EverHealth - Revenue Cycle Management (RCM) Manager ( Remote, US)

About the Role

We are seeking a Revenue Cycle Management (RCM) Manager to lead our organization’s revenue cycle operations, focusing on accounts receivable optimization, denial management, claims resolution, and overall client financial performance. This role provides strategic leadership to the Claims Management Specialist team, partnering with Service Managers, BPO partners, and Operations to improve client health, maximize reimbursement, and drive operational excellence.

Responsibilities

• Leadership & Team Management:
  • Lead, mentor, and develop the Claims Management Specialist team.
  • Establish team goals, performance expectations, and professional development plans.
  • Monitor productivity, quality, and service levels to ensure operational excellence.
  • Foster a culture of accountability, collaboration, continuous learning, and data-driven decision-making.
  • Conduct performance reviews, coaching sessions, and career development planning.
• Strategic Leadership & Accountability:
  • Establish the strategic vision and priorities for the Claims Management Specialist team.
  • Own revenue cycle performance by focusing on high-impact opportunities for revenue recovery and operational improvement.
  • Translate analytical findings into actionable business strategies and operational initiatives.
  • Prioritize work based on client health, financial impact, payer trends, and organizational goals.
  • Remove barriers to successful execution of team recommendations.
  • Serve as the primary escalation point for complex reimbursement issues and cross-functional operational concerns.
  • Balance day-to-day operational priorities with long-term strategic initiatives.
• Revenue Cycle Strategy & Performance:
  • Develop and execute strategies to improve revenue cycle performance across assigned client portfolios.
  • Monitor organizational and client-level performance against established KPIs.
  • Identify trends impacting reimbursement and implement corrective action plans.
  • Provide strategic recommendations to senior leadership regarding revenue cycle optimization.
  • Drive initiatives to improve cash flow, reduce aging accounts receivable, and increase reimbursement.
• Claims Management Oversight:
  • Provide oversight for complex claims resolution, root cause analysis, payer trend analysis, and revenue recovery opportunities.
  • Ensure team recommendations result in measurable operational improvements.
• Denial Management & Revenue Integrity:
  • Oversee organizational denial management strategy.
  • Review denial trends and implement systemic improvements.
  • Partner with operational leaders to implement denial prevention initiatives.
  • Monitor effectiveness of corrective action plans.
• Client Health & Operational Partnership:
  • Partner with Service Managers to improve client financial performance and overall client health.
  • Participate in client business reviews and operational performance meetings.
  • Provide executive-level reporting and recommendations on revenue cycle performance.
• BPO Oversight & Operational Excellence:
  • Provide leadership for BPO performance related to revenue cycle functions.
  • Ensure consistent claim resolution practices across internal and outsourced teams.
• Analytics & Reporting:
  • Develop and monitor dashboards for key revenue cycle metrics (e.g., A/R >90 Days, Denial Rate, Net Collection Rate).
  • Use analytics to prioritize improvement initiatives and communicate performance to leadership.
• Process Improvement & Innovation:
  • Lead continuous improvement initiatives across revenue cycle operations.
  • Identify workflow inefficiencies and implement scalable solutions.
  • Collaborate with Technology and Product teams to enhance reporting and automation.
  • Standardize best practices across clients and operational teams.
• Compliance & Industry Knowledge:
  • Ensure compliance with payer guidelines, HIPAA, CMS regulations, and organizational policies.
  • Maintain current knowledge of reimbursement methodologies and industry trends.
  • Support audit readiness and quality assurance initiatives.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (or equivalent experience).
• 7+ years of Revenue Cycle Management experience.
• 3+ years of leadership experience managing revenue cycle or accounts receivable teams.
• Deep expertise in claims management, denial management, accounts receivable, revenue cycle analytics, and payer reimbursement methodologies.
• Strong analytical, reporting, and problem-solving skills.
• Experience leading cross-functional initiatives and influencing stakeholders.

Preferred Qualifications

• Experience working with outsourced (BPO) revenue cycle operations.
• Experience supporting multi-client healthcare organizations.
• Experience with healthcare analytics platforms, BI reporting, and revenue cycle dashboards.

Where

This role can be based anywhere in the United States. If you’re close to one of our offices, we can set you up in-office or you can work 100% remotely. Travel to our Corporate Headquarters in Denver, Colorado, or other office locations may be required.

Benefits

• Flexibility to work where/how you want within your country of employment.
• Continued investment in professional development.
• Day 1 access to a robust health and wellness benefits package, including an annual wellness stipend.
• 401k with up to a 4% match and immediate vesting.
• Flexible and generous time-off (FTO).
• Employee Stock Purchase Program.

Pay

The target base compensation for this position is $60,000 to $70,000 USD annually in most US locations. Final offer amounts are determined by multiple factors, including location, market variances, and candidate experience.