RCM Lead, Reconciliation & Cash Posting

The role

You will own cash reconciliation by ensuring Stripe and Candid align on patient cash posted. You will manage unreconciled checks and ERAs, oversee refund workflows, and lead a team of virtual assistants.

What you will do

• Own cash reconciliation end to end across patient and insurance payments
• Reconcile unreconciled checks and ERAs
• Size and sequence the unreconciled cash backlog and execute a timeline to work it down
• Onboard, direct, and oversee a team of VAs on reconciliation workflows
• Build and maintain SOPs and workflows for VAs
• Oversee refund workflows for payers and patients
• Partner across MNT, new bets, and enterprise to build and run reconciliation workflows
• Identify opportunities to optimize team workflows and automation

Required qualifications

• Approximately 5–7 years of experience in cash posting and reconciliation
• Hands-on RCM cash reconciliation experience across both patient and insurance payments
• Experience matching ERAs/EOBs and checks to deposits and working unreconciled items to resolution
• Comfortable with high-volume, process-driven, detail-heavy work
• Experience building new processes or SOPs from scratch
• Professional and empathetic written communicator
• Ability to break down ambiguous discrepancies across systems and solve them independently
• Flexible and adaptable in a fast-paced start-up environment
• Low-ego and actively seeks feedback

Nice to have

• experience managing, training, or directing others' work (ideally VAs or offshore teams)
• familiarity with Stripe, Candid, or comparable billing platforms and payer portals
• startup or health-tech experience
• experience using automation or tooling to streamline reconciliation work

About the company

Nourish is a dietitian-led metabolic health clinic and AI-native digital health system. The company matches patients with Registered Dietitians, physicians, medications, lab testing, and AI agents.