Revenue Cycle Operations Manager
Midi Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $70,000 per year
About the role
- Lead and manage a team of revenue cycle and/or eligibility specialists, including hiring, onboarding, performance evaluations, coaching, promotions, corrective actions, and professional development planning.
- Serve as the primary subject matter expert for insurance eligibility verification, payer network status, coverage rules, and billing requirements, ensuring team adherence to best practices and payer guidelines.
- Oversee day-to-day revenue cycle operations, including patient billing support, claim resolution, collections, A/R and denial management, administrative discharge, and eligibility workflows.
- Review performance data and trends to identify root causes, risks, and opportunities, translating insights into actionable improvement plans.
- Manage established process flows, SOPs, and training materials for billing and eligibility workflows to ensure consistency, accuracy, and scalability.
- Own and drive ad hoc operational projects to support business growth and process improvement
- Assign, prioritize, and balance workload across the team to meet productivity targets and SLA commitments while maintaining quality standards.
- Support Senior Manager to partner with Product and Engineering teams to identify, prioritize, and implement system and workflow enhancements that improve billing accuracy, automation, and reporting.
- Ensure all billing and eligibility activities comply with regulatory requirements, payer rules, and telehealth-specific billing standards.
- Oversee insurance eligibility verification and network status validation processes, ensuring timely, accurate confirmation prior to services.
- Monitor and manage accounts receivable performance, including Athena holds and Athena enrollment worklists, implementing strategies to reduce aging balances and improve collections outcomes.
- Participate in audits and reporting related to third-party performance, eligibility accuracy, A/R, and collections, providing clear insights and recommendations to leadership.
- Stay current on payer policy changes, coding updates, and industry trends, ensuring timely communication, training, and process updates for the team.
- Serve as the escalation point for unresolved billing inquiries, complex eligibility issues, payer disputes, and patient financial concerns.
Requirements
- Minimum of 6 years of experience in healthcare administration, revenue cycle management, or medical billing, with 3+ years in a people management role.
- Minimum of 1-2 years of remote work experience in a similar role.
- Demonstrated ability to manage staffing coverage, productivity goals, and daily team operations
- Strong leadership and team management skills, with the ability to motivate and mentor team members.
- Excellent communication skills, both written and verbal.
- Tech savvy with strong analytical and problem-solving abilities with a bias for action
- Proven conflict resolution skills, with the ability to remain calm under pressure and de-escalate tense situations.
- Ability to handle sensitive patient information with confidentiality and professionalism
Benefits
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Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
revenue cycle managementmedical billinginsurance eligibility verificationclaim resolutionaccounts receivable managementdenial managementbilling compliancedata analysisprocess improvementSOP management
Soft Skills
leadershipteam managementcommunicationanalytical skillsproblem-solvingconflict resolutionmentoringmotivationprofessionalismconfidentiality