About Fabric Health

About the Role

What You'll Do

• Revenue Recovery & Denial Management: Lead the resolution of unsettled and denied claims; perform deep-dive root cause analysis to identify systemic barriers to payment and execute high-quality appeals to recover revenue.
• Claims Lifecycle Ownership: Manage the end-to-end submission and tracking of claims to commercial and government payers, ensuring a "clean claim" rate that leads the industry.
• Eligibility & Logic Oversight: Audit payer eligibility configurations and 271 data logic to ensure patient co-pays and insurance setups are verified accurately before care is delivered.
• Payment Reconciliation: Oversee the accurate posting of payments from ERAs and EOBs, meticulously reconciling platform data against actual bank deposits.
• Finance & Stakeholder Reporting: Partner with Fabric’s Finance leadership to provide clear visibility into A/R aging, collection rates, and cash flow projections.
• Product Innovation Loop: Serve as a technical "Power User" for our Product team, identifying UI/UX bottlenecks and workflow flaws that contribute to billing friction or administrative waste.

Why You Might Be a Good Fit

• You are a fixer who finds professional satisfaction in cleaning up complex A/R aging reports and resolving the difficult claims that others have set aside.
• You are naturally outcome-driven and measure your success by tangible metrics such as lower A/R days, higher collection percentages, and decreased denial rates.
• You are a tech-forward operator who understands that scaling a virtual provider network requires a combination of manual expertise and robust software automation.
• You are an exceptionally clear communicator who can navigate difficult conversations with payers while effectively translating billing obstacles into technical requirements for our developers.

This Might Not Be The Right Fit If...

• You prefer maintaining a steady-state environment, as we need an owner who is energized by the heavy-lift of optimizing a growing function.
• You find the process of data analysis or troubleshooting technical EDI and eligibility logic to be tedious.
• You are looking for a role strictly focused on administrative oversight rather than hands-on recovery and systems improvement.

Job Requirements

• Hold an active CPC (Certified Professional Coder) or CPB (Certified Professional Biller) certification.
• Possess 5+ years of experience in Revenue Cycle Management, with a proven track record of managing high-volume claims and successful A/R recovery.
• Demonstrate proficiency with Stedi or similar Real-Time Eligibility (RTE) vendors and the ability to interpret raw 271 and 837 EDI data.
• Maintain expert-level ability to work within spreadsheets and visualization tools to build and track performance dashboards.
• Exhibit outstanding verbal and written skills, with the ability to interface effectively with both internal Finance teams and external insurance payers.
• Please note that all professional certifications and prior employment history are subject to rigorous primary source verification.

The national pay range for this role is $90,000.00 – $130,000.00 per year. Actual compensation will be determined by factors such as the candidate's geographic market, experience, skills, and qualifications. Certain roles may also be eligible for additional compensation, including a comprehensive benefits package such as medical, dental, vision, unlimited PTO, and a 401(k) plan, stock options and bonuses. If your compensation requirement is greater than our posted range, please still consider applying; a determination can be made based on unique qualifications. Expected compensation ranges for this role may change over time.

At Fabric, we believe that a diverse workforce is essential to our success. We are an equal opportunity employer and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other legally protected characteristic. We actively encourage individuals from all backgrounds to apply.