The Manager Revenue Cycle Management is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate resolution of outstanding insurance claims.
Responsibilities:
Revenue Cycle Management Leadership
As an individual contributor take direct ownership of early RCM processes while
preparing the foundation for scale.
Hire onboard and eventually lead the RCM Manager as the function
growstransitioning this responsibility as the team expands.
Build the initial components of a comprehensive revenue cycle function from the ground
up including claims submission workflows payment posting denial management and
payer follow-up.
Establish scalable SOPs accountability structures and performance standards to
support future team growth.
Partner with Finance and Product to improve RCM tooling workflow automation and
visibility into reimbursement outcomesensuring the team is set up for long-term
success.
Credentialing Ownership & Onboarding Support
Fully own and manage the end-to-end provider credentialing lifecycle including
multi-state licensure payer enrollment application submission verification and ongoing
status tracking.
Build and maintain a centralized credentialing infrastructure with clear timelines
progress tracking dashboards and documentation standards.
Partner with Medical Operations Recruiting and HR to support a streamlined
onboarding experienceensuring providers receive systems access orientation
materials and readiness checkpoints aligned with operational timelines.
Continuously optimize credentialing and onboarding workflows to reduce cycle time
improve provider readiness and support rapid expansion into new states and service
lines.
Identify bottlenecks and implement process improvements that enhance visibility
predictability and overall throughput across both credentialing and onboarding functions.
Offshore Support Operations
Lead the offshore operations team responsible for administrative support provider
support tasks and patient coordination.
Develop clear productivity metrics QA procedures and training pathways to ensure
consistent service delivery.
Integrate offshore workflows with RCM scheduling credentialing and provider
operations.
Identify and resolve operational bottlenecks to improve throughput and service quality.
Medical Operations & BizOps Partnership
Collaborate with Medical Operations on KPI reporting workforce analytics provider
performance visibility and provider-support efficiency.
Partner with BizOps on dashboarding analytics internal documentation and
cross-functional process standardization.
Work with HR and Recruiting to support provider hiring staffing forecasts onboarding
needs and compliance requirements.
Ensure accurate and updated documentation within the internal wiki aligning Central
Ops processes with company-wide standards.
Process Improvement Scalability & Operational Excellence
Drive continuous process improvement across credentialing onboarding RCM and
offshore support to increase efficiency accuracy and throughput.
Build document and optimize SOPs workflows and escalation paths to create
repeatable scalable systems across all central operations functions.
Implement quality checks performance metrics and workflow automation to elevate
operational reliability and reduce friction between teams.
Lead initiatives that improve operational readiness for new-state launches new service
lines and expanding clinical programsensuring processes scale smoothly as volume
grows.
Partner cross-functionally to identify bottlenecks streamline handoffs and enhance
provider-support workflows that enable faster more predictable execution
Requirements:
Bachelors degree in Business Administration Healthcare Operations Management or
related field (Masters preferred).
10 years of professional operations experience ideally in multi-state high-growth
or highly regulated environments; healthcare operations experience strongly preferred.
Proven experience building and scaling administrative or operational functions in a
fast-paced organization.
Experience with RCM credentialing compliance workflows or clinical operations.
Demonstrated leadership managing large teams distributed/offshore teams or
multi-functional operational units.
Strong analytical background with comfort using dashboards KPIs and data-driven
decision-making.
Excellent communication project management and cross-functional collaboration skills.
Preferred Skills
Experience in telehealth digital health or multi-state clinical operations.
Familiarity with healthcare billing rules provider licensure frameworks credentialing
workflows or payer requirements.
Experience partnering with product/engineering teams to automate workflows.
Knowledge of Lean/Six Sigma or similar process-improvement methodologies.
BA in management and or healthcare administration MBA Preferred
The Manager Revenue Cycle Management is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate resolution of outstanding insurance claims.Responsibilities: Revenue Cycle Management Leadership As an individual contributor take direct ownership of early RCM pr...
The Manager Revenue Cycle Management is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate resolution of outstanding insurance claims.
Responsibilities:
Revenue Cycle Management Leadership
As an individual contributor take direct ownership of early RCM processes while
preparing the foundation for scale.
Hire onboard and eventually lead the RCM Manager as the function
growstransitioning this responsibility as the team expands.
Build the initial components of a comprehensive revenue cycle function from the ground
up including claims submission workflows payment posting denial management and
payer follow-up.
Establish scalable SOPs accountability structures and performance standards to
support future team growth.
Partner with Finance and Product to improve RCM tooling workflow automation and
visibility into reimbursement outcomesensuring the team is set up for long-term
success.
Credentialing Ownership & Onboarding Support
Fully own and manage the end-to-end provider credentialing lifecycle including
multi-state licensure payer enrollment application submission verification and ongoing
status tracking.
Build and maintain a centralized credentialing infrastructure with clear timelines
progress tracking dashboards and documentation standards.
Partner with Medical Operations Recruiting and HR to support a streamlined
onboarding experienceensuring providers receive systems access orientation
materials and readiness checkpoints aligned with operational timelines.
Continuously optimize credentialing and onboarding workflows to reduce cycle time
improve provider readiness and support rapid expansion into new states and service
lines.
Identify bottlenecks and implement process improvements that enhance visibility
predictability and overall throughput across both credentialing and onboarding functions.
Offshore Support Operations
Lead the offshore operations team responsible for administrative support provider
support tasks and patient coordination.
Develop clear productivity metrics QA procedures and training pathways to ensure
consistent service delivery.
Integrate offshore workflows with RCM scheduling credentialing and provider
operations.
Identify and resolve operational bottlenecks to improve throughput and service quality.
Medical Operations & BizOps Partnership
Collaborate with Medical Operations on KPI reporting workforce analytics provider
performance visibility and provider-support efficiency.
Partner with BizOps on dashboarding analytics internal documentation and
cross-functional process standardization.
Work with HR and Recruiting to support provider hiring staffing forecasts onboarding
needs and compliance requirements.
Ensure accurate and updated documentation within the internal wiki aligning Central
Ops processes with company-wide standards.
Process Improvement Scalability & Operational Excellence
Drive continuous process improvement across credentialing onboarding RCM and
offshore support to increase efficiency accuracy and throughput.
Build document and optimize SOPs workflows and escalation paths to create
repeatable scalable systems across all central operations functions.
Implement quality checks performance metrics and workflow automation to elevate
operational reliability and reduce friction between teams.
Lead initiatives that improve operational readiness for new-state launches new service
lines and expanding clinical programsensuring processes scale smoothly as volume
grows.
Partner cross-functionally to identify bottlenecks streamline handoffs and enhance
provider-support workflows that enable faster more predictable execution
Requirements:
Bachelors degree in Business Administration Healthcare Operations Management or
related field (Masters preferred).
10 years of professional operations experience ideally in multi-state high-growth
or highly regulated environments; healthcare operations experience strongly preferred.
Proven experience building and scaling administrative or operational functions in a
fast-paced organization.
Experience with RCM credentialing compliance workflows or clinical operations.
Demonstrated leadership managing large teams distributed/offshore teams or
multi-functional operational units.
Strong analytical background with comfort using dashboards KPIs and data-driven
decision-making.
Excellent communication project management and cross-functional collaboration skills.
Preferred Skills
Experience in telehealth digital health or multi-state clinical operations.
Familiarity with healthcare billing rules provider licensure frameworks credentialing
workflows or payer requirements.
Experience partnering with product/engineering teams to automate workflows.
Knowledge of Lean/Six Sigma or similar process-improvement methodologies.
BA in management and or healthcare administration MBA Preferred
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