Revenue Cycle Management Operations Lead

Abby Care

Lead Revenue Cycle Management operations for Abby Care's expansion into Georgia and New Jersey markets. Establish billing processes and develop team leadership as the department scales.

Posted 6/17/2026full-timeRemote • New Jersey • 🇺🇸 United StatesSenior💰 $75,000 - $95,000 per yearWebsite

About the role

Key responsibilities & impact

Lead the establishment of revenue cycle operations for a newly launched market, including researching payer requirements, workflows, billing processes, and reimbursement guidelines.
Develop, document, and implement SOPs, workflows, and operational best practices to support future team growth.
Research and interpret Georgia and New Jersey Medicaid billing requirements and identify operational requirements necessary to support compliance and reimbursement.
Partner with leadership to define team structure, operational processes, performance metrics, and future KPIs as the department scales.
Identify process gaps and recommend solutions to improve operational efficiency and future revenue cycle performance.
Initially operate as an individual contributor while building the foundation of the department.
Transition into a people leadership role as the Georgia and New Jersey markets expand, including hiring, training, coaching, and managing billing team members.
Provide mentorship, onboarding support, and performance coaching to future team members.
Oversee the preparation, submission, and follow-up of insurance claims for home health care services.
Ensure accurate coding (CPT, HCPCS, ICD-10) and adherence to payer-specific guidelines.
Monitor and resolve claim rejections, denials, and underpayments promptly.
Manage accounts receivable to minimize outstanding balances and maximize collections.
Ensure billing practices comply with federal, state, and payer-specific regulations, including Medicare and Medicaid guidelines.
Maintain up-to-date knowledge of changes in billing rules and home health care regulations.
Review documentation for accuracy and completeness to support submitted claims.
Analyze billing processes and implement strategies to improve efficiency and reduce errors.
Collaborate with other departments to address issues impacting the revenue cycle, such as intake and documentation workflows.

Requirements

What you’ll need

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.
Candidates with Home Health, Hospice, or Skilled Nursing billing experience will be considered.
Intermediate Microsoft Excel proficiency preferred.
Certified Professional Biller (CPB) or equivalent preferred.

Benefits

Comp & perks

Competitive compensation packages that reflect the value you bring.
Comprehensive health coverage that works for you.
Choose from high-quality medical dental and vision options, including a $0 deductible PPO and a company-funded HSA, alongside employer-paid life and disability insurance.
Generous paid time off.
10 paid company holidays.
Financial savings benefits to support your future.
HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).
Paid parental leave to support your growing family.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical billingbilling processesoperational workflowsCPT codingHCPCS codingICD-10 codingaccounts receivable managementclaim submissionclaim denial resolutionrevenue cycle management

Soft Skills

leadershipmentorshipcoachingcommunicationproblem-solvinganalytical skillsorganizational skillsteam buildingperformance managementcollaboration

Certifications

Certified Professional Biller (CPB)