Drive Strong Billing Operations Team Performance
Lead a team of revenue cycle professionals across billing, collections, and denials management, driving high billing operations performance
Manage a team of onshore and offshore specialists across billing, payment posting, AR, and denials with clear ownership and accountability.
Build SOPs, documentation, and scalable processes to ensure consistent and high-quality execution.
Foster a culture of operational excellence and continuous improvement.
Own AR performance and KPI management, including DSO, first-pass acceptance rate, denial rate, etc.
Ensure Clean Claims & Prevent Denials
Own processes that ensure accurate charge capture, eligibility, and coding before claims are submitted.
Build preventive workflows to reduce first-pass rejections
Partner with clinical, intake, credentialing, and coding teams to address upstream issues that drive repeat denials.
Lead Claims Submission, Payment Posting & AR Management
Oversee timely claim submission, remit posting, and structured AR follow-up workflows.
Maintain consistent follow-up cadence by age bucket, payer, and denial category.
Ensure all claims are processed, followed up on, and escalated within defined SLAs.
Drive Denial Resolution & Recovery
Lead a structured denial management program with root-cause categorization and recovery targets.
Create SOPs for addressing common denial categories (coverage, coding, eligibility, prior auth, modifier issues, medical necessity, etc.).
Oversee appeals, corrected claims, and secondary billing processes.
Deliver a Patient-Friendly Billing Experience
Build clear processes and service standards to ensure patient billing questions are answered accurately and promptly
Create feedback loops from patient inquiries to identify recurring pain points and implement improvements across billing workflows
Maintain Compliance & Strengthen Billing Operating Infrastructure
Ensure compliance with payer policies, telehealth billing requirements, and documentation standards.
Stay current on industry policies and billing best practices.
Partner in the management of billing systems and vendors, and ensure swift resolution of any technical issues impacting billing

Requirements

Bachelor's degree required; Master's degree in Healthcare Administration, Business, or related field preferred
5+ years of progressive experience in healthcare revenue cycle management
3+ years of leadership experience in a healthcare setting
Experience with telehealth billing and reimbursement
Demonstrated success in improving revenue cycle metrics (e.g., clean claim rates, AR days, denial rates)
Strong understanding of healthcare reimbursement models, coding, and compliance requirements
Experience with revenue cycle management systems and healthcare technology platforms
Excellent analytical skills with the ability to translate data into actionable insights
Exceptional communication and leadership abilities
Experience utilizing modernized billing and EHR platforms such as Candid, Adonis, and Elation, highly preferred OR proven ability to learn new systems quickly

Benefits

$115-$130K with opportunities for advancement
Professional development and employee learning programs
Unlimited PTO & 11 company holidays
Medical, dental, and vision benefits
Health Savings Account (HSA) & Flexible Spending Account (FSA) options
Long- and short-term disability coverage
Annual employee wellness stipend
401(k) plan
Parental leave & family planning support benefits
Company-issued laptop
Annual work-from-home stipend
Commuter benefits (if applicable)

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

revenue cycle managementbilling operationsdenials managementAR managementclaims submissionpayment postingcodingcompliancedata analysistelehealth billing

Soft Skills

leadershipcommunicationanalytical skillsoperational excellencecontinuous improvementteam managementproblem-solvingcustomer servicecollaborationprocess improvement