RCM Operations Lead

. Leading advanced denial resolution workflows, appeals processes, and AR strategy.

Posted 5/7/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $42,500 - $57,500 per yearWebsite

Key responsibilities & impact

Leading advanced denial resolution workflows, appeals processes, and AR strategy.
Driving efforts to minimize manual rework and ensure high-quality billing resolution.
Orchestrating workflows to optimize AR aging and meet aggressive collection targets.
Researching and resolving nuanced billing denials and managing escalated appeals.
Managing complex payer configurations as part of new customer setup and ongoing performance management.
Identifying payer patterns and recommending systemic process improvements to minimize future denials.
Working closely with internal billing and RCM teams to align on organizational goals.
Using AR aging reports, denial data, and propensity-to-pay intel to prioritize team efforts.

What you’ll need

A college degree is preferred, but not required.
2–3+ years in healthcare AR or denial management
Deep knowledge of CPT/ICD-10, UB04, and CMS 1500 forms
Direct experience with reimbursement patterns, coding nuances, or appeals strategy in physical therapy, occupational therapy, speech therapy, or ABA
Excellent communication, organization, and multitasking abilities
Strong problem-solving skills and ability to work independently
Tech-savvy with advanced experience in payer websites and portals
Ability to manage confidential information with discretion

Comp & perks

Medical, Dental, Vision, Life & AD&D
Short- and Long-Term Disability (coverage begins on Day 1)
Simple IRA with 3% company match (eligible after 1 year)
Paid Time Off: 14 days PTO annually
6 company holidays + 1 floating holiday
Flexible schedule, with a shared rhythm during standard business hours (Monday–Friday, 9:00 AM to 5:00 PM ET)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

denial resolutionappeals processesAR strategybilling resolutionpayer configurationsCPTICD-10UB04CMS 1500reimbursement patterns

Soft Skills

communicationorganizationmultitaskingproblem-solvingindependence