Duet
Senior Product Engineer, RCM Operations
New York City, Remote. Posted 4 months ago
The role
You will own the engineering for revenue cycle products, building systems for claim movement from charge capture to collection. You will develop internal tooling, automation for claims and denials, and customer-facing products for clinic staff.
What you will do
- Build connections that move billing data between practice management systems, cloud data warehouses, and clearinghouses.
- Maintain reliable integrations and build monitoring, alerting, and observability for data flows.
- Share on-call and incident response duties.
- Design and ship dashboards, worklists, and workflows for clinic staff to manage revenue cycles.
- Automate the claims and denials lifecycle using configurable, rule-based automation.
- Write tests for integration and billing logic.
- Debug production issues and ensure changes are safe and observable.
Required qualifications
- 5–8 years of experience building production web applications.
- Direct experience with healthcare billing, claims, or revenue cycle management.
- Understanding of the claims lifecycle including submission, adjudication, denials, appeals, and collections.
- Understanding of rules and data structures like CPT/ICD coding, EOBs/ERAs, clearinghouses, and payer-specific requirements.
- Strong backend and data engineering instincts.
- Proficiency in Python and JavaScript.
- Experience designing and building RESTful APIs.
- Full-stack capability with backend as a center of gravity.
- Experience with cloud data warehouses and modern data tooling.
- Product engineering mindset.
- High ownership, comfort with ambiguity, and a bias toward shipping.
Nice to have
- Experience integrating with specific EHR or practice management systems, or with clearinghouses
- Familiarity with workflow automation or rule-based systems
- Exposure to value-based care or programs like APCM (Advanced Primary Care Management)
- Experience turning internal tools or managed services into self-serve customer-facing products
About the company
Duet is an early-stage company that helps nurse-practitioners build and scale independent practices using AI-driven tools. The company is backed by investors including Lerer Hippeau and Kairos.