Revenue Cycle & Claims Operations Manager

About the role

Jukebox Health partners with health plans to make homes safer and more accessible for older adults and high-needs populations by combining technology with networks of clinicians, suppliers, and installers to deliver personalized home modifications and environmental supports nationwide. We are seeking a hands-on Manager of Revenue Cycle & Claims Operations to build and own our end-to-end claims and billing function.

The ideal candidate is both a strong revenue-cycle operator and a process builder, comfortable working across Finance, Operations, Partner Success, clinical teams, and external payers to resolve issues and own outcomes from claim readiness through cash collection.

Responsibilities

• Own end-to-end claims and revenue-cycle operations, including claim readiness, submission, rejections, denials, appeals, payer follow-up, payment posting, reconciliation, aging, and collections reporting across Medicaid managed-care, commercial, and other payer programs.
• Build and optimize payer- and program-specific billing workflows, including claim configuration, test claims, provider and rendering setup, coding/modifier requirements, credentialing and linkage readiness, and scalable processes across internal systems, clearinghouses, and payer portals.
• Drive cross-functional execution and accountability by partnering with Operations, Partner Success, Clinical, Product, Data, and Finance to resolve missing data, improve handoffs, eliminate recurring workflow issues, and build a scalable RCM function capable of supporting more than $1M in monthly claims.

Requirements

• 7+ years of experience in medical billing, claims operations, or revenue-cycle management
• 3+ years of experience owning or leading a meaningful portion of a revenue-cycle function
• Strong hands-on experience with claim submission, rejections, denials, appeals, payer follow-up, payment posting, and A/R management
• Experience working with Medicaid managed-care plans and complex payer requirements
• Demonstrated ability to configure and launch new payer or program billing workflows
• Experience with billing and rendering-provider structures, NPIs, modifiers, diagnosis codes, procedure codes, authorizations, and timely-filing requirements
• Ability to work effectively without a single fully integrated EHR or mature claims infrastructure
• Strong analytical, organizational, and project-management skills
• Ability to work cross-functionally and hold internal and external stakeholders accountable
• Comfort operating both strategically and tactically in a fast-growing environment
• Strong ownership mindset and focus on measurable collection outcomes

Qualifications (Preferred)

• Experience in occupational therapy, home health, behavioral health, HCBS, value-based care, or other nontraditional provider models
• Experience with provider credentialing, payer enrollment, CAQH, roster management, and provider linkage
• Experience bringing revenue-cycle operations in-house or transitioning between billing vendors
• Experience implementing or optimizing claims-management, practice-management, clearinghouse, or RCM technology
• Familiarity with Salesforce, Waystar, Availity, PaySpan, or similar systems
• Experience working in a healthcare startup or rapidly scaling organization
• CPC, CPB, CRCR, or comparable certification is a plus but not required

Benefits

• Generous company-funded health, vision, and dental plans
• HSA plan with company seeding
• FSA plan
• Short and Long-Term Disability
• Life and Personal Accident Insurance
• Hospital Insurance
• 401k immediately upon hire
• Generous candidate referral program
• Yearly wellness stipend
• Unlimited PTO + 10 paid holidays
• $1000 stipend towards work from home costs
• Frequent team off-sites and get-togethers around the country
• Collaborative team environment
• Monthly Townhalls
• High trust environment
• A laptop and company swag upon hire

Pay

Compensation Range: $115,000 - $140,000/year + company equity