Remote Manager, Eligibility & Benefits - Revenue Cycle Lead

Integrated Pain Management Medical Group, Inc.; Walnut Creek (CA); On-site; USD 87,000 - 104,000; Full time

Benefits offered by this job

Medical, Dental, Vision, and Prescrip.

401(k) with employer matching

Paid Time Off

Holiday Pay & Floating Holidays

Employee Perks and Discounts

Job summary

Boomerang Healthcare’s Manager, Eligibility and Benefits role at Walnut Creek, CA is a senior administrative position overseeing eligibility verification, financial clearance, and upfront collection processes across clinical specialties. You will standardize workflows, reduce claim denials, and ensure accurate patient liability is determined before service.

The role requires leadership experience in healthcare revenue cycle, payer knowledge, and advanced Excel/EHR skills.

Qualifications

• Minimum 5 years of experience in healthcare revenue cycle, patient access, eligibility, benefits, or related field.
• Experience with Medicare and commercial insurance plans.
• Advanced knowledge of deductibles, copays, coinsurance, and coordination of benefits.
• Process improvement in front-end or point-of-service collection rates in healthcare.

Responsibilities

• Supervise, train, and schedule eligibility verification and insurance specialist teams.
• Ensure estimated patient financial responsibility is identified prior to service when information is available.
• Communicate expected copays, deductibles, coinsurance, and other patient responsibility clearly.
• Establish escalation procedures for high-dollar patient responsibility or benefit limitations.
• Oversee eligibility verification workflows across multiple clinical specialties.
• Collaborate with billing and coding teams to reduce eligibility-related denials.
• Manage major payer portals (Availity, Optum, United Healthcare, Anthem).
• Take on additional duties as needed by the role.

Skills

Revenue cycle

Leadership

Payer knowledge

Excel

EHR systems

Tools

Epic

IMS

e-Clinical Works

Job description

Boomerang Healthcare’s Manager, Eligibility and Benefits role at Walnut Creek, CA is a senior administrative position overseeing eligibility verification, financial clearance, and upfront collection processes across clinical specialties. You will standardize workflows, reduce claim denials, and ensure accurate patient liability is determined before service.

The role requires leadership experience in healthcare revenue cycle, payer knowledge, and advanced Excel/EHR skills.