Source Job

US Unlimited PTO

  • Own end-to-end claims and revenue-cycle operations, including claim submission, denials, appeals, and collections across Medicaid and commercial payers.
  • Build and optimize payer-specific billing workflows, including claim configuration, coding, and credentialing.
  • Drive cross-functional execution with Operations, Partner Success, and Finance to improve processes and achieve over $1M in monthly claims.

Medical Billing Revenue Cycle Management Claims Operations Medicaid Analytical Skills

20 jobs similar to Revenue Cycle & Claims Operations Manager

Jobs ranked by similarity.

US

  • Own the end-to-end revenue cycle, including claims, denials, appeals, and payment reconciliation.
  • Ensure accurate billing and compliance for Medicare and commercial payers.
  • Monitor KPIs, identify revenue opportunities, and reduce denials.

Medsien is a leading provider of scalable remote care management, enabling healthcare practices to enhance patient engagement and improve outcomes. They are a venture-backed company based in San Francisco, committed to innovation and collaboration.

US

  • Manage patient-facing and internal billing questions, including resolving denials and processing insurance verifications.
  • Work claims end-to-end with cross-functional stakeholders to ensure smooth billing experiences.
  • Support efforts to streamline existing processes by suggesting automation and maintaining reliable execution.

Nourish is an AI-native digital health system that matches patients with registered dietitians, physicians, and medications for insurance-covered metabolic health care. They have completed millions of appointments, tripled year-over-year, and partner with health plans covering 200M+ Americans, with a culture of high talent density and relentless resilience.

$24–$24/hr
US

  • Manage the complete revenue cycle for Wisconsin payors, including claim submission, denial resolution, and follow-up.
  • Investigate and resolve claim denials and payment discrepancies by collaborating with internal teams and payors.
  • Prepare weekly AR reports and support departmental KPIs to optimize reimbursement.

LEARN Behavioral is a national organization dedicated to nurturing children with autism and special needs through evidence-based applied behavior analysis. With 20 years of clinical insights, the company focuses on personalized treatment plans and is an Equal Opportunity Employer.

$150,000–$170,000/yr
US Unlimited PTO

  • Own the end-to-end collections process, maintaining high-accuracy forecasts and eliminating revenue leakage.
  • Build a high-discipline collections engine, standardizing recovery cadences to achieve best-in-class net collection rates.
  • Serve as the ultimate closer for complex billing disputes, negotiating with health plans and driving team KPIs.

Foodsmart is the leading Foodcare platform in the U.S., combining personalized nutrition care with food benefits to improve health outcomes. With over 3 million members and backed by a $200 million investment from TPG's Rise Fund, the company fosters a culture of customer focus, urgency, and collaboration.

$80,000–$100,000/yr
US Unlimited PTO

  • Manage and grow a team of RCM associates, handling hiring, training, and performance management.
  • Own daily execution of the revenue cycle, including claims, coding, denials, and A/R follow-up.
  • Track KPIs like clean claim rate and days in A/R, flagging trends and recommending improvements.

We are a venture-backed startup building the future of eye care with AI-powered software. We recently raised our Series A and are growing quickly with a passionate, remote team.

US 18w maternity 18w paternity

  • Own end-to-end RCM operational performance across eligibility, claim submission, follow-up, denials, contracts, and authorizations.
  • Assess and evolve team structure as the org scales, including span of control and role design.
  • Operationalize AI and automation tools across RCM workflows in partnership with Grow's Operations AI Center of Excellence.

Grow Therapy is a three-sided marketplace connecting therapists, patients, and insurance payors in mental healthcare. The company has raised over $328M, valued at $3B, and fosters a mission-driven, entrepreneurial culture with a team of go-getters.

Global

  • Manage charge entry, claim submission, and payment posting for assigned clients
  • Work first-pass denials and resubmit or appeal claims as appropriate
  • Monitor and report on denial rates and billing performance for your assigned accounts

Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. The company is an equal opportunity employer committed to diversity and inclusion.

US

  • Define and lead the overarching revenue cycle strategy, aligning with company growth objectives and market expansion.
  • Provide executive oversight of all revenue cycle functions including patient access, coding, billing, denials, and collections.
  • Drive cross-functional alignment with clinical, product, engineering, finance, and operations teams to ensure seamless end-to-end revenue workflows.

General Medicine is building a healthcare store that makes it radically simpler and more transparent for people to access care. We are a growing virtual medical practice focused on innovation and scalability, serving patients across multiple states.

US 6w PTO

  • Complete billing tasks daily and monitor assigned accounts to minimize write offs.
  • Submit clean claims to insurance companies electronically or by paper according to guidelines.
  • Research, correct, and resubmit rejected and denied claims, and prepare appeals.

Enhabit Home Health & Hospice provides home health and hospice services. It is a large corporate agency with a focus on employee growth and competitive benefits.

US 5w PTO 12w maternity 12w paternity

  • Manage and resolve claims rejections and denials, escalating trends as identified.
  • Verify patient eligibility and benefits, and coordinate with insurance payers.
  • Maintain compliance with HIPAA regulations and meet productivity standards.

Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care for addiction. They are a growing company with a dedicated team passionate about making judgment-free care accessible.

US

  • Manage insurance follow-up and accounts receivable resolution for assigned accounts.
  • Handle patient billing inquiries and review Explanation of Benefits (EOBs) for accurate resolution.
  • Identify trends and recommend process improvements to reduce denials and improve revenue flow.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. We focus on efficient and fair recruitment processes, leveraging technology to streamline applications while supporting a collaborative and growth-oriented culture.

US

  • Verify patient eligibility and analyze Medicaid claim payments to ensure proper reimbursement.
  • Review UB-04 billing components and prepare initial Medicaid bill packets with supporting documentation.
  • Conduct timely follow-up with payers, manage authorizations, and appeal denials as needed.

EnableComp provides specialty revenue cycle management solutions for healthcare organizations, using intelligent automation to improve financial sustainability for hospitals and health systems. Recognized as a Top Workplaces recipient and among the Inc. 5000 fastest-growing private companies for eleven years, the company fosters a family-oriented culture focused on employee growth.

$47,000–$52,000/yr
US Unlimited PTO

  • Manage insurance accounts receivable to ensure timely reimbursement and reduce aging balances.
  • Follow up with payers on outstanding claims, denials, and underpayments, resolving discrepancies.
  • Post payments, reconcile ERAs/EOBs, and support revenue cycle reporting and process improvements.

Oshi Health is a virtual digestive health practice on a mission to transform GI care. They combine compassionate, multidisciplinary care with innovative technology in a remote-first, mission-driven environment.

Philippines

  • Own the full revenue cycle for a behavioral health practice, including charge entry, claim submission, payment posting, denial management, and collections.
  • Serve as the primary contact for patients and insurance payers, providing compassionate customer service and resolving billing concerns.
  • Prepare and present clear reports on key revenue cycle metrics to management, using Excel and PowerPoint.

Assist World connects businesses with remote virtual assistants, supporting a small, remote team culture with a focus on autonomy and results. The platform emphasizes no tracking and provides bonuses for performance.

$55,000–$65,000/yr
US Unlimited PTO

  • Evaluate dispute eligibility and documentation to ensure cases meet federal IDR or state-specific requirements before submission.
  • Research and interpret state regulatory requirements, translating them into clear workflows for the team.
  • Monitor arbitration timelines, track correspondence, and maintain accurate case records to support operational improvements.

Pivotal Health is a technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. We are a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers.

US 4w PTO

  • Lead daily enrollment and billing cash operations, ensuring accurate payment posting and strong accounts receivable performance.
  • Coach, mentor, and develop team members through regular feedback, training, and performance management.
  • Partner with internal teams, payers, and vendors to improve workflows, reduce issues, and enhance service delivery.

Our partner is a healthcare organization focused on improving financial operations and patient outcomes. They foster a supportive, remote-first environment with a collaborative culture and commitment to employee well-being.

  • Initiate and follow up on unpaid or denied claims with payers or patients.
  • Resolve delinquent accounts and obtain missing claim information for prompt payment.
  • Research, appeal, and resolve claim rejections or denials.

Herself Health is building a new model of primary care for women 65+, offering patient-centric clinics in the Twin Cities metro. Their mission-driven team is innovating the primary care landscape to provide specialized care for women's later-life needs.

$55,000–$60,000/yr
US

  • Perform complete, accurate, and timely processing of reimbursement/payment audits in compliance with policies, payer contracts, and government fee schedules.
  • Collaborate with operations consultants, RCM AR staff, and management to address Care Center payment performance audits and maximize cash flow.
  • Identify, monitor, and manage denial management trends, and work closely with Revenue Cycle Teams and payer representatives.

Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and exceptional physician leadership, focusing on reducing healthcare costs and improving outcomes.

$97,000–$113,500/yr
US Unlimited PTO

  • Track open payer issues end-to-end, ensuring clear ownership and accountability across teams.
  • Drive measurable business outcomes by improving RCM efficiency and revenue performance.
  • Partner with BD and operations teams to align stakeholders and move issues to resolution.

Alma simplifies access to mental health care by helping therapists accept insurance and offer in-network care. With over 20,000 therapists across all 50 states, Alma has raised $220.5M and been named an Inc. Best Workplace.

US 4w PTO

  • Process medical records requests accurately and within required turnaround timelines.
  • Manage incoming payer communications and support billing operations, including refunds and claim-related activities.
  • Collaborate with internal teams to improve workflows and ensure compliance with healthcare requirements.

Our partner company is a mission-driven organization focused on improving access to quality care. They are a growing organization that values operational excellence and patient experiences.