCM landscape changes.
REQUIREMENTS:
• 5+ years of relevant experience in credentialing or related roles, preferably in an early-stage startup, behavioral/mental health, or healthcare tech
• Strong understanding of payer credentialing processes, including core credentialing prerequisites, blockers, solutions, roster management, and demographic updates
• Medicaid experience required
• Proven ability to work effectively within a team and independently drive credentialing initiatives
• Deep understanding of the full revenue cycle: billing, claims processing, collections, accounts receivable management, payer contracting, and compliance (CMS billing)
• Strong analytical and problem-solving skills; ability to analyze complex RCM data, identify trends and root causes, and implement data-driven solutions
• Demonstrated expertise in identifying inefficiencies and driving process improvements
• Excellent written and verbal communication skills; proven ability to collaborate with internal teams and external stakeholders (payers, vendors, providers)
• Exceptional organizational and time management skills; ability to manage multiple priorities in a fast-paced environment
• Proficiency in Google Suite, Slack, CRM/support software, and EHR/RCM management tools
• Experience with EMR/EHR work queue management within RCM is a plus
• Passion for democratizing autism care and empowering providers
• Comfortable thriving in a dynamic, fast-paced startup environment; ability to embrace change and navigate ambiguity
