Senior Revenue Cycle Leader, Provider Operations - Remote

Namely

Dallas (TX)

Remote

USD 122,000 - 160,000

Full time

4 days ago
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Benefits offered by this job

Unlimited vacation
Annual performance bonuses
Medical, dental, and vision benefits
11 paid holidays

Job summary

Oscar Health is seeking a Senior Revenue Cycle Manager for its Provider Operations team. The role focuses on scalable strategies for professional billing, coding accuracy, and optimized reimbursement across a growing multi-state provider org.

Lead across revenue cycle functions, partner with clinical, operations, finance, compliance, credentialing, and product teams to drive improvements and risk mitigation. Remote with Texas-based residency possible.

Qualifications

  • 7+ years in healthcare revenue cycle, billing, coding, or related ops.
  • 3+ years leading revenue cycle programs or teams with outcomes.
  • Deep knowledge of CPT, ICD-10-CM, HCPCS, modifiers, payer rules.
  • Experience building scalable revenue cycle strategies.
  • Experience with documentation integrity and pre/post-bill reviews.

Responsibilities

  • Own strategy and performance of revenue cycle functions across billing, coding, denials, and eligibility.
  • Act as SME for CPT/ICD-10-CM, modifiers, CCI/NCCI edits and payer needs.
  • Set KPIs, controls, and reporting to improve claims, reimbursement, and cash flow.
  • Lead coding and documentation integrity programs and provider education.
  • Drive denial prevention and root-cause actions with cross-functional teams.
  • Collaborate with clinical, finance, compliance, credentialing, and product teams.

Skills

Revenue cycle leadership
Professional billing
Coding accuracy
Data analysis
Cross-functional collaboration

Education

Bachelor's degree in Healthcare Administration

Tools

Coding software

Job description

Oscar Health is seeking a Senior Revenue Cycle Manager for its Provider Operations team. The role focuses on scalable strategies for professional billing, coding accuracy, and optimized reimbursement across a growing multi-state provider org.

Lead across revenue cycle functions, partner with clinical, operations, finance, compliance, credentialing, and product teams to drive improvements and risk mitigation. Remote with Texas-based residency possible.

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