Revenue Cycle Operations Manager

Revenue Cycle Operations Manager

AdvantixxRCM is seeking a hands-on operations leader to build and manage compliant, scalable revenue-cycle workflows across billing, claims, A/R, denials, payment posting, eligibility, prior authorization, credentialing, reporting, and client service. This is a full-time U.S. employee role with remote work eligibility; final classification, schedule, work location, compensation, and benefits will be stated in the written offer.

Responsibilities

• Lead daily RCM operations, capacity planning, work allocation, quality control, and client service.

• Establish SOPs, productivity and quality standards, dashboards, escalation paths, and audit routines.

• Monitor clean-claim rate, denials, days in A/R, A/R aging, net collection rate, timely filing, posting accuracy, and client-specific service levels.

• Coach employees and contractors, conduct regular one-on-ones, and build a culture of accountability, respect, continuous improvement, and speaking up.

• Coordinate client implementations, payer workflows, EHR/practice-management access, clearinghouses, reporting, and issue resolution.

• Partner with leadership on staffing, vendors, information security, privacy, compliance, and business continuity.

• Prevent access to PHI or client systems until required agreements, training, and controls are complete.

Qualifications

• Five or more years of progressive healthcare RCM experience; leadership experience strongly preferred.

• Strong knowledge of claims, denials, insurance A/R, payments, eligibility/authorization, payer portals, and performance reporting.

• Experience with Medicare, Medicaid, and commercial payer workflows.

• Demonstrated ability to manage distributed teams and improve measurable outcomes.

• Excellent judgment, documentation, communication, and client-service skills.

Privacy, Security, and Ethical Billing

The manager must model HIPAA, minimum-necessary access, data-security, payer, client, and company requirements. Knowingly false billing, concealment of errors, retaliation, improper access, or unauthorized transfer of company, client, patient, or payer information is prohibited. Concerns must be reported promptly and preserved for review.

Employment Notice

AdvantixxRCM is an equal opportunity employer. Reasonable accommodations are available as required by law. Employment is contingent on applicable identity, work-authorization, background, credential, and reference verification and execution of required agreements. This posting is not a contract or guarantee of employment.