AI-Driven Revenue Operations Lead - Home Health Billing

Adaptive Innovations; Houston (TX); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Competitive salary

Comprehensive health and retirement"

Opportunity for growth

Job summary

Adaptive Innovations is transforming US healthcare with an AI-native care platform focused on home health. We are seeking an experienced revenue cycle leader to drive claims readiness, order management, and pre-bill audits across onshore and offshore teams.

You will partner with R&D and product teams to optimize workflows, build scalable processes, and improve billing performance. Strong leadership and healthcare operations experience are essential in a fast-growing company.

Qualifications

• Experience leading revenue cycle or revenue operations in home health or similar setting.
• Experience developing and coaching operational teams, setting priorities and handling escalations.
• Familiarity with physician orders management and pre-bill audit workflows.
• Knowledge of PDGM, Medicare and payer documentation requirements is a plus.
• Ability to use data and work queues to identify bottlenecks and drive improvements.
• Experience designing or improving operational processes across teams.

Responsibilities

• Lead a team responsible for home health claims readiness and related workflows.
• Coach onshore and offshore team members; set priorities and provide feedback.
• Maintain SOPs, quality controls, and escalation paths for consistent work.
• Oversee physician orders and plans of care; ensure compliance and timely actions.
• Coordinate with clinical, billing, and other teams to resolve documentation gaps.
• Improve operating model with dashboards and cross-functional collaboration.

Skills

Revenue cycle leadership

Team management

Process improvement

Cross-functional collaboration

Data-driven decision making

PDGM knowledge

HCHB experience

Education

Healthcare administration (preferred)

Tools

HCHB (Homecare Homebase)

Job description

Adaptive Innovations is transforming US healthcare with an AI-native care platform focused on home health. We are seeking an experienced revenue cycle leader to drive claims readiness, order management, and pre-bill audits across onshore and offshore teams.

You will partner with R&D and product teams to optimize workflows, build scalable processes, and improve billing performance. Strong leadership and healthcare operations experience are essential in a fast-growing company.