The Role

As the first person to hold this title and reporting directly to our CEO, you have a unique opportunity to define the metrics, take process from 0 to 1, and build our Revenue Cycle function from the ground up. We have significant traction, and you will play a pivotal role in creating much of the foundation of our billing policies, RCM best practices, and KPI management as we continue to scale. Your work will span across all dimensions of RCM. You will:

• Collaborate closely with our CEO, founding team, clients, and clinicians to define Prosper’s revenue cycle strategy
• Define relevant KPIs and metrics as they relate to RCM, set targets for these metrics, and identify levers to achieve our targets
• Oversee end-to-end RCM related functions including eligibility, billing, collections, and reporting / analysis
  • Elgibility: Utilize claims data to manage our eligibility software vendor to improve accuracy of eligibility and benefit estimates for clients; decrease % of clients that are OON and make it to an appointment; track and optimize prior authorization process for revelant clients
  • Billing: Oversee in-house resources and third party vendor to ensure accurate coding and submission of claims; improve claim submission process to increase automation, first pass rates, and collections
  • Collections: Manage 3rd party billing vendor and ensure they are meeting SLAs and targets; monitor and analyze collections data to identify opportunities for improvements and when relevant, implement strategy and process changes to drive improvements
• As one of Prosper’s first 10 employees, help shape the future of the company and build our early culture!

About You

• 5-7 years of experience in consulting, investment banking, early-stage startup, healthcare or related field
  • 2 years in an RCM-related role
  • Experience in mental health digital health not required, but a plus!
• Knowledge of key RCM functions, including eligibility, claims submission, and collections
• Excited by the early stage (you will be one of the first 10 employees), which means working in a fast-paced environment with a high degree of ambiguity and an opportunity to take ownership
• Strategic, first-principled thinker who can independently identify key priorities and develop action plans to execute against them
• Analytical and data-oriented, with a strong ability to use numbers to make decisions
• Gritty, scrappy, and resilient, with a strong bias for action
• Motivated to do good and be great

How to Apply

Fill out the application below and email ben@prosperhealth.io and anna@prosperhealth.io with the following information:

• Your resume
• A link to your LinkedIn, personal website, or online profile
• Brief answers to the following questions:
  • Why you are excited about Prosper Health?
  • What you are most proud of in life (can be personal, social, professional)?