Revenue Cycle Management Operations Lead
$75,000–$95,000 year
Remote · San Francisco, California, United States or Atlanta, Georgia, United States
Job Summary
Lead development of revenue cycle operations for newly launched Georgia and New Jersey markets, establishing billing processes, SOPs, and ensures compliance with Medicare/ Medicaid guidelines. Initially an individual contributor with potential to transition into people leadership, overseeing billing specialists and offshore team members as markets scale. Responsibilities include researching payer requirements, developing workflows, monitoring claims, reducing denials, overseeing accounts receivable, and driving process improvements. Requires strong collaboration across departments, ability to operate in a startup-like environment, and capability to build scalable operational foundations.
Required Qualifications
- High school diploma or equivalent required; Associate’s or Bachelor’s degree in a related field preferred.
- Minimum 3-5 years of experience in medical billing, with at least 1-2 years in a supervisory or leadership role.
- Proven expertise in home health care billing, including Medicare and Medicaid processes.
- Experience building, implementing, or improving billing processes and operational workflows is strongly preferred.
- Georgia and New Jersey Medicaid billing experience is a significant advantage.
- Certifications: CPB or equivalent preferred.
- Strong organizational, analytical, and problem-solving abilities.
- Excellent communication and interpersonal skills to lead a team and collaborate across departments.
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