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Nourish is an AI-native digital health platform and the country's largest dietitian-led metabolic health clinic. The company matches patients with 10,000+ Registered Dietitians, physicians, medications, lab testing, and AI agents to deliver insurance-covered care across all 50 states. Founded four years ago, Nourish has completed millions of appointments, tripled year-over-year, and partnered with health plans covering 200M+ Americans across 250+ health systems. In 2026, the company raised a $100M Series C (total funding $215M) led by Menlo Ventures with participation from Thrive Capital, Index Ventures, J.P. Morgan Growth Equity Partners, Maverick Ventures, Y Combinator, BoxGroup, Atomico, Daybreak, and Operator Partners.
The Senior RCM Associate will report directly to the Director of Revenue & Provider Network Strategy and support all billing and revenue cycle operations at Nourish. This role is critical to core operations and involves resolving patient billing tickets, managing claim workflows, and building and optimizing RCM processes as the company scales into new service lines and payer contracts. The work directly impacts patients (ensuring billing is never a barrier to care), dietitians (enabling smooth payment experience), and payers.
Key responsibilities include:
- Managing patient-facing and internal billing questions, including resolving denials, investigating patient responsibility questions, and processing insurance coverage verifications
- Working claims end-to-end via clearinghouse and partnering with cross-functional stakeholders to ensure smooth billing experience
- Supporting efforts to streamline existing RCM processes by providing suggestions for automation or new tools, optimizing individual steps, and maintaining consistent execution
- Supporting ad-hoc RCM projects, including payer-specific billing efforts and new service line expansions
- Developing and maintaining SOPs for RCM workflows, flagging process gaps and proactively suggesting improvements
- Collaborating with cross-functional partners to communicate billing updates, escalate complex cases, and gather information needed to resolve issues
- Partnering with Product and Engineering teams to test, evaluate, and optimize AI-powered billing tools and automation, actively contributing feedback that shapes RCM technology evolution
The role is fully remote with an option to work from the NYC office. The company emphasizes talent density as a competitive advantage and seeks people who actively choose hard, ambiguous problems, run toward unglamorous work, give and receive candid feedback, and bring relentless resilience without ego.
Requirements:
- 2+ years of experience in a revenue cycle, medical billing, or healthcare operations role
- Familiarity with insurance billing workflows, including claim submission, denial management, ERA reconciliation, and payer communications
- Patient-first communication skills: professional, empathetic, and able to de-escalate billing concerns while keeping things moving
- Highly organized and detail-oriented with strong follow-through; ability to take things all the way through the finish line
- Energized by technology and automation; comfort with new tools and excitement about using AI to make billing smarter
- Medical coding background (CPC/CCS credentialed) is a plus
