RCM Manager Role at AI Healthcare Startup | Growth

Adaptive Innovations; Houston (TX); Remote; USD 70,000 - 110,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Commuter benefits

401(k) plan with employer contribution

Job summary

Adaptive Innovations seeks a hands-on RCM Manager to lead a team in home health revenue cycle operations, focusing on AR management and daily performance metrics.

The role emphasizes real-time monitoring, cross-functional collaboration, and process improvements to optimize billing workflows and payer interactions.

Qualifications

• Strong experience in home health revenue cycle operations.
• Familiarity with Homecare Homebase (HCHB).
• Experience managing RCM specialists, including tracking attendance and performance KPIs.
• Experience monitoring workflows to identify risks to daily productivity targets.
• Experience with AR follow-up, denial investigations, and payer-specific requirements.
• Ability to coordinate with billing or posting teams to resolve discrepancies.

Responsibilities

• Lead and support RCM specialists across home health revenue cycle workflows.
• Track attendance and monitor performance against KPIs and daily quotas.
• Review workflow boards to spot backlogs and at-risk team members.
• Respond promptly to specialist questions while balancing real-time monitoring.
• Identify workflow gaps and work with the team to resolve issues.
• Apply HCHB knowledge to help specialists navigate workflows.

Skills

RCM management

KPI tracking

Team management

Remote coordination

Tools

HCHB/Homecare Homebase

Waystar

Availity

Job description

RCM Manager Role at AI Healthcare Startup | Growth — Remote

This is a mid-to-senior level RCM management role at an AI-driven healthcare startup that has attracted talent from Palantir, Citadel, and Jane Street. The company appears to be in a high-growth, Series A/B stage — the kind of environment where early managers gain outsized experience and equity upside, but also face rapid change and high expectations.

Compensation context: RCM Managers in home health typically earn $70,000–$100,000 annually in major US markets, with senior or director-level roles reaching $110K+. No salary is listed here, so candidates should negotiate assertively — especially given the company's VC-backed growth trajectory and competitive positioning.

• AI-augmented revenue cycle operations — a differentiating skill as automation reshapes healthcare billing


• HCHB/Homecare Homebase expertise, in-demand across home health organizations nationwide


• PDGM episodic billing, Medicare Advantage navigation, and multi-payer AR management


• People management of distributed/offshore teams — transferable across the healthcare sector

Green flags: The company's mission alignment, strong technical co-founders, and clear market thesis make this a compelling resume-builder. The preferred qualification around offshore team management suggests scalability and growth in the role.

Potential red flags: The emphasis on daily quota monitoring and real-time performance tracking signals a metrics-intensive, high-accountability culture — which can be energizing or stressful depending on your style. Salary transparency is absent, which warrants a direct conversation early in the process.

About Us

We are fixing US healthcare by building an AI-native physical care platform, starting with home health.

Home health is a $140B industry with less than $10B in EBITDA — 40% of revenue is spent on pure administrative waste. We automate this work with AI, creating a fundamentally different cost structure compared to incumbents. This lets us rapidly take market share by serving the 30% of patients who go untreated today.

By reshaping the cost structure of this industry, we unlock its growth.

We’ve built one of the best AI teams in the world (from Character AI, Scale, Palantir, Citadel, Jane Street) and paired them with a team of healthcare veterans to build a new type of healthcare company: one that delivers care at the speed of an AI company.

Our physical care platform already operates with 30pp higher gross margins than traditional home health providers. With our AI advantage, we pay nurses more, remove their admin burden, and unlock the scale economics that have been missing from this fragmented industry. If we served this entire $140B market, instead of $10B in EBITDA, we’d drive $60B.

We’re starting with home health, then expanding to all delivered care. Our mission is "any care, any where".

Fundamentally, our incentives are aligned with America. Every dollar in revenue we make is two dollars taken out of the healthcare system. If we succeed, so does US healthcare.

Role Overview

We’re seeking a hands-on Revenue Cycle Management (RCM) Manager to lead and support a team of specialists in a home health environment. This manager will stay close to daily operations, monitor team performance, and respond quickly to questions and emerging issues to help the team meet its goals. The role focuses on accounts receivable (AR), helping the team move outstanding claims from follow-up to verified resolution.

What You'll Do

• Manage and support RCM specialists working across home health revenue cycle workflows.


• Track attendance and monitor individual and team performance against established KPIs and daily quotas.


• Review workflow boards throughout the day to spot backlogs, red flags, and specialists at risk of missing their end-of-day quotas.


• Respond promptly to specialist questions while balancing real-time workflow monitoring and other team needs.


• Identify process gaps and work with the team to resolve issues affecting daily performance.


• Apply your home health and Homecare Homebase (HCHB) knowledge to help specialists navigate workflows and resolve operational questions.

Accounts Receivable and Collections

• Guide specialists and team leads in prioritizing assigned commercial, Medicare, and Medicare Advantage receivables, including aged balances, payer responses, rejections, denials, and upcoming filing or appeal deadlines.


• Oversee claim follow-up through resolution: verify claim status and payment, investigate collection barriers and underpayments, and guide appropriate corrections, reprocessing, reconsiderations, or appeals under payer-specific requirements.


• Review and respond to escalations when a specialist cannot determine the next action; surface recurring payer, workflow, or system issues to leadership and coordinate their resolution.


• Ensure claim activity, supporting evidence, next actions, and follow-up dates are documented accurately in the applicable AR workflow and HCHB.


• Partner with billing, payment posting, prior authorization, clinical, and other teams to resolve discrepancies, obtain documentation, and follow paid-but-not-posted claims through resolution.


• Review proposed write-offs for documented collection efforts and supporting evidence, and route them through the required approval and posting process.

Quality and Team Development

• Review claim work for accurate denial interpretation, appropriate action, complete documentation, timely follow-up, and correct escalation; use findings to coach specialists and strengthen performance.


• Support onboarding, payer and system cross-training, and regular knowledge sharing. Identify patterns behind collection challenges and update SOPs or workflows to prevent repeat issues.


• Share frontline feedback on AR dashboards and automation with relevant teams to improve prioritization, visibility, and specialist workflows.

Basic Qualifications

• Strong experience in home health revenue cycle operations.


• Familiarity with Homecare Homebase (HCHB).


• Experience managing RCM specialists, including tracking attendance and performance KPIs.


• Experience monitoring workflows throughout the day and identifying risks to daily productivity targets.


• Experience identifying collection challenges and implementing processes to resolve.


• Working knowledge of AR follow-up, denial investigation, appeals or reprocessing, and payer-specific filing requirements.


• Experience reviewing claim documentation and quality, escalating unresolved issues, and coordinating with billing or posting teams.


• Ability to respond promptly to team questions while managing multiple priorities.


• Ability to identify workflow or process gaps and help the team address them.

Preferred Qualifications

• Experience managing distributed or offshore revenue cycle teams.


• Familiarity with commercial fee-for-service and Medicare or Medicare Advantage home health claims, including episodic/PDGM workflows.


• Experience with AR dashboards, clearinghouses, and payer portals such as Waystar and Availity.


• Experience using denial trends, quality reviews, or operational data to improve collections workflows and team training.

What We Offer

• Comprehensive health insurance, dental, and commuter benefits


• 401(k) retirement plan with employer contribution


• Opportunity for growth in a fast-growing company


• Collaborative team valuing innovation and problem-solving

Is this RCM Manager role fully remote or on‑site in Houston? The posting does not explicitly state whether the role is remote or on‑site. However, a preferred qualification mentions experience managing distributed or offshore teams, suggesting remote arrangements may be considered. Candidates should confirm the work location policy directly with the hiring team.

What software experience is required for this role? Familiarity with Homecare Homebase (HCHB) is listed as a basic qualification. Preferred tools include AR dashboards, clearinghouses, and payer portals such as Waystar and Availity. What is the salary range for this position? The posting lists a competitive salary but does not specify a range. Based on market data, RCM Managers in home health typically earn $70,000–$100,000 annually; candidates should discuss compensation expectations early in the interview process. What type of payer experience is needed for this job? The role requires working knowledge of commercial, Medicare, and Medicare Advantage receivables. Preferred qualifications include familiarity with episodic and PDGM workflows specific to home health billing. What does the company offer in terms of benefits? The company offers comprehensive health insurance, dental and commuter benefits, a 401(k) retirement plan with employer contribution, and growth opportunities within a fast‑growing AI healthcare startup.

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