Senior Manager, Revenue Cycle Operations
MEDvidi
full-time
Posted on:
Location Type: Remote
Location: United States
Visit company websiteExplore more
Job Level
About the role
- Own and operate core RCM workflows as an individual contributor, including claims submission, payment posting, denial management, and payer follow-up.
- Build the foundation for a scalable revenue cycle function, establishing clear ownership, SOPs, and performance standards.
- Identify and resolve reimbursement bottlenecks, denial trends, and workflow inefficiencies.
- Hire, onboard, and eventually lead RCM team members as volume and complexity increase.
- Partner with Finance to improve cash flow visibility, unit economics, and forecasting accuracy.
- Partner with Product and Engineering to optimize RCM tooling, reporting, and automation.
- Translate operational needs into clear system requirements that improve speed, accuracy, and scalability.
- Ensure workflows are designed to support multi-state expansion and payer growth.
- Lead and optimize offshore teams supporting RCM and related administrative functions.
- Establish productivity metrics, QA standards, and training programs to ensure consistent performance.
- Integrate offshore workflows with billing, credentialing, scheduling, and provider operations.
- Collaborate closely with Medical Operations to align clinical documentation practices with reimbursement requirements.
- Partner with Recruiting and Credentialing teams to ensure provider onboarding supports timely billing readiness.
- Work with BizOps and Finance on dashboards, KPIs, and executive reporting related to revenue cycle performance.
- Drive continuous improvement across RCM workflows to reduce cycle times, increase collections, and stabilize operations.
- Build and maintain clear SOPs, escalation paths, and ownership models.
- Own outcomes—not just recommendations—and take accountability for revenue cycle performance.
- Support operational readiness for new state launches, new payers, and expanded clinical programs.
Requirements
- Bachelor’s degree in Business Administration, Healthcare Operations, Finance, Management, or a related field (Master’s preferred).
- 8–12+ years of healthcare operations experience, with deep exposure to Revenue Cycle Management in multi-state, high-growth, or highly regulated environments.
- Proven experience building, fixing, or re-architecting RCM workflows, not just managing mature or inherited systems.
- Strong working knowledge of claims submission, payment posting, denial management, payer follow-up, and reimbursement optimization.
- Experience operating as an individual contributor early on, with the ability to scale teams and processes over time.
- Demonstrated leadership managing distributed and/or offshore teams.
- Strong analytical background with comfort using dashboards, KPIs, and data-driven decision-making.
- Excellent communication, prioritization, and cross-functional collaboration skills.
Benefits
- 15 days/year of PTO
- 15 days/year of Sick Leave
- 4 Wellness Days
- Paid federal holidays
- Healthcare insurance (medical, dental, and vision)
- 401(k) with company match after 6 months of employment
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims submissionpayment postingdenial managementpayer follow-upreimbursement optimizationRCM workflowsdata-driven decision-makingdashboardsKPIsSOPs
Soft skills
leadershipcommunicationprioritizationcross-functional collaborationanalytical skillsaccountabilityteam buildingproblem-solvingtrainingperformance management
Certifications
Bachelor’s degreeMaster’s degree