Revenue Cycle Management Operations Lead
New Department Development
Lead the establishment of revenue cycle operations for a newly launched market, including researching payer requirements, workflows, billing processes, and reimbursement guidelines.
Develop, document, and implement SOPs, workflows, and operational best practices to support future team growth.
Research and interpret Georgia and New Jersey Medicaid billing requirements and identify operational requirements necessary to support compliance and reimbursement.
Partner with leadership to define team structure, operational processes, performance metrics, and future KPIs as the department scales.
Identify process gaps and recommend solutions to improve operational efficiency and future revenue cycle performance.
Team Leadership
Initially operate as an individual contributor while building the foundation of the department.
Transition into a people leadership role as the Georgia and New Jersey markets expand, including hiring, training, coaching, and managing billing team members.
Provide mentorship, onboarding support, and performance coaching to future team members.
Experience conducting performance reviews is highly preferred.
Billing Operations
Oversee the preparation, submission, and follow-up of insurance claims for home health care services.
Ensure accurate coding (CPT, HCPCS, ICD-10) and adherence to payer-specific guidelines.
Monitor and resolve claim rejections, denials, and underpayments promptly.
Manage accounts receivable to minimize outstanding balances and maximize collections.
Compliance and Documentation
Ensure billing practices comply with federal, state, and payer-specific regulations, including Medicare and Medicaid guidelines.
Maintain up-to-date knowledge of changes in billing rules and home health care regulations.
Review documentation for accuracy and completeness to support submitted claims.
Process Improvement
Analyze billing processes and implement strategies to improve efficiency and reduce errors.
Collaborate with other departments to address issues impacting the revenue cycle, such as intake and documentation workflows.
Requirements
Education: High school diploma or equivalent required; Associate’s or Bachelor’s degree in a related field preferred.
Experience: Minimum 3-5 years of experience in medical billing, with at least 1-2 years in a supervisory or leadership role.
Proven expertise in home health care billing, including Medicare and Medicaid processes.
Experience building, implementing, or improving billing processes and operational workflows is strongly preferred.
Georgia and New Jersey Medicaid billing experience is a significant advantage.
Candidates with Home Health, Hospice, or Skilled Nursing billing experience will be considered.
Intermediate Microsoft Excel proficiency preferred.
Certifications: Certified Professional Biller (CPB) or equivalent preferred.
Skills
Excellent organizational, analytical, and problem-solving abilities.
Exceptional communication and interpersonal skills to lead a team and collaborate across departments.
Strong research and investigative skills with the ability to gather information independently in a newly established market.
Demonstrated accountability, including ownership of mistakes, problem resolution, and continuous improvement.
Strong conflict resolution, coaching, and delegation skills.
Ability to build processes and operate effectively in an ambiguous, startup-like environment.
Benefits
Competitive compensation packages that reflect the value you bring.
We reward our team for the impact of their work – full-time employees are eligible for an annual company performance bonus.
Comprehensive health coverage that works for you. Choose from high-quality medical dental and vision options, including a $0 deductible PPO and a company-funded HSA, alongside employer-paid life and disability insurance.
Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays.
Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).
Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows.
Our Values
Families First
Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships.
We continually ask ourselves, “Would we want this for our own families?”
Urgency with Precision
Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand.
Relentlessly Resourceful
As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity.
Purpose with Positivity
We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve.
Driven to Redefine What’s Possible
We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care.
Compensation Range
$75K - $95K