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Baba is a Series A applied AI lab modernizing risk and care delivery for Medicare beneficiaries. The company has grown rapidly, completing tens of thousands of appointments and partnering with health plans covering 4+ million Medicare beneficiaries across all 50 states. The team is half engineers with founders from Ramp, Stripe, Palantir, and other top companies, combined with clinical leadership from Mount Sinai Health System.
The RCM Lead owns Baba's revenue cycle end-to-end, managing the complete claim lifecycle for Medicare and Medicaid billing. This includes eligibility verification, prior authorization, claim submission via clearinghouse, follow-up, denial management, appeals, cash posting, and ERA reconciliation. You will track and drive core RCM metrics including clean claim rate, days in AR, denial rate, overturn rate, and collection lag by payer, reporting weekly and explaining all movements.
Key responsibilities include owning payer enrollment and credentialing for clinicians and entities, maintaining payer-specific billing rules and fee schedules, and building SOPs for all RCM workflows. You'll manage and coach the billing team, assign work, review quality, and ensure adherence to processes. You'll partner with Clinical Operations to ensure documentation supports billing codes and provide feedback on quality issues causing denials. You'll resolve patient-facing billing questions and payer escalations with a patient-first approach.
Additional duties include audit readiness and CMS compliance, administering provider payment reconciliation with Finance, and partnering with Product & Engineering to test and adopt automation and AI-assisted billing tools. You'll report to the Head of Finance & Revenue Operations and work daily with Clinical Operations, Product & Engineering, and payer contacts.
Ideal candidates have 5+ years in revenue cycle or medical billing with 2+ years managing a billing team in multi-payer environments with significant Medicare and Medicaid volume. You should have owned end-to-end RCM metrics and driven specific improvements. Deep knowledge of claim submission, denial/appeal workflows, ERA reconciliation, payer enrollment, and credentialing is essential. Experience building processes in fast-changing companies and winning payer or CMS audits (TPE, RAC, MAC, UPIC) is highly valued. You are detail-oriented, organized, comfortable with new tools, and want to shape how automation is used in billing.
