RCM Operations Lead – Intake & Resupply

RXinsider LTD.; Northern (KY); Hybrid; USD 50,000 - 62,000; Full time

Benefits offered by this job

Comprehensive benefits package

Hybrid work options

401(k) with company match

Paid time off and holidays

Job summary

ResMed is seeking a Director-level Operations leader for RCM Intake Management to supervise the Revenue Cycle team and ensure compliance with Medicare, Medicaid, and private insurers while driving performance and outcomes.

The role focuses on process improvements, policy maintenance, and cross-functional collaboration across Intake, Resupply, and Sales Order Confirmation workflows, with a strong emphasis on regulatory adherence and patient data security.

Qualifications

• Minimum of 2 years of experience related to healthcare revenue cycle management, preferably within the HME/DME industry.
• Experience leading teams within DME/HME Intake, Resupply, Sales Order Confirmation, or Revenue Cycle Management operations.
• Preferred experience supporting or managing Resupply Processing operations, including recurring order management, eligibility verification, documentation requirements, and payer compliance.
• Knowledge of Medicare, Medicaid, and Private Insurance billing, qualification, and documentation guidelines.
• Strong supervisory competencies in leadership, people development, coaching, mentoring, performance management, and employee engagement.
• Demonstrated experience developing high-performing teams and fostering a culture of accountability, collaboration, and continuous improvement.
• Experience managing operational or strategic projects, including process improvement, workflow optimization, change management, and cross-functional initiatives.
• Proven ability to manage multiple projects simultaneously while balancing competing priorities and meeting deadlines.
• Experience developing high-performing teams in billing, collections, intake, resupply, customer service, or related healthcare operations.
• Broad knowledge of federal and state requirements relating to healthcare management.
• Strong ethics and a high level of personal and professional integrity.

Responsibilities

• Provide leadership, communication, and motivation while supervising the day-to-day functions of the Intake Management Revenue Cycle team.
• Oversee performance management, employee engagement, and professional development of direct report team members through coaching and career development planning.
• Develop future leaders through structured training, cross-functional exposure, and succession planning initiatives.
• Ensure adherence to objectives, operating policies and procedures, and strategic action plans by aligning team goals with business priorities.
• Responsible for training and monitoring productivity of Intake Management processes and procedures to ensure tasks are completed within SLA requirements.
• Serve as a change agent by leading operational improvement initiatives and cross-functional projects that drive efficiency, quality, scalability, and customer satisfaction.
• Lead project management activities including planning, stakeholder communication, risk mitigation, implementation, and post-launch performance monitoring.
• Implement and ensure adherence to operating policies and procedures, including government and state regulations.
• Oversee new customer onboarding and implementation into RCM Intake Services through gathering customer information, enforcing RCM best practices, and building and training internal support teams.
• Maintain customer relationships and lead status update and performance review calls with Brightree Intake Management customers.
• Partner with internal teams to support process optimization efforts across Intake, Sales Order Confirmation, Resupply, and Revenue Cycle workflows.
• Provide operational oversight and support for Resupply Processing functions, ensuring compliance with payer requirements, documentation standards, eligibility verification, and recurring order workflows.
• Monitor key performance indicators related to Intake and Resupply operations and implement corrective actions to improve service levels and financial outcomes.
• Manage customer and patient escalations while ensuring timely and effective resolution.
• Prepare and submit reports to customers as requested, discussing progress, trends, operational performance, and recommended solutions.
• Train and monitor global partner performance, including: New customer training and process updates; Communication of updates to RCM Intake Management leadership; Ongoing process improvement and quality assurance initiatives.
• Maintain patient confidentiality and operate within HIPAA guidelines.
• Perform other duties and responsibilities as assigned.

Skills

Leadership

Project management

Regulatory compliance

HIPAA

Process improvement

Stakeholder management

Communication

Change management

Analytics

Education

Bachelor's degree

Tools

Brightree

Job description

ResMed is seeking a Director-level Operations leader for RCM Intake Management to supervise the Revenue Cycle team and ensure compliance with Medicare, Medicaid, and private insurers while driving performance and outcomes.

The role focuses on process improvements, policy maintenance, and cross-functional collaboration across Intake, Resupply, and Sales Order Confirmation workflows, with a strong emphasis on regulatory adherence and patient data security.