RCM Workflow Specialist
Joyfulhealth
| Company | Joyfulhealth |
| Category | Finance |
| Location | New York City |
| Remote | On-site (inferred) |
| Employment | Not stated |
| Level | Mid |
| Salary | Not stated by the employer |
| Posted | 23 Apr 2026 |
| Last verified | 3 Aug 2026 |
| Source | Employer career page (ashby) |
Description
ABOUT JOYFUL HEALTH
Building the financial operating system for healthcare — and bringing the joy back to healthcare by fixing the financial chaos behind it.
The healthcare payment system is a complex and inefficient maze. Healthcare practices leave $125 billion in revenue uncollected each year, lost in the chaos of fragmented financial data, manual workflows, and opaque payer systems. This financial uncertainty leaves practices struggling to stay afloat while valuable revenue slips through the cracks.
Joyful Health is building an AI-powered financial operating system for healthcare practices. Our mission is to bring the joy back to running a private practice by simplifying financial operations so providers can focus on patient care. We spent 10 months working as fractional CFOs for a dozen practices, doing this work side by side with providers as we developed our product.
We just announced our $22M Series A led by CRV and world-class investors including the founders of MongoDB & KAYAK.
If you’re excited about combining real-world RCM expertise with product innovation, we’d love to meet you.
THE ROLE
The RCM Workflow Specialist sits at the intersection of revenue cycle operations and product intelligence.
This is not a traditional billing role.
You are responsible for two things that most billing professionals have never been asked to do together: 1) work real claims at an expert level and 2) translate that expertise into the structured data and direct feedback that powers Joyful’s AI product. Every action you take — every agent decision you review, every denial you analyze, every correction you document — directly improves how our system understands and solves revenue cycle problems.
You are both:
- An expert-level RCM practitioner
- A collaborator who shapes how our AI learns
This role is part of the RCM Center of Excellence (CoE) and partners directly with the Engineering and Product teams.
There are two distinct tracks of work in this role:
Track 1: Agent QA & Data Labeling: Structured, recurring. You review AI agent decisions on claims, label them correct or incorrect with rationale, and provide natural language corrections that feed directly into model training. The quality of your labels is what makes the model smarter. This requires genuine RCM expertise — many decisions are judgment calls, not rule lookups.
Track 2: Product UX & Collaboration: Collaborative, fluid. You work directly alongside Engineering to pressure-test features against real-world RCM workflows. You tell us what’s hard to use, what doesn’t reflect how billing actually works, and what’s missing. You push back — this is an active, opinionated role, not a passive observer.
WHAT YOU’LL DO
EXECUTE HIGH-QUALITY CLAIMS WORKFLOWS
- Work claims across denial, A/R, and follow-up workflows with a focus on accuracy and decision quality — not volume
- Perform investigation, correction, and resolution of claims
- Interact with payer systems, portals, and call centers as needed
- Get creative when standard paths don’t work — you find a way to get the claim resolved. There is no such thing as “we can’t do it.”
REVIEW AND LABEL AGENT DECISIONS
- Review a statistical sample of AI agent–closed encounters each week and assess whether the agent’s action was correct, with a written rationale for your decision
- Provide natural language corrections through the product interface (e.g., “We should have checked the payer portal before closing — there was a timely filing issue that needed a retro authorization”)
- These corrections feed directly into model training — your expertise is what makes the system smarter
- Flag patterns in where the agent consistently struggles or makes avoidable errors
- Make confident calls on ambiguous scenarios — many of these are judgment calls, and sitting on the fence is not an option
STRUCTURE DATA THROUGH LABELING
- Translate claim activi
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