Fractional Revenue Cycle Specialist

Job description

About Us: Lunar is a stealth technology company building a new type of software platform for health systems. We are on a mission to revolutionize healthcare with cutting-edge, AI-powered software designed to help every hospital deliver world-class care for their patients. Our platform is already the core backbone of health systems today, transforming clinical and operational workflows at scale with the world’s first AI-native hospital information system. This next-generation platform is a fundamental rebuild of the information infrastructure that runs health systems. All of it – from doctors, nurses, pharmacists, lab technicians, coders, billers, supply chain, and even patients – Lunar’s software powers everything, soup-to-nuts. We believe that this mission is the moon landing of healthcare – something so consequential and ambitious that most people believe it to be impossible. Backed by Silicon Valley’s preeminent venture capital firms, we believe in the power of a high performance team of seasoned professionals operating at the peak of their abilities. We value people who are driven, curious, have sound judgement, and care about doing the best work of their careers. We are looking for an experienced Revenue Cycle Specialist to help us set-up our RCM configuration in Lunar as we look to shape the future of healthcare. Come join us and play a pivotal role in this exciting and important mission. Over the next 6 months, here are some ways you can make an impact: - Configure Billing Rules for Hospitals: Develop and configure billing rules tailored to specific payer types, designations, and categories to ensure accuracy and compliance in revenue cycles. - Translate Traditional RCM Workflows to Lunar: Bridge the gap between Lunar's next generation platform and traditional revenue cycle management (RCM) flows, ensuring smooth adoption and user understanding. - Training and Documentation: Create comprehensive training materials and deliver guidance to hospitals, translating complex billing and claims processes into clear and practical resources. - Claim Edits: Define and compile rules for claim edits, ensuring compliance and efficiency. Oversee the setup and testing of these rules within the system. - Quality Assurance: Perform QA for Lunar’s RCM features, ensuring that billing, claims, and posting flows are accurate, error-free, and optimized per customer configurations. - Posting and Flow Review: Review and refine posting flows for each hospital partner, ensuring seamless integration of their unique configurations into Lunar. - Accounting Software Integration: Facilitate the accurate translation from charges and claim postings to accounting software, ensuring financial accuracy and compliance. Your Experience: - Experience: Approximately 10 years of experience in revenue cycle management, with exposure to various hospital billing and RCM processes across different organizations. - RCM Implementation: Proven track record of leading or supporting successful RCM implementations, from configuring billing rules to setting up claim workflows. - Product Intuition: Deep understanding of RCM systems with the ability to intuitively navigate and optimize software for enhanced performance and usability. - Problem Solving: Demonstrated ability to tackle complex billing and claims challenges within dynamic environments, ensuring optimal configurations and smooth integrations. - Training & Communication: Strong skills in translating complex processes into clear, concise training materials, and communicating effectively with hospital teams at all levels. - Passion for Healthcare: Enthusiasm for improving hospital revenue management through cutting-edge software solutions that drive both operational efficiency and financial performance. At Lunar, we know our greatest strength is the diverse blend of backgrounds, experiences, and ideas that our team members contribute. We’re passionate about healthcare, but we are also passionate about creating an inclusive workplace where every unique talent and perspective is not just respected, but celebrated. We thrive on embracing differences and are fully committed to fostering a fair, supportive, and dynamic environment where everyone has the opportunity to shine. All applicants will be considered for employment regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.