Sr. Manager of Revenue Cycle Management
Sr. Manager of Revenue Cycle Management
Posted on :
17-06-2025
Employer Active
1 Vacancy
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Job Description
Everly Healths mission is to transform lives with modern diagnostics-driven care and we believe that the future of healthcare is meeting people where they are. Headquartered in Austin Texas Everly Health is the parent company to Everlywell Everly Health Solutions and Everly Diagnostics. Weve set a new standard of people-focused diagnostic-driven care that puts patients at the center of their own health journey.
Our infrastructure guides the full testing experience with the support of a national clinician network thats composed of hundreds of physicians nurses genetic counselors PharmDs and member care specialists. Our solutions make world-class virtual care more attainable with rigorous clinical protocols and best-in-class science to tackle some of the healthcare industrys biggest problems.
As the Senior Manager of Revenue Cycle Management at Everly Health you will play a mission-critical role in shaping and executing our revenue strategy across a broad portfolio of healthcare offerings including virtual care and diagnostics. You will:
What Youll Do:
- Lead all functions of Revenue Cycle Management (RCM) including billing coding QA AR denials and payment compliance.
- Design and execute strategic goals related to RCM that align with our company mission and promote operational efficiency.
- Ensure regulatory compliance with state and federal healthcare laws inclusive of virtual care regulations.
- Collaborate cross-functionally with Finance Legal Commercial Sales and Account Management teams to forecast budget and optimize internal controls.
- Oversee payer enrollment processes manage vendor relationships and ensure accurate Medicare and commercial enrollment.
- Support client-facing teams with claims education and materials enabling faster and smoother client set up and revenue recognition support..
- Lead HEDIS-related coding initiatives technical reviews and cross-functional reporting coordination.
- Educate internal teams on revenue cycle workflows insurance processes and evolving industry standards.
- Evaluate and implement RCM technologies and manage KPIs to ensure operational excellence.
- Play a pivotal role in enabling new telehealth products by collaborating with clinical product and network teams.
Who You Are:
- You are a seasoned RCM leader who thrives in high-growth fast-paced environments and has a passion for driving efficiency and innovation in healthcare operations.
- You bring a strategic mindset and a hands-on approach to problem solving while excelling at cross-functional collaboration.
- You are proactive communicative and energized by the opportunity to influence both internal operations and client-facing functions.
Skills & Abilities Required:
- 5 to 10 years of experience in Revenue Cycle Management preferably within diagnostics telehealth or other healthcare services.
- Comfortable with how to apply AI tools and automation to optimize RCM workflows such as predictive analytics for denials or natural language processing for coding accuracy.
- Demonstrated expertise in claims processing payer enrollment Medicare compliance and HEDIS coding.
- Strong knowledge of state and federal healthcare regulatory requirements.
- Proven ability to lead cross-functional initiatives and manage external vendors.
- Experience with RCM software and KPI development/monitoring.
- Excellent written and verbal communication skills including client-facing experience.
- Adept at creating training content and educating cross-functional teams.
- Ability to analyze complex datasets and drive actionable insights.
- Experience supporting new healthcare product rollouts especially in virtual care or telehealth settings.
- Strong project management skills with a focus on stakeholder engagement and process improvement.
Required Experience:
Manager
Employment Type
Full-Time
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