Revenue Cycle Operations Manager

Job Summary

Seeking a hands-on Revenue Cycle Operations Manager, this full-time remote position will manage end-to-end claims and billing functions, focusing on claim submission, rejections, denials, and improving internal processes to ensure timely collections.

Key Responsibilities

• Own end-to-end claims and revenue-cycle operations, including claim readiness, submission, rejections, denials, appeals, and collections reporting across various payer programs
• Build and optimize payer- and program-specific billing workflows, ensuring scalable processes across internal systems and payer portals
• Drive cross-functional execution and accountability by collaborating with Operations, Partner Success, Clinical, Product, Data, and Finance teams to resolve issues and enhance workflow efficiency

Required Qualifications

• 7+ years of experience in medical billing, claims operations, or revenue-cycle management
• 3+ years of experience leading a significant portion of a revenue-cycle function
• Strong hands-on experience with claim submission, rejections, denials, and A/R management
• Experience working with Medicaid managed-care plans and complex payer requirements
• Demonstrated ability to configure and launch new payer or program billing workflows