---
title: 'Operations Specialist at Claim Health'
canonical: 'https://feeny.ai/job/operations-specialist-claim-health-new-york-qz62x0ds904z'
type: 'job'
last_seen: '2026-10-14'
---

# Operations Specialist at Claim Health

- **Company:** Claim Health
- **Location:** New York, NY
- **Employment:** full-time
- **Work type:** onsite
- **Posted:** 2026-09-18
- **Last confirmed live:** 2026-10-14
- **Apply:** https://jobs.ashbyhq.com/claim-health/45708cbf-2773-41a4-b17e-a21878a64ae2

## Job description

## About Claim Health

Claim Health is the AI Revenue Platform for Post-Acute Care. With the US population aging and preference for care moving to the home, post-acute care (home health, skilled nursing, home care, hospice) is one of the fastest growing verticals within healthcare. Post-acute providers operate across fragmented systems, manual workflows, and reactive processes that create operational drag and financial uncertainty. Claim Health replaces this fragmentation with an intelligent, software-driven platform that unifies data, automates execution, and enables real-time decision-making across revenue-critical operations. We're building an adaptive platform that brings clarity, predictability, and scale to environments where reliability matters.

## About the Role

We're hiring an Operations Specialist to own the accuracy of what our platform decides. Our automation runs the revenue cycle end to end for the majority of cases — referral intake, eligibility and benefits verification, prior authorization, notices of election, denials and appeals, and billing. You own the cases it can't, and you make sure the cases it can are right. This is a high-autonomy role spanning the full revenue cycle, not a single workflow. Thousands of referrals, authorizations, eligibility checks, and claims move through the platform every week, and a missed detail means a delayed start of care or unpaid work. You'll sit directly alongside the team building the automation — the edge cases you catch and the patterns you surface become the next version of the product. This role is open to recent graduates. Healthcare experience is a plus, not a requirement.

## What You'll Do

Own the Exception Queue

- Work a live queue containing edge cases for intake, eligibility, authorization, notices, and claims — resolving each case against payer, state, and agency requirements when no automation covers them
- Meet turnaround expectations on time-sensitive work where a few minutes delay means delayed care or a missed filing window

Audit Quality and Accuracy

- Review automation outputs for accuracy, consistency, and compliance before they reach the agency or the payer
- Catch errors upstream — a wrong payer, a missing face-to-face, a misread document, a coverage gap — rather than discovering them as denials
- Tag every exception with a clear cause so recurring failures become visible instead of absorbed

Denials, Appeals, and Revenue Recovery

- Investigate denied and underpaid claims, determine root cause, and work the appeal through to resolution
- Trace denials back to their origin — an eligibility miss at intake, a missing authorization, a coding or documentation gap — and close the upstream hole
- Track denial patterns by payer and agency and flag the ones worth automating against

Turn Edge Cases Into Automation

- Configure rules, mappings, coverage logic, and thresholds in internal tooling so solved problems stay solved
- Document findings and write escalations with enough detail that engineering can act on them
- Track patterns across payers, states, and EMRs and bring them to the team as automation candidates

Cross-Functional Execution

- Partner with product and engineering to refine the logic powering intake, eligibility, authorization, and billing workflows
- Build fluency across payers, plan types, and EMRs as you work an increasingly wide range of cases
- Serve as the feedback loop between what actually happens in the queue and what gets built next

## What We're Looking For

- 0–2 years of experience; recent graduates encouraged to apply
- Comfort making a judgment call on an unfamiliar case with no playbook — and the instinct to write the playbook afterward
- Exceptional attention to detail. Revenue cycle work is unforgiving of small errors
- Clear, concise written communication; you'll document causes and write escalations daily
- Fast at picking up new software. You'll learn several EMRs and a long list of payer portals
- Ability to thrive in fast-paced, ambiguous environments
- High ownership mentality and bias toward action

Optional Nice to Haves

- A healthcare-related degree — nursing, health administration, public health, health information management
- A clinical background or license: LPN, LVN, RN, MA, or paramedic. If you've worked a floor and want out of shift work without leaving healthcare, this is a real path
- Experience with healthcare operations, claims, billing, eligibility, denials and appeals, utilization management, or revenue cycle workflows
- Familiarity with EMRs like HCHB, KanTime, WellSky, or Axxess
- Comfort working with data and tools such as SQL, Excel/Google Sheets, Airtable, Notion, or internal dashboards
- A habit of automating your own work — scripts, spreadsheets, whatever you built to stop doing something twice

## Why Join Claim Health

- Real impact: Your work affects mission-critical operations and financial outcomes
- Ownership: Meaningful equity and influence over the platform's direction
- Hard problems: Complex systems, real constraints, no toy use cases
- Speed: Small team, fast feedback loops, high leverage work. We have a bias towards moving as fast as possible.
- Culture: Low ego, high standards, deep respect for craft
- Fun: One of the most important things we screen for is can you laugh with us.

## About Claim Health

## Company Overview
- **One-liner**: Claim Health is an AI revenue platform for post-acute care that automates revenue operations end-to-end — from referral intake through cash resolution.
- **Entity Type**: Private (YC Spring 2025 batch, seed-stage startup)
- **Headquarters**: New York, New York, United States
- **Founded**: 2025
- **Founders**: Kevin Calcado (Co-Founder & CEO) and Jayen Ram (Co-Founder)

## Core Business
- **Primary industry**: Healthcare IT / Revenue Cycle Management (RCM) for post-acute care (home health, hospice, home-based care)
- **Target customers**: B2B, serving home-based care agencies, operators, and billing teams
- **Mission/purpose**: Build the operational infrastructure home-based care deserves — preventing revenue leakage, automating administrative burden, and giving teams real-time visibility so they can focus on delivering care.

## Products & Services
All offerings are AI-powered SaaS modules on a single platform:
- **[Authorization Autopilot](https://www.claimhealth.com/)**: Automates prior authorizations from submission through renewal, continuously tracking approvals and alerting teams only to exceptions.
- **[Smart Intake](https://www.claimhealth.com/)**: Centralizes referrals from fax, email, and portals; automatically extracts data, verifies eligibility, and routes accepted cases.
- **[Billing Operations](https://www.claimhealth.com/)**: Post-submission workflows including payment posting, reconciliation, denial handling, and prioritized follow-up.
- **[Revenue Assurance](https://www.claimhealth.com/)**: Identifies upstream data, documentation, and coverage risk inside the EMR before claims are submitted.
- **[Platform Intelligence](https://www.claimhealth.com/)**: Real-time, end-to-end dashboard showing revenue risk, performance, and impact across the entire organization.

## Market Standing
- **Valuation**: Not disclosed
- **Total Funding**: $5,025,000 across three rounds (seed rounds)
  - Seed Round (May 2025): $125,000 from Y Combinator
  - Pre-Seed Round (July 2025): $500,000 led by Y Combinator
  - Seed Round (January 2026): $4,400,000 led by Maverick Ventures; other investors include Peak XV Partners, DHVP, and Y Combinator
- **Notable Investors/Partners**: Y Combinator, Maverick Ventures, Peak XV Partners, DHVP; partners with national home care associations
- **Growth Signals**: Headcount grew 350% YoY to 9 employees (as of mid-2026); active job postings up 150% quarterly; early customers report measurable results (3% EBITDA lift, 15% reduction in manual hours, 80% of claims auto-processed)

## Competitive Advantages
- **Niche focus** on post-acute care (a $400B market with $20B+ annual revenue leakage due to broken infrastructure)
- **End-to-end automation** — from intake through cash resolution, not just a point solution
- **Proven early traction** with real‑world metrics (e.g., turned a 3‑day billing process into 2 hours, found six figures in lost revenue)
- **Strong investor backing** from Y Combinator, Maverick Ventures, and other top-tier VCs
- **Enterprise‑grade security** (HIPAA compliant, SOC 2 certified)

## Strategic Focus
- Continue expanding platform capabilities to cover the full revenue cycle for home‑based care
- Reduce manual intervention further — aiming for “medical billing as a one‑click process”
- Enable agencies to scale without adding headcount through AI-driven automation and real‑time revenue risk detection

## Why Work Here
- **Mission‑driven**: The company is building critical infrastructure for an underserved but vital part of healthcare — home‑based care
- **Early‑stage impact**: With only 6–9 people (YC batch size), new hires can shape product, culture, and engineering decisions from the ground up
- **Location & flexibility**: Based in New York, NY; job postings mention New York City and “any (new grads ok)” — likely hybrid or in‑office with some flexibility
- **Engineering culture**: Co‑founder Jayen Ram is a 4‑time startup engineer; the team values removing burden from healthcare workers through smart automation
- **Open roles** (as of mid‑2026): Full Stack Engineer, Deployment Specialist, Operations Associate, Visual Design Intern, Content Marketing Intern — offering roles across engineering, operations, and design
- **Compensation**: YC job listings indicate $150K–$220K for senior engineering and $70K–$100K for early‑career roles; equity likely included but not specified

## Sources
1. [claimhealth.com](https://www.claimhealth.com/)
2. [jobs.ashbyhq.com/claim-health](https://jobs.ashbyhq.com/claim-health)
3. [ycombinator.com/companies/claim-health](https://www.ycombinator.com/companies/claim-health)
4. [linkedin.com/company/claim-health](https://www.linkedin.com/company/claim-health)

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