Revenue Cycle Operations Manager

AdvantixxRCM; United States; Remote; USD 90,000 - 130,000; Full time

Job summary

AdvantixxRCM is seeking a Revenue Cycle Operations Manager to steer daily RCM operations, capacity planning, work allocation, quality control, and client service in a remote-first U.S. role.

This position will drive performance and client outcomes in a fast-paced healthcare environment. You will establish SOPs, dashboards, audit routines, and monitor key metrics such as denials, days in A/R, and net collection rate while coaching distributed teams and ensuring compliance with HIPAA and privacy

Qualifications

• Five or more years of progressive healthcare RCM experience; leadership experience strongly preferred.
• Strong knowledge of claims, denials, insurance A/R, payments, eligibility/authorization, payer portals, and performance reporting.
• Experience with Medicare, Medicaid, and commercial payer workflows.
• Demonstrated ability to manage distributed teams and improve measurable outcomes.
• Excellent judgment, documentation, communication, and client-service skills.

Responsibilities

• Lead daily RCM operations, capacity planning, work allocation, quality control, and client service.
• Establish SOPs, productivity and quality standards, dashboards, escalation paths, and audit routines.
• Monitor clean-claim rate, denials, days in A/R, A/R aging, net collection rate, timely filing, posting accuracy, and client-specific service levels.
• Coach employees and contractors, conduct regular one-on-ones, and build a culture of accountability, respect, continuous improvement, and speaking up.
• Coordinate client implementations, payer workflows, EHR/practice-management access, clearinghouses, reporting, and issue resolution.
• Partner with leadership on staffing, vendors, information security, privacy, compliance, and business continuity.

Job description

About AdvantixxRCM

AdvantixxRCM is a healthcare revenue cycle management company supporting medical practices and healthcare organizations with accurate, compliant, and results-focused billing operations. Our services may include patient access, eligibility and authorization, charge entry, coding, claims submission, payment posting, accounts receivable follow-up, denial management, credentialing, reporting, and client support.

We value integrity, accountability, accuracy, service, continuous improvement, and protection of confidential patient and client information. Team members must follow company policies, client requirements, applicable law, and HIPAA privacy and security standards.

Revenue Cycle Operations Manager

This is a full-time U.S. employee role with remote work eligibility; final classification, schedule, work location, compensation, and benefits will be stated in the written offer.

Responsibilities

• Lead daily RCM operations, capacity planning, work allocation, quality control, and client service.
• Establish SOPs, productivity and quality standards, dashboards, escalation paths, and audit routines.
• Monitor clean-claim rate, denials, days in A/R, A/R aging, net collection rate, timely filing, posting accuracy, and client-specific service levels.
• Coach employees and contractors, conduct regular one-on-ones, and build a culture of accountability, respect, continuous improvement, and speaking up.
• Coordinate client implementations, payer workflows, EHR/practice-management access, clearinghouses, reporting, and issue resolution.
• Partner with leadership on staffing, vendors, information security, privacy, compliance, and business continuity.
• Prevent access to PHI or client systems until required agreements, training, and controls are complete.

Qualifications

• Five or more years of progressive healthcare RCM experience; leadership experience strongly preferred.
• Strong knowledge of claims, denials, insurance A/R, payments, eligibility/authorization, payer portals, and performance reporting.
• Experience with Medicare, Medicaid, and commercial payer workflows.
• Demonstrated ability to manage distributed teams and improve measurable outcomes.
• Excellent judgment, documentation, communication, and client-service skills.

Privacy, Security, and Ethical Billing

The manager must model HIPAA, minimum-necessary access, data-security, payer, client, and company requirements. Knowingly false billing, concealment of errors, retaliation, improper access, or unauthorized transfer of company, client, patient, or payer information is prohibited. Concerns must be reported promptly and preserved for review.

Employment Notice

AdvantixxRCM is an equal opportunity employer. Reasonable accommodations are available as required by law. Employment is contingent on applicable identity, work-authorization, background, credential, and reference verification and execution of required agreements. This posting is not a contract or guarantee of employment.

Originally posted on Himalayas