Revenue Cycle Compliance Manager

Job Summary

Seeking a detail-oriented Revenue Cycle Compliance Manager, this full-time remote position will manage multi-state telehealth and in-person claim submissions, ensure compliance with Medicare regulations, and optimize revenue cycle workflows to guarantee accurate and timely reimbursements.

Key responsibilities

• Stay updated on regulatory and compliance rules for Medicare and Medicare Advantage payers
• Track, analyze, and appeal payer claim denials to recover lost revenue and identify trends
• Monitor payer contract performance and audit for underpayments to ensure accurate reimbursement

Required qualifications

• Degree, certificate, or diploma in medical billing, health information management, or healthcare administration preferred
• Completion of a medical billing training program preferred; Certified Professional Biller (CPB) is a plus
• Deep expertise in Medicare and Medicare Advantage regulations surrounding telehealth practices
• Experience with revenue cycle workflows and claim submission processes
• Ability to manage multiple tasks and utilize digital tools for billing and record-keeping