Manager, Revenue Cycle Management

7+ years of experience in healthcare revenue cycle management At least 5 years managing RCM or billing operations teams Proven expertise in DME billing and payer management (claims submission, denial analysis, appeals, reimbursement workflows) Deep knowledge of insurance provider requirements, EDI file types, and compliance frameworks (HIPAA, CMS) Experience implementing or optimizing RCM systems (e.g., Brightree, Niko Health) Proficiency with Excel and/or BI reporting tools Exceptional communicator Collaborative, hands-on leader Strong operational discipline Self-directed problem-solver Comfortable and enthusiastic about working in an AI-forward environment

Lead end-to-end revenue cycle operations, including charge entry, claims submission, payment posting, denial management, and AR follow-up. Establish quality controls, monitor key metrics, and prevent backlogs to ensure timely reimbursements. Build, manage, and develop a high-performing team of RCM professionals. Serve as the primary point of contact with key insurance providers and partners. Develop and implement scalable workflows for claims management, payer recoupments, and patient billing. Partner cross-functionally with Finance, Product, Engineering, Clinical Operations, and Customer Support. Drive the adoption of technology and AI to automate routine processes and improve claims accuracy. Establish operational mechanisms, SLAs, and observability metrics.