Software Product Owner, Revenue Cycle Management (RCM)

Product Owner, Revenue Cycle Management (RCM)

Job Title: Software Product Owner, Revenue Cycle Management (RCM)

Focus Area: Billing, Claims, and Payer Operations

Overview

The Software Product Owner acts as the bridge between business stakeholders and development teams, ensuring that our clinical and practice management software meets business goals and the specialized needs of ABA clinics and specialty schools. You will be responsible for defining and prioritizing the product backlog, designing useful and usable product features, shepherding the product from concept to release, and ensuring our product exceeds our customer’s expectations.

Who We’re Looking For

We are seeking a Revenue Cycle Management (RCM) expert to lead the development of our billing and claims components, ensuring our ABA clinics can accurately and efficiently bill for services, maximize cash flow, and minimize manual processing. You will oversee the end-to-end backlog related to eligibility verification, claims submission, payment posting, and denial management while integrating COTS AI solutions, 3rd party systems, and clearinghouse solutions to optimize accuracy. The ideal candidate has a deep understanding of ABA or therapy-specific billing and is passionate about optimizing RCM accuracy and speed.

Core Product Owner Responsibilities

• Define and maintain the product backlog, ensuring alignment with business objectives.

• Act as the voice of the customer, advocating for customer and user needs through data and empathy.

• Work closely with stakeholders to prioritize features and enhancements based on business value, customer impact, and technical feasibility.

• Work closely with stakeholders to gather and translate business requirements into user stories, designs, specifications, and acceptance criteria.

• Collaborate with development teams, ensuring clear communication of requirements and providing ongoing support throughout the entire SDLC.

• Define and track key performance indicators (KPIs) to measure product success.

• Lead the beta testing process for significant releases to validate feature readiness

• Coordinate product releases and maintain a high level of transparency with internal stakeholders regarding feature readiness, timelines, impact, and communication

• Work closely with Customer Success and Support teams to diagnose, prioritize, and resolve issues identified in the field

• Actively participate in the continuous improvement of internal product processes

• Keep up-to-date with market trends, competitor products, and industry best practices in the ABA space.

• Ensure that the final product meets quality standards and business needs.

Product Area Specific Responsibilities

• Includes all General Responsibilities listed above, plus:

• Work with the product manager to define and maintain the roadmap for all RCM components, including electronic claims submission (EDI), Electronic Remittance Advice (ERA), and patient billing workflows.

• Serve as the internal subject matter expert for ABA billing compliance, HIPAA regulations, and changes to payer rules that impact the product.

• Prioritize features that improve key performance indicators (KPIs) such as first-pass clean claim rates, days in accounts receivable, and denial rates.

• Design and optimize workflows for insurance eligibility checks, authorization tracking, and managing complex denial/appeal processes.

• Work with stakeholders to determine how COTS AI can be leveraged to automate and enhance key financial workflows, such as claims scrubbing, coding assistance, and predicting claim denial risk.

• Design and optimize AI-enhanced workflows to reduce manual steps in RCM processes.

• Work closely with billing and finance stakeholders to ensure accurate financial reporting and reconciliation within the product.

• Translate billing workflows into high-level requirements, collaborating closely with an offshore Business Analyst to refine them into detailed user stories and technical specifications.

Requirements

• 5+ years of experience as a Product Owner, Product Manager, Business Analyst, or similar role in software development.

• Strong understanding of Agile methodologies (Scrum/Kanban) and experience working in Agile teams.

• Ability to write clear and detailed design specifications, user stories, acceptance criteria, and documentation.

• Strong analytical skills with a data-driven approach to decision-making.

• Excellent communication and stakeholder management skills.

• Experience working with Jira or similar product management tools.

• Strong technical background (computer science, engineering, or similar).

• Ability to coordinate multi-national and offshore teams

Preferred Qualifications

• Deep understanding of the ABA, Speech Language Pathology (SLP), Occupational Therapy (OT) billing and RCM workflows

• Direct experience managing integrations with clearinghouses (e.g., OfficeAlly, Waystar, Availity, TriZetto)