Revenue Cycle Manager (Remote - Worldwide)
The posting does not state a country restriction, but the role works with US commercial, Medicare and Medicare Advantage receivables, so deep US healthcare billing knowledge is expected. A fast-growing healthcare company applying AI to modernize home health operations. This hands-on manager leads a team of revenue cycle specialists, stays close to daily work, and helps the team move outstanding accounts receivable from follow-up to verified resolution. The role combines team leadership with active problem-solving on claims, denials and collections.
What you'll do
- Lead and support revenue cycle specialists, tracking attendance and individual and team performance against KPIs and daily quotas.
- Monitor workflow boards through the day to catch backlogs, red flags and specialists at risk of missing end-of-day targets, and respond quickly to their questions.
- Guide prioritization of commercial, Medicare and Medicare Advantage receivables, including aged balances, denials, rejections and filing or appeal deadlines.
- Oversee claim follow-up to resolution, including reprocessing, reconsiderations and appeals under payer-specific rules, and review proposed write-offs for documented collection efforts.
- Review claim work for accurate denial interpretation, complete documentation and correct escalation, then coach specialists and update SOPs to prevent repeat issues.
- Work with billing, payment posting, prior authorization and clinical teams to resolve discrepancies and follow paid-but-not-posted claims.
What you need
- Strong experience in home health revenue cycle operations.
- Familiarity with Homecare Homebase (HCHB).
- Experience managing RCM specialists, including attendance and KPI tracking.
- Working knowledge of AR follow-up, denial investigation, appeals and payer-specific filing requirements.
- Ability to manage multiple priorities and respond promptly to team questions.
- Preferred: experience with offshore or distributed RCM teams, Medicare/Medicare Advantage home health claims including PDGM, and tools such as Waystar or Availity.
Open to applicants anywhere in the world.
How to apply
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