Finni Health (YC W23)

Credentialing Manager

Finni Health (YC W23)

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Salary

💰 $70,000 - $80,000 per year

Job Level

Mid-LevelSenior

About the role

  • About Finni Health: Finni Health empowers autism care providers to start, run, and grow their own practices, providing access to insurance networks, purpose-built EHR software, HR solutions, and clinical support.
  • What You Will Be Doing: As a Credentialing Manager (Individual Contributor), you will play a critical role in optimizing our revenue cycle operations. Responsibilities include payer network management, offshore team management, customer triage, compliance and quality assurance, operational efficiency and project management, cross-functional collaboration, and adapting to evolving responsibilities.
  • About You: You are a proactive and collaborative individual contributor with a strong background in revenue cycle management, driven by a commitment to operational excellence and financial performance.
  • Experience & Requirements: 5+ years of relevant experience in credentialing or related roles; strong understanding of payer credentialing processes; RCM expertise; analytical and problem-solving abilities; process optimization; communication and collaboration skills; organizational and time management; tech proficiency; mission alignment; adaptability.

Requirements

  • 5+ years of relevant experience in credentialing or related roles, preferably in an early-stage startup, behavioral or mental health, or healthcare tech. Strong understanding of the payer credentialing processes, including core credentialing prerequisites, credentialing blockers and solutions to remediate, roster management, and demographic updates.
  • Collaborative & Independent Contribution: Proven ability to work effectively within a team environment, contributing to collective success, and independently driving credentialing initiatives.
  • RCM Expertise: Deep understanding of the full revenue cycle, including billing, claims processing, collections, accounts receivable management, payer contracting, and compliance (e.g., CMS billing).
  • Analytical & Problem-Solving: Strong ability to analyze complex RCM data, identify trends, root causes of issues, and implement effective, data-driven solutions to optimize financial performance.
  • Process Optimization: Demonstrated expertise in identifying inefficiencies and driving process improvements for RCM efficiency and effectiveness.
  • Communication & Collaboration: Excellent written and verbal communication skills, with proven ability to effectively collaborate with internal teams and external stakeholders (payers, vendors, providers).
  • Organizational & Time Management: Exceptional organizational and time management skills, with the ability to manage multiple priorities and projects in a fast-paced environment.
  • Tech Proficiency: Proficient in Google Suite, Slack, CRM/support software, and EHR/RCM management tools. Experience with various EMR/EHR work queue management within RCM is a plus.
  • Mission Alignment: Passion for Finni’s mission to democratize autism care and empower providers through robust RCM.
  • Adaptability & Agility: Comfortable thriving in a dynamic, fast-paced startup environment, embracing change, and navigating ambiguity with a proactive mindset.