Revenue Cycle & Claims Operations Manager

Key Responsibilities:

• Own end-to-end claims and revenue-cycle operations, including claim readiness, submission, rejections, denials, appeals, payer follow-up, payment posting, reconciliation, aging, and collections reporting across Medicaid managed-care, commercial, and other payer programs.
• Build and optimize payer- and program-specific billing workflows, including claim configuration, test claims, provider and rendering setup, coding/modifier requirements, credentialing and linkage readiness, and scalable processes across internal systems, clearinghouses, and payer portals.
• Drive cross-functional execution and accountability by partnering with Operations, Partner Success, Clinical, Product, Data, and Finance to resolve missing data, improve handoffs, eliminate recurring workflow issues, and build a scalable RCM function.

Qualifications:

• 7+ years of experience in medical billing, claims operations, or revenue-cycle management.
• 3+ years of experience owning or leading a meaningful portion of a revenue-cycle function.
• Strong hands-on experience with claim submission, rejections, denials, appeals, payer follow-up, payment posting, and A/R management.

How We Invest In You:

• Generous company-funding of health, vision, and dental plans, plus HSA and FSA options.
• Unlimited PTO, 10 paid holidays, and a $1,000 stipend for work-from-home costs.
• 401k immediately upon hire, wellness stipend, and frequent team off-sites.