Manager, Revenue Cycle

🏢 Summary: Senior research finance leadership role focused on clinical trial budgeting, contracting, and financial operations across a global research network. The position manages budgeting and contract teams, leads sponsor and CRO negotiations, and supports study startup and operational efficiency. The role also drives process improvement, compliance, and cross-functional collaboration within clinical research operations. 🗂️ Requirements: Bachelor's degree in Business, Finance, Healthcare Administration, Life Sciences, or related field, 7+ years of experience in clinical trial budgeting, contracting, clinical research finance, or research administration, 3+ years of team management experience, Experience negotiating clinical trial budgets and contracts with sponsors, CROs, and research sites, Knowledge of clinical trial operations and study startup processes, Experience in research financial management, Ability to manage cross-functional stakeholder relationships, Strong analytical and negotiation skills, Strong communication and organizational skills 📃 Skills: Finance, Budgeting, Contracting, CTA, CLM, Negotiation, Compliance, Reporting, Procurement, Invoicing, SOPs, Analytics 🏢 Description: Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes. We built a leading performance-driven network of 100+ sites across the US, Europe, India, and Australia, conducting research directly in the communities where care is delivered across gastrointestinal, hepatology, obesity, and cardiology. By combining deep clinical trial expertise with cutting-edge AI, we connect sponsors' scientific ambitions with high-performing research teams that expedite and expand access to novel therapeutics for patients in need. The Research Finance Manager is a senior leader at the intersection of finance, clinical operations, and sponsor partnerships. This role owns clinical trial budgeting, contracting, and financial performance across a global research network — overseeing a team of Budget Specialists while serving as the key escalation point for complex negotiations with sponsors, CROs, and research sites. The ideal candidate is a seasoned clinical research finance professional who brings sharp negotiation instincts, strong team leadership, and the operational rigor to keep study startup moving efficiently at scale. Where You'll Drive Impact Clinical Trial Budgeting & Contracting - Manage the development, negotiation, and execution of clinical trial budgets, Clinical Trial Agreements (CTAs), amendments, and related study agreements across a global network of research sites. - Serve as the primary escalation point for complex budget, contract, and study startup issues involving sponsors, CROs, research sites, and internal stakeholders. - Develop and maintain standardized budgeting methodologies, negotiation tools, and country-specific rate cards. - Prepare sponsor budget estimates, feasibility assessments, and pricing analyses to support new study opportunities and partnerships. Team Leadership & Development - Manage and mentor Clinical Trial Budget Specialists and Contract Administrators responsible for study budgeting and contracting activities. - Provide coaching, training, and performance management to ensure high-quality execution and professional development across the team. - Lead regular team meetings and establish priorities to support organizational goals and study startup timelines. - Develop educational programs and training materials related to budgeting, contracting, and negotiation best practices. Site Network & Operational Support - Partner with Clinical Operations and site leadership to support study startup, activation metrics, and operational readiness. - Participate in site selection discussions by evaluating financial feasibility, budget assumptions, and operational considerations. - Support sponsor alliance management activities and participate in regular sponsor governance and project meetings. - Collaborate with post-award teams to ensure accurate invoicing and adherence to contractual payment terms. Contract Administration - Assist with contract lifecycle management (CLM) initiatives, including workflow improvements, document repository management, and process standardization. - Coordinate with Legal and Procurement teams to support contract compliance and operational efficiency. Process Improvement & Compliance - Develop and maintain SOPs, workflows, templates, and process documentation supporting budgeting and contracting activities. - Track and report key performance indicators related to contract turnaround times, budget negotiations, and study startup milestones. - Implement process improvements to enhance efficiency, consistency, and stakeholder satisfaction. - Ensure compliance with organizational policies, contractual requirements, and applicable regulatory standards. - Performs related duties as requested. What You Bring to the Team - Bachelor's degree in Business, Finance, Healthcare Administration, Life Sciences, or a related field. - 7+ years of experience in clinical trial budgeting, contracting, clinical research finance, or related research administration, including at least 3 years managing a team. - Proven experience negotiating clinical trial budgets and contracts with sponsors, CROs, and research sites. - Working knowledge of clinical trial operations, study startup processes, and research financial management. - Demonstrated ability to lead teams and manage cross-functional relationships across clinical, finance, and legal stakeholders. - Strong analytical, negotiation, and communication skills. - Exceptional attention to detail and organizational skills, with the ability to manage multiple priorities in a fast-paced environment. Preferred Qualifications - Experience supporting global research programs across Europe and Asia. - Familiarity with contract lifecycle management (CLM) systems and tools. - Background in healthcare technology, biotech, or a multi-site clinical research network. How We Work - Collaborative and low-ego team environment - High ownership and accountability culture - Fast-paced and highly iterative growth environment - Open communication and continuous learning mindset - Mission-driven organization focused on improving patient outcomes - Comfortable navigating evolving business priorities and opportunities Benefits That Support You We believe great teams do their best work when they feel supported — professionally and personally. - Hybrid work environment with in-office collaboration two days per week in either NYC or Boston office - Comprehensive medical, dental, and vision coverage, with up to 80% of premiums covered - Mental health and wellness support through Spring Health - Health HSA or FSA options, and commuter FSA contributions - Unlimited PTO, 12 company holidays, and a company-wide shutdown between Christmas and New Years - 401(k) program with company match - Weekly in-office lunch benefit every Tuesday - 100% company-paid short-term and long-term disability coverage - Annual wellness and professional development stipend - And more! Iterative Health is actively working towards creating an environment representative of the diversity of patients its technology serves and is focused on building an equitable and inclusive culture and hiring process.

🏢 Summary: Senior research finance leadership role focused on clinical trial budgeting, contracting, sponsor negotiations, and operational support across a global research network. The position manages budgeting and contract teams, oversees study startup financial processes, and collaborates with clinical, legal, and sponsor stakeholders. The role also drives process improvements, compliance, and financial performance for multi-site clinical research operations. 🗂️ Requirements: Bachelor's degree in Business, Finance, Healthcare Administration, Life Sciences, or related field, 7+ years of experience in clinical trial budgeting, contracting, research finance, or research administration, 3+ years of team management experience, Experience negotiating clinical trial budgets and contracts, Knowledge of clinical trial operations and study startup processes, Experience managing cross-functional stakeholder relationships, Strong analytical and negotiation skills, Strong organizational and communication skills 📃 Skills: Finance, Budgeting, Contracting, CLM, ClinicalResearch, Negotiation, Compliance, Analytics, SOPs, Procurement 🏢 Description: Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes. We built a leading performance-driven network of 100+ sites across the US, Europe, India, and Australia, conducting research directly in the communities where care is delivered across gastrointestinal, hepatology, obesity, and cardiology. By combining deep clinical trial expertise with cutting-edge AI, we connect sponsors' scientific ambitions with high-performing research teams that expedite and expand access to novel therapeutics for patients in need. The Research Finance Manager is a senior leader at the intersection of finance, clinical operations, and sponsor partnerships. This role owns clinical trial budgeting, contracting, and financial performance across a global research network — overseeing a team of Budget Specialists while serving as the key escalation point for complex negotiations with sponsors, CROs, and research sites. The ideal candidate is a seasoned clinical research finance professional who brings strong negotiation skills, team leadership, and operational rigor to keep study startup moving efficiently at scale. Quick Facts Hybrid work environment with in-office collaboration two days per week in either NYC or Boston office Comprehensive medical, dental, and vision coverage Unlimited PTO and 12 company holidays 401(k) with company match Wellness and professional development stipend Where You'll Drive Impact Clinical Trial Budgeting & Contracting - Manage the development, negotiation, and execution of clinical trial budgets, Clinical Trial Agreements (CTAs), amendments, and related study agreements across a global network of research sites. - Serve as the primary escalation point for complex budget, contract, and study startup issues involving sponsors, CROs, research sites, and internal stakeholders. - Develop and maintain standardized budgeting methodologies, negotiation tools, and country-specific rate cards. - Prepare sponsor budget estimates, feasibility assessments, and pricing analyses to support new study opportunities and partnerships. Team Leadership & Development - Manage and mentor Clinical Trial Budget Specialists and Contract Administrators responsible for study budgeting and contracting activities. - Provide coaching, training, and performance management to ensure high-quality execution and professional development across the team. - Lead regular team meetings and establish priorities to support organizational goals and study startup timelines. - Develop educational programs and training materials related to budgeting, contracting, and negotiation best practices. Site Network & Operational Support - Partner with Clinical Operations and site leadership to support study startup, activation metrics, and operational readiness. - Participate in site selection discussions by evaluating financial feasibility, budget assumptions, and operational considerations. - Support sponsor alliance management activities and participate in regular sponsor governance and project meetings. - Collaborate with post-award teams to ensure accurate invoicing and adherence to contractual payment terms. Contract Administration - Assist with contract lifecycle management (CLM) initiatives, including workflow improvements, document repository management, and process standardization. - Coordinate with Legal and Procurement teams to support contract compliance and operational efficiency. Process Improvement & Compliance - Develop and maintain SOPs, workflows, templates, and process documentation supporting budgeting and contracting activities. - Track and report key performance indicators related to contract turnaround times, budget negotiations, and study startup milestones. - Implement process improvements to enhance efficiency, consistency, and stakeholder satisfaction. - Ensure compliance with organizational policies, contractual requirements, and applicable regulatory standards. - Perform related duties as requested. What You Bring to the Team - Bachelor's degree in Business, Finance, Healthcare Administration, Life Sciences, or a related field. - 7+ years of experience in clinical trial budgeting, contracting, clinical research finance, or related research administration, including at least 3 years managing a team. - Proven experience negotiating clinical trial budgets and contracts with sponsors, CROs, and research sites. - Working knowledge of clinical trial operations, study startup processes, and research financial management. - Demonstrated ability to lead teams and manage cross-functional relationships across clinical, finance, and legal stakeholders. - Strong analytical, negotiation, and communication skills. - Exceptional attention to detail and organizational skills, with the ability to manage multiple priorities in a fast-paced environment. Preferred Qualifications - Experience supporting global research programs across Europe and Asia. - Familiarity with contract lifecycle management (CLM) systems and tools. - Background in healthcare technology, biotech, or a multi-site clinical research network. How We Work - Collaborative and low-ego team environment - High ownership and accountability culture - Fast-paced and highly iterative growth environment - Open communication and continuous learning mindset - Mission-driven organization focused on improving patient outcomes - Comfortable navigating evolving business priorities and opportunities Benefits That Support You - Hybrid work environment with in-office collaboration two days per week in either NYC or Boston office - Comprehensive medical, dental, and vision coverage, with up to 80% of premiums covered - Mental health and wellness support through Spring Health - Health HSA or FSA options and commuter FSA contributions - Unlimited PTO, 12 company holidays, and company-wide shutdown between Christmas and New Year - 401(k) program with company match up to 3% - Weekly in-office lunch benefit every Tuesday - 100% company-paid short-term and long-term disability coverage - Annual wellness and professional development stipend - And more

🏢 Summary: Clinical research finance role focused on managing ex-US clinical trial budgets, contracts, and financial operations across an international research site network. The position involves collaboration with clinical operations, legal, finance, and site leadership to support study startup, sponsor negotiations, and operational readiness in global markets. 🗂️ Requirements: Bachelor's degree in Business, Finance, Healthcare Administration, Life Sciences, or related field, 5+ years of experience in clinical trial budgeting, contracting, or clinical research finance, Experience with ex-US clinical trial budget negotiations, Experience negotiating budgets and contracts with sponsors, CROs, and international research sites, Knowledge of clinical trial operations and study startup processes, Ability to work starting at 6:00AM ET to support European time zones, Strong analytical, negotiation, and communication skills, Ability to manage multiple priorities in a fast-paced global environment 📃 Skills: Finance, Budgeting, Contracting, ClinicalResearch, Negotiation, Pricing, Invoicing, Procurement, Compliance, Analysis 🏢 Description: Iterative Health is seeking a Research Budget Specialist - Ex-US to manage global clinical trial budgeting, contracting, and financial performance across international research sites. Where You'll Drive Impact - Manage the development, negotiation, and execution of clinical trial budgets, Clinical Trial Agreements (CTAs), amendments, and related study agreements across a global network of research sites, with a primary focus on ex-US markets. - Develop and maintain standardized budgeting methodologies, negotiation tools, and country-specific rate cards. - Prepare sponsor budget estimates, feasibility assessments, and pricing analyses to support new study opportunities and partnerships. - Partner with Clinical Operations and site leadership to support study startup, activation metrics, and operational readiness. - Collaborate with post-award teams to ensure accurate invoicing and adherence to contractual payment terms. - Coordinate with Legal and Procurement teams to support contract compliance and operational efficiency. - Perform related duties as requested. What You Bring to the Team - Bachelor's degree in Business, Finance, Healthcare Administration, Life Sciences, or a related field. - 5+ years of experience in clinical trial budgeting, contracting, clinical research finance, or related research administration, including exposure to ex-US budget negotiations. - Flexibility to work starting at 6:00AM ET to support partial coverage of European time zones. - Experience negotiating clinical trial budgets and contracts with sponsors, CROs, and international research sites. - Working knowledge of clinical trial operations, study startup processes, and research financial management. - Strong analytical, negotiation, and communication skills. - Ability to manage multiple priorities and competing deadlines in a fast-paced, global environment. Preferred Qualifications - Experience with Polish clinical trial budgets or familiarity with Central/Eastern European research market rates and contracting norms. - Background in healthcare technology, biotech, or a multi-site clinical research network. How We Work - Collaborative and low-ego team environment - High ownership and accountability culture - Fast-paced and highly iterative growth environment - Open communication and continuous learning mindset - Mission-driven organization focused on improving patient outcomes - Comfortable navigating evolving business priorities and opportunities Benefits That Support You - Hybrid work environment with in-office collaboration two days per week in either the NYC or Boston office. - Comprehensive medical, dental, and vision coverage, with up to 80% of premiums covered. - Mental health and wellness support through Spring Health. - Health HSA or FSA options, and commuter FSA contributions. - Unlimited PTO, 12 company holidays, and a company-wide shutdown between Christmas and New Years. - 401(k) program with a company match of up to 3%. - Weekly in-office lunch benefit every Tuesday. - 100% company-paid short-term and long-term disability coverage. - Annual wellness and professional development stipend. - Additional employee benefits provided.

🏢 Summary: Staff Accountant role supporting day-to-day accounting operations, month-end and year-end close, and financial reporting within a healthcare technology environment. The position involves working with NetSuite and a Clinical Trial Management System (CTMS) to manage financial data, sponsor payments, and reconciliations. It offers a hybrid work model and comprehensive benefits while contributing to financial compliance and operational efficiency. 🗂️ Requirements: Bachelor's degree in Accounting, Finance, or related field, 2–3 years of accounting experience, Proficiency in NetSuite ERP, Experience with general ledger and account reconciliations, Experience with cash transactions and bank reconciliations, Strong Microsoft Excel skills (pivot tables, VLOOKUP), Experience with expense reports and credit card expenditure analysis 📃 Skills: NetSuite, CTMS, Excel, ERP, GeneralLedger, Reconciliations, VLOOKUP, PivotTables, SOX 🏢 Description: The Staff Accountant plays a key role in ensuring the accuracy and efficiency of financial operations. Reporting to the Director of Accounting, this role supports day-to-day accounting functions, month-end and year-end close processes, and financial reporting across the organization. The position requires collaboration with cross-functional teams and contributes to financial compliance and operational excellence initiatives. Quick Facts - Hybrid work environment with in-office collaboration two days per week in either NYC or Boston office - Comprehensive medical, dental, and vision coverage with up to 80% of premiums covered - Mental health and wellness support - Health HSA or FSA options and commuter FSA contributions - Unlimited PTO, 12 company holidays, and company-wide shutdown between Christmas and New Year - 401(k) program with company match up to 3% - Weekly in-office lunch benefit - 100% company-paid short-term and long-term disability coverage - Annual wellness and professional development stipend Where You'll Drive Impact Accounting & Financial Operations - Handle day-to-day accounting duties including bank transactions and cash applications - Prepare journal entries and account reconciliations accurately and on time - Assist with month-end and year-end close processes, including journal entries, accruals, and reconciliations - Utilize NetSuite for accounting operations, reporting, and general ledger activities - Support external audits by preparing documentation and schedules - Learn and use the Clinical Trial Management System (CTMS) to support research financial operations - Post sponsor study payments within the research CTMS - Ensure accuracy and quality control of financial data collection for clinical research trials in CTMS - Collaborate with research operations and site network teams on financial reporting tied to clinical trial activity - Support cost analysis initiatives and cross-functional financial reporting - Maintain information files and process administrative paperwork - Identify and implement process improvements across accounting workflows What You Bring to the Team - Bachelor's degree in Accounting, Finance, or related field; CPA or progress toward CPA preferred - 2–3 years of accounting experience - Proficiency in NetSuite ERP for general ledger and reporting - Experience with cash transactions and bank reconciliations - Familiarity with expense reports and credit card expenditure analysis - Strong knowledge of Microsoft Excel, including pivot tables and VLOOKUP - Strong analytical and problem-solving skills - Ability to work independently and collaboratively in a fast-paced environment Preferred Qualifications - Experience in healthcare, biotech, or healthcare technology industry - Familiarity with clinical research operations or sponsor payment workflows - Experience supporting external audits or SOX compliance activities - Exposure to multi-entity or intercompany accounting environments

🏢 Summary: The Senior People Operations Specialist role focuses on scaling and optimizing People Operations infrastructure, including benefits administration, HRIS management, leave processes, and people analytics in a high-growth healthcare technology environment. The position emphasizes process improvement, automation, AI-enabled solutions, and compliance while supporting the full employee lifecycle. This role combines operational execution with data-driven decision-making to enhance employee experience and organizational efficiency. 🗂️ Requirements: 5+ years of experience in benefits administration, HRIS management, leave administration, or People Operations, Strong knowledge of employee benefits programs, retirement administration, and leave management, Experience administering FMLA, ADA, COBRA, disability, and state leave programs, Hands-on experience with HRIS platforms (ADP, Rippling, UKG and/or Paylocity), Experience managing employee data, workflows, and HR systems configurations, Experience supporting HR compliance, audits, and regulatory reporting (EEO-1, unemployment claims, workers’ compensation), Ability to manage sensitive and confidential employee information 📃 Skills: HRIS, ADP, Rippling, UKG, Paylocity, FMLA, ADA, COBRA, EEO-1, Analytics, AI, Reporting, Compliance, DataGovernance, Automation 🏢 Description: Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes. We built a leading performance-driven network of 100+ sites across the US, Europe, India, and Australia, conducting research directly in the communities where care is delivered across gastrointestinal, hepatology, obesity, and cardiology. By combining deep clinical trial expertise with cutting-edge AI, we connect sponsors' scientific ambitions with high-performing research teams that expedite and expand access to novel therapeutics for patients in need. The Senior People Operations Specialist is a critical individual contributor responsible for helping scale and optimize the infrastructure that supports the employee experience. This role serves as a subject matter expert in benefits administration, leave management, HR systems, people analytics, compliance, and operational excellence. This is an opportunity for someone who enjoys building, improving, and modernizing People Operations processes in a high-growth environment. The ideal candidate is equally comfortable supporting employees, leveraging data to drive decisions, and identifying opportunities to streamline and automate workflows. Over the next year, this person will play a key role in helping modernize our People infrastructure through process optimization, automation, AI-enabled solutions, and the implementation of new benefits, tools and technologies. Quick Facts Hybrid work environment with in-office collaboration two days per week in either NYC or Boston office New York pay range: $90,000—$130,000 USD Where You'll Drive Impact Benefits & Leave Administration - Administer employee benefit programs, including medical, dental, vision, life insurance, disability, retirement, wellness, and voluntary benefits. - Serve as the primary point of contact for employee benefits inquiries and issue resolution. - Manage benefit enrollments, qualifying life events, terminations, and annual open enrollment processes, partnering with brokers, vendors, and HRIS providers. - Support benefit administration, audits, benchmarking, vendor evaluations, and program enhancements. - Serve as a resource for employees and managers throughout the leave process. - Partner with third-party leave administrators, HR Business Partners, managers, and payroll to support leave administration and ensure compliance. HRIS Management & Employee Lifecycle - Serve as the primary administrator for the company’s HRIS, ensuring employee data accuracy and security. - Configure and support system workflows, business processes, security roles, reporting, and integrations. - Manage employee lifecycle transactions, including hires, transfers, promotions, compensation changes, and terminations. - Support onboarding and offboarding processes and coordinate with payroll, finance, and vendors. - Develop and maintain process documentation, data governance standards, and system procedures. - Maintain employee records, including I-9s, licenses, certifications, and required documentation. People Analytics, Compliance & Reporting - Develop and maintain People metrics, dashboards, and reporting on headcount, hiring, retention, turnover, engagement, and leave utilization. - Leverage HR technology, AI, and analytics tools to improve reporting capabilities and support data-driven decision-making. - Support workforce planning, reporting, and strategic initiatives. - Support HR compliance activities and regulatory reporting, including EEO-1 reporting, unemployment claims, workers’ compensation, and compensation reporting. - Assist with employee compliance programs, handbook administration, policy updates, training programs, and compliance communications. - Maintain compliant employee records and support I-9 administration and documentation reviews. - Monitor regulatory changes and update policies, processes, and communications to ensure compliance. - Identify opportunities to improve processes and leverage AI and automation. What You Bring to the Team - 5+ years of experience in benefits administration, HRIS management, leave administration, or People Operations. - Strong knowledge of employee benefits programs, retirement administration, and leave management. - Experience administering FMLA, ADA, COBRA, disability, and state leave programs. - Experience working within HRIS platforms such as ADP, Rippling, UKG, and/or Paylocity. - Strong organizational skills and attention to detail. - Ability to manage multiple priorities in a fast-paced environment. - Strong communication and interpersonal skills. - Ability to handle sensitive and confidential information with professionalism. - Proactive and process improvement focused approach. Benefits That Support You - Hybrid work environment with in-office collaboration two days per week. - Comprehensive medical, dental, and vision coverage, with up to 80% of premiums covered. - Mental health and wellness support. - HSA or FSA options and commuter FSA contributions. - Unlimited PTO, 12 company holidays, and company-wide shutdown between Christmas and New Year’s. - 401(k) program with company match up to 3%. - Weekly in-office lunch benefit. - 100% company-paid short-term and long-term disability coverage. - Annual wellness and professional development stipend. - And more.

🏢 Summary: Fully remote Accounts Receivable Specialist role focused on end-to-end medical billing and revenue cycle management within the DME sector. The position involves owning claims submission, AR follow-up, denials and appeals, patient billing support, and helping build scalable billing processes in a growing commercialization-stage environment. This role combines hands-on reimbursement operations with system optimization and SOP development to support efficient, compliant revenue workflows. 🗂️ Requirements: 3–5+ years of medical billing and Revenue Cycle Management experience, Experience within Durable Medical Equipment (DME) or HME industry, Knowledge of monthly rental billing and capped rental workflows, Strong understanding of HCPCS codes and ICD-10 coding, Experience with CMNs and Prior Authorizations, Experience submitting electronic and paper claims to Medicare, Medicaid, and private payers, Ability to manage denials, appeals, and AR follow-up, Proficiency in billing systems and payer portals, Eligibility to work in the United States without visa sponsorship 📃 Skills: RCM, DME, HCPCS, ICD-10, CMN, PriorAuthorization, Medicare, Medicaid, Niko, BrightTree, CRM, Availity, ERAs, EOBs 🏢 Description: SUMMARY OF ROLE: Element Science is seeking an Accounts Receivable Specialist to join our growing Revenue Cycle Management team. This is a fully remote position, with a preference for candidates located in the Central Time Zone to support cross-functional collaboration and operational coverage. This is more than a billing role; it is an opportunity to help build a critical function from the ground up. As Element Science continues to scale following commercialization of our innovative cardiac care technology, we are looking for a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems. In this role, you will own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that will support a world-class reimbursement and billing operation. You will work closely with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to the development of scalable best practices. RESPONSIBILITIES: Full-Cycle Insurance Billing & AR Management Claims Submission: Prepare and submit clean electronic and paper claims to various payers (Medicare, Medicaid, and Private Insurance). AR Follow-up: Monitor and aggressively pursue unpaid claims. Denials & Appeals: Investigate claim denials, gather necessary medical documentation, and draft persuasive appeals to secure reimbursement. Payment Posting: Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments. Patient Account Management & Advocacy Statement Generation: Oversee the monthly patient billing cycle and ensure statements are accurate and easy to understand. Patient Support: Act as the primary point of contact for inbound calls regarding billing inquiries, insurance coverage, and payment processing. Financial Assistance: Review and process patient financial assistance applications, ensuring compliance with company policy and compassionate communication with those in need. Process Building & Strategic Insight SOP Development: Help create and document standard operating procedures (SOPs) for the billing department. Key Learnings: Identify trends in denials or payer behavior and provide feedback to the clinical and sales teams to improve documentation quality at the source. System Optimization: Assist in refining our billing software workflows to increase efficiency and reduce "days in AR." QUALIFICATIONS: Experience: 3–5+ years of experience in medical billing and RCM, specifically within the Durable Medical Equipment (DME) or HME industry. Rental Knowledge: Familiarity with the unique complexities of monthly rental billing, capped rentals, and equipment return workflows. Payer Expertise: Strong understanding of HCPCS codes, ICD-10 coding, CMNs (Certificates of Medical Necessity), and Prior Authorizations. The "Startup" Mindset: You are comfortable with ambiguity and help build processes where none exist. Communication: Exceptional phone etiquette and the ability to explain complex insurance concepts to patients with empathy and clarity. Tech Savvy: Proficiency in Billing Systems (Niko Health or BrightTree a plus), CRM, and payer portals such as Availity. BENEFITS: Stock Options 90% employer-paid medical, dental, and vision insurance Company-paid Basic Life Insurance 401(k) retirement plan (Traditional and Roth) Competitive Paid Time Off Paid Holidays FSA (Flexible Spending Accounts) HSA (Health Savings Account) Employee Assistance Program through PEO The anticipated salary for this exempt position will be commensurate with experience, qualifications, and market factors and will be aligned with the established compensation range for the role. Element Science is an Equal Opportunity Employer. All candidates will be evaluated on the basis of their qualifications for the job in question. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and complete the required employment eligibility verification form upon hire. We are not able to sponsor individuals for employment visas for this job. At this time, relocation assistance is not offered.

🏢 Summary: Fully remote Accounts Receivable Specialist role focused on end-to-end medical billing and revenue cycle management within the DME/HME space. The position owns claims submission, AR follow-up, denials and appeals, and payment posting while helping build scalable billing processes during early commercialization. This role combines hands-on reimbursement operations with system optimization and cross-functional collaboration. 🗂️ Requirements: 3–5+ years medical billing and RCM experience, Experience in DME or HME industry, Knowledge of monthly rental billing and capped rentals, Understanding of HCPCS and ICD-10 coding, Experience with CMNs and Prior Authorizations, Ability to manage full-cycle insurance claims and AR follow-up, Proficiency in billing systems (Niko Health or BrightTree preferred), Experience with CRM systems and payer portals (e.g., Availity) 📃 Skills: RCM, DME, HME, HCPCS, ICD-10, CMN, PriorAuthorizations, Medicare, Medicaid, Availity, NikoHealth, BrightTree, CRM 🏢 Description: SUMMARY OF ROLE: Element Science is seeking an Accounts Receivable Specialist to join our growing Revenue Cycle Management team. This is a fully remote position, with a preference for candidates located in the Central Time Zone to support cross-functional collaboration and operational coverage. This is more than a billing role, it's an opportunity to help build a critical function from the ground up. As Element Science continues to scale following commercialization of our innovative cardiac care technology, we're looking for a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems. In this role, you'll own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that will support a world-class reimbursement and billing operation. You'll work closely with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to the development of scalable best practices. RESPONSIBILITIES: Full-Cycle Insurance Billing & AR Management - Claims Submission: Prepare and submit clean electronic and paper claims to various payers (Medicare, Medicaid, and Private Insurance). - AR Follow-up: Monitor and aggressively pursue unpaid claims. - Denials & Appeals: Investigate claim denials, gather necessary medical documentation, and draft persuasive appeals to secure reimbursement. - Payment Posting: Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments. Patient Account Management & Advocacy - Statement Generation: Oversee the monthly patient billing cycle and ensure statements are accurate and easy to understand. - Patient Support: Act as the primary point of contact for inbound calls regarding billing inquiries, insurance coverage, and payment processing. - Financial Assistance: Review and process patient financial assistance applications, ensuring compliance with company policy and compassionate communication with those in need. Process Building & Strategic Insight - SOP Development: Help create and document standard operating procedures (SOPs) for the billing department. - Key Learnings: Identify trends in denials or payer behavior and provide feedback to the clinical and sales teams to improve documentation quality at the source. - System Optimization: Assist in refining our billing software workflows to increase efficiency and reduce "days in AR." QUALIFICATIONS: - Experience: 3–5+ years of experience in medical billing and RCM, specifically within the Durable Medical Equipment (DME) or HME industry. - Rental Knowledge: Familiarity with the unique complexities of monthly rental billing, capped rentals, and equipment return workflows. - Payer Expertise: Strong understanding of HCPCS codes, ICD-10 coding, CMNs (Certificates of Medical Necessity), and Prior Authorizations. - The "Startup" Mindset: You are comfortable with ambiguity. You don't just wait for a manual; you help write it. - Communication: Exceptional phone etiquette and the ability to explain complex insurance concepts to patients with empathy and clarity. - Tech Savvy: Proficiency in Billing Systems (Niko Health or BrightTree a plus), CRM, and Payer Portals such as Availity. BENEFITS: Element Science offers a very competitive salary and benefits package including, but not limited to: - Stock Options - 90% employer-paid medical, dental, and vision insurance - Company-paid Basic Life Insurance - 401(k) retirement plan (Traditional and Roth) - Competitive Paid Time Off - Paid Holidays - FSA (Flexible Spending Accounts) - HSA (Health Savings Account) - Employee Assistance Program through PEO The anticipated salary for this exempt position will be commensurate with experience, qualifications, and market factors and will be aligned with the established compensation range for the role. Element Science is an Equal Opportunity Employer. All candidates will be evaluated on the basis of their qualifications for the job in question. We do not base our employment decision on an employee's or applicant's race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors prohibited by local, state, or federal law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. We are not able to sponsor individuals for employment visas for this job. At this time, we are unable to offer relocation assistance at Element Science.

🏢 Summary: Fully remote Accounts Receivable Specialist role focused on full-cycle medical billing and revenue cycle management within the DME/HME industry. The position owns claims submission, AR follow-up, denials and appeals, payment posting, and patient billing support while helping build scalable billing processes. Ideal for an experienced medical billing professional who thrives in a fast-growing environment and can optimize reimbursement operations. 🗂️ Requirements: 3–5+ years medical billing and Revenue Cycle Management experience, Experience in DME or HME industry, Knowledge of monthly rental billing and capped rentals, Strong understanding of HCPCS codes, Strong understanding of ICD-10 coding, Experience with CMNs and Prior Authorizations, Experience with electronic and paper claims submission, Ability to manage denials and appeals, Proficiency in billing systems, Proficiency in CRM systems, Experience with payer portals (e.g., Availity) 📃 Skills: HCPCS, ICD-10, CMN, PriorAuthorization, Medicare, Medicaid, DME, HME, NikoHealth, BrightTree, CRM, Availity, ERAs, EOBs 🏢 Description: Element Science is seeking an Accounts Receivable Specialist to join our growing Revenue Cycle Management team. This is a fully remote position, with a preference for candidates located in the Central Time Zone to support cross-functional collaboration and operational coverage. SUMMARY OF ROLE: This is more than a billing role, it's an opportunity to help build a critical function from the ground up. As Element Science continues to scale following commercialization of our innovative cardiac care technology, we're looking for a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems. In this role, you'll own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that will support a world-class reimbursement and billing operation. You'll work closely with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to the development of scalable best practices. RESPONSIBILITIES: Full-Cycle Insurance Billing & AR Management Claims Submission: Prepare and submit clean electronic and paper claims to various payers (Medicare, Medicaid, and Private Insurance). AR Follow-up: Monitor and aggressively pursue unpaid claims. Denials & Appeals: Investigate claim denials, gather necessary medical documentation, and draft persuasive appeals to secure reimbursement. Payment Posting: Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments. Patient Account Management & Advocacy Statement Generation: Oversee the monthly patient billing cycle and ensure statements are accurate and easy to understand. Patient Support: Act as the primary point of contact for inbound calls regarding billing inquiries, insurance coverage, and payment processing. Financial Assistance: Review and process patient financial assistance applications, ensuring compliance with company policy and compassionate communication with those in need. Process Building & Strategic Insight SOP Development: Help create and document standard operating procedures (SOPs) for the billing department. Key Learnings: Identify trends in denials or payer behavior and provide feedback to the clinical and sales teams to improve documentation quality at the source. System Optimization: Assist in refining our billing software workflows to increase efficiency and reduce "days in AR." QUALIFICATIONS: Experience: 3–5+ years of experience in medical billing and RCM, specifically within the Durable Medical Equipment (DME) or HME industry. Rental Knowledge: Familiarity with the unique complexities of monthly rental billing, capped rentals, and equipment return workflows. Payer Expertise: Strong understanding of HCPCS codes, ICD-10 coding, CMNs (Certificates of Medical Necessity), and Prior Authorizations. The "Startup" Mindset: You are comfortable with ambiguity. You don't just wait for a manual; you help write it. Communication: Exceptional phone etiquette and the ability to explain complex insurance concepts to patients with empathy and clarity. Tech Savvy: Proficiency in Billing Systems (Niko Health or BrightTree a plus), CRM, and Payer Portals such as Availity BENEFITS: Stock Options 90% employer-paid medical, dental, and vision insurance Company-paid Basic Life Insurance 401(k) retirement plan (Traditional and Roth) Competitive Paid Time Off Paid Holidays FSA (Flexible Spending Accounts) HSA (Health Savings Account) Employee Assistance Program through PEO The anticipated salary for this exempt position will be commensurate with experience, qualifications, and market factors and will be aligned with the established compensation range for the role. Element Science is an Equal Opportunity Employer. All candidates will be evaluated on the basis of their qualifications for the job in question. We do not base our employment decision on an employee's or applicant's race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors prohibited by local, state, or federal law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. We are not able to sponsor individuals for employment visas for this job. At this time, we are unable to offer relocation assistance.

🏢 Summary: Fully remote Accounts Receivable Specialist role focused on end-to-end medical billing and revenue cycle management for a cardiac medical device company. The position owns claims submission, AR follow-up, denials and appeals, payment posting, and patient billing while helping build scalable billing processes. Ideal for an experienced DME billing professional comfortable with payer regulations, coding standards, and billing systems in a high-growth environment. 🗂️ Requirements: 3–5+ years medical billing and RCM experience, Experience in DME or HME industry, Knowledge of monthly rental billing and capped rentals, Understanding of HCPCS and ICD-10 coding, Experience with CMNs and prior authorizations, Ability to manage full-cycle insurance billing and AR, Proficiency in billing systems and payer portals, Eligibility to work in the United States 📃 Skills: HCPCS, ICD-10, CMN, RCM, DME, HME, Niko, BrightTree, CRM, Availity, Medicare, Medicaid 🏢 Description: SUMMARY OF ROLE: Element Science is seeking an Accounts Receivable Specialist to join our growing Revenue Cycle Management team. This is a fully remote position, with a preference for candidates located in the Central Time Zone to support cross-functional collaboration and operational coverage. This is more than a billing role; it is an opportunity to help build a critical function from the ground up. As Element Science continues to scale following commercialization of our innovative cardiac care technology, we are looking for a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems. In this role, you will own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that will support a world-class reimbursement and billing operation. You will work closely with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to the development of scalable best practices. RESPONSIBILITIES: Full-Cycle Insurance Billing & AR Management Claims Submission: Prepare and submit clean electronic and paper claims to various payers (Medicare, Medicaid, and Private Insurance). AR Follow-up: Monitor and aggressively pursue unpaid claims. Denials & Appeals: Investigate claim denials, gather necessary medical documentation, and draft persuasive appeals to secure reimbursement. Payment Posting: Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments. Patient Account Management & Advocacy Statement Generation: Oversee the monthly patient billing cycle and ensure statements are accurate and easy to understand. Patient Support: Act as the primary point of contact for inbound calls regarding billing inquiries, insurance coverage, and payment processing. Financial Assistance: Review and process patient financial assistance applications, ensuring compliance with company policy and compassionate communication with those in need. Process Building & Strategic Insight SOP Development: Help create and document standard operating procedures (SOPs) for the billing department. Key Learnings: Identify trends in denials or payer behavior and provide feedback to the clinical and sales teams to improve documentation quality at the source. System Optimization: Assist in refining our billing software workflows to increase efficiency and reduce days in AR. QUALIFICATIONS: Experience: 3–5+ years of experience in medical billing and RCM, specifically within the Durable Medical Equipment (DME) or HME industry. Rental Knowledge: Familiarity with the unique complexities of monthly rental billing, capped rentals, and equipment return workflows. Payer Expertise: Strong understanding of HCPCS codes, ICD-10 coding, CMNs (Certificates of Medical Necessity), and Prior Authorizations. The Startup Mindset: Comfortable with ambiguity and able to help build processes. Communication: Exceptional phone etiquette and the ability to explain complex insurance concepts to patients with empathy and clarity. Tech Savvy: Proficiency in Billing Systems (Niko Health or BrightTree a plus), CRM, and Payer Portals such as Availity. BENEFITS: Stock Options 90% employer-paid medical, dental, and vision insurance Company-paid Basic Life Insurance 401(k) retirement plan (Traditional and Roth) Competitive Paid Time Off Paid Holidays FSA (Flexible Spending Accounts) HSA (Health Savings Account) Employee Assistance Program through PEO In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States. We are not able to sponsor individuals for employment visas for this job. At this time, we are unable to offer relocation assistance.

🏢 Summary: Client Success Manager role focused on onboarding, software implementation, client relationship management, and training for healthcare IT software products. The position requires collaboration with clients and internal teams to support integrations, software demos, and long-term account success in an on-site environment. 🗂️ Requirements: 4+ years customer relationship management experience, Ability to translate between IT and business stakeholders, Authorization to work in the U.S. without sponsorship, Strong verbal and email communication skills, Ability to multitask, prioritize, and manage time effectively, On-site availability in Carmel, IN five days a week 📃 Skills: Hubspot, Excel, Word, PowerPoint, SNOMED, LOINC, CPT, ICD-10-CM 🏢 Description: About the Position Clinical Architecture is seeking a Client Success Manager in the Indianapolis, IN area to create a positive experience for clients as they integrate software products. The primary objective of this role is to gain an in-depth understanding of clients' business needs and collaborate to ensure those needs are met through onboarding, software implementation, and training. This position involves learning the software and its capabilities while assisting clients with their initiatives and building long-term relationships. This role is based on-site at the Carmel, IN headquarters five days a week. Flexibility may be offered when needed to support work-life balance and uninterrupted business operations. Applicants must be authorized to work in the U.S. without sponsorship. Responsibilities - Provide a positive client experience by delivering excellent service and engaging with clients throughout the business relationship. - Understand clients' needs and use available resources to identify options and recommend alternatives. - Collaborate closely with the Sales team to support renewals and identify expansion opportunities. - Maintain working knowledge of assigned clients and software products and respond to inquiries efficiently and accurately. - Demonstrate software capabilities, address use cases, implement best practices, and identify system integration opportunities. Qualifications - 4+ years of proven customer relationship management experience required. - Proven ability to translate between IT and business stakeholders to ensure goals are achieved required. - 3+ years of experience in federal contracting and/or account management preferred. - 3+ years of experience in healthcare technology and/or healthcare terminology preferred. - Experience in Business, Informatics, Public Health, Healthcare Policy, or Administration preferred. - Proficiency with MS Word, MS Excel, MS PowerPoint, and familiarity with Hubspot preferred. - Previous project management, project coordination, or project administration experience preferred. - Strong verbal and written communication skills. - Highly motivated to learn new skills. - Ability to multitask, prioritize, and manage time effectively. Benefits - Opportunities for learning, development, and growth. - Experiences that connect employees with colleagues. - Laid-back work environment with thoughtful amenities. - Paid Volunteer Time, Paid Holidays, PTO, and winter break week for full-time team members. - Sabbatical opportunities for tenured team members. - Comprehensive Medical, Dental, Vision, and ancillary insurance options. - Maternity and Parental leave benefits. - Employer-paid short-term and long-term disability. - Health and wellness incentives. - 401k matching.