Remote Revenue Operations Lead, AI-Driven Home Health

Adaptive Home Health; Houston (TX); Remote; USD 150,000 - 190,000; Full time

Benefits offered by this job

Competitive salary

Health, dental, commuter benefits

401(k) retirement plan

Growth opportunities

Collaborative team

Job summary

Adaptive Home Health is seeking a senior leader to drive revenue cycle operations for home health billing readiness. The role oversees orders, pre-bill audits, and medical records workflows while partnering with R&D and clinical teams to improve processes and automation.

You will manage onshore and offshore teams, align priorities, and maintain SOPs to ensure accurate and timely claims readiness in a fast-growing environment. Remote work is available.

Qualifications

• Strong experience in home health revenue cycle and billing readiness.
• Proven ability to manage and develop operations teams.
• Track record of driving process improvements across departments.
• Ability to work with clinical, billing, and QA teams.
• Familiarity with PDGM, Medicare billing workflows.
• Experience with distributed onshore/offshore teams.
• Excellent communication and problem-solving skills.

Responsibilities

• Lead a team responsible for orders management, pre-bill audit, and related medical records workflows.
• Oversee outstanding orders, plans of care, and compliance follow-up.
• Verify physician information and manage pre-bill and held-claim workflow.
• Coordinate with clinical, quality, billing, and contract therapy teams to resolve issues.
• Develop SOPs, quality controls, and escalation paths for consistency.
• Improve operating model using dashboards and guardrails to surface bottlenecks.

Skills

Revenue cycle leadership

Team leadership

Process improvement

Cross-functional collaboration

HCHB familiarity

Tools

HCHB

Job description

Adaptive Home Health is seeking a senior leader to drive revenue cycle operations for home health billing readiness. The role oversees orders, pre-bill audits, and medical records workflows while partnering with R&D and clinical teams to improve processes and automation.

You will manage onshore and offshore teams, align priorities, and maintain SOPs to ensure accurate and timely claims readiness in a fast-growing environment. Remote work is available.