The Revenue Cycle Management team is hiring for an Engineering Manager to join the team. We build software that helps medical practices get paid accurately. This role leads the engineering team that owns the money-in path: everything from when an insurer says how much they’ll pay, to when that payment is on the books, verified against the bank, and the patient knows what they still owe.
You will manage a team of ~6 engineers across the full payments surface, reading insurer payment files, matching them to the right claims, recording money on visits, reconciling with bank deposits, calculating patient balances and collections, and partnering with the team that builds the financial reports clinics rely on.
A near-term priority is to hire 2 engineers to strengthen the team. You are the people leader and delivery owner: hiring, coaching, planning, and shipping outcomes, while staying close enough to the systems to set technical direction and unblock hard problems.
Together with teams that submit claims, handle denials, and build financial reporting, this group covers the path from “insurance paid us” to “the books are right, the patient knows what they owe, and leadership can trust the numbers.”
Reading insurer payment files
Insurers send payment detail files (and paper explanations of benefits) through many networks and formats. The team ingests those files, turns them into structured payment records, and keeps each claim’s status up to date as money comes in. This is the start of the pipeline — everything downstream depends on it being correct.
Matching payments to the right claims
Each payment line has to be linked back to the claim we originally submitted. Payers often send incomplete or inconsistent identifiers, so we use scoring across many signals (patient info, policy numbers, providers, amounts) and test changes on historical data before they affect real money.
Recording payments on the books
Once matched, payments are recorded on the correct visit using per-clinic rules — what to write off, what to shift to the patient, how contractual rates apply. Corrections use safe reverse-and-repost flows so history stays auditable. The books have to balance; “close enough” is not good enough.
Matching payments to the bank
For many customers, we verify that insurer checks actually landed in the clinic’s bank account — using live bank connections, standard bank files, and scanned deposit slips. Until the deposit is verified, automatic recording of payments can be held. This includes the messy long tail of check numbers and payer names that don’t match cleanly.
Patient balances and collections
After insurance pays, we calculate what the patient still owes and feed statements, the patient payment experience, credits, refunds, and collections. Balance logic has to keep up whenever posting or clinic rules change.
Financial reports clinics trust
The payment and ledger work this team owns feeds the reports and dashboards clinics use to run the business. You will partner closely with our financial reporting team so that billing, recorded payments, patient balances, and reports stay in agreement — catching drift early rather than after a customer notices it.
Scale: Large volumes of visits and payment lines, background jobs and scheduled pipelines, rule engines with hundreds of clinic-specific conditions, and zero tolerance for balances that don’t add up.