Revenue Cycle & Claims Operations Manager

📋 Description

• Lead end-to-end revenue-cycle and claims operations for Medicaid, commercial, and other payer
• Own claim readiness, submission, rejections, denials, appeals, payer follow-up, posting
• Build scalable payer- and program-specific billing workflows across internal systems and payer
• Collaborate across Finance, Operations, Partner Success, Clinical, Product, Data, and external

🎯 Requirements

• 7+ years in medical billing, claims operations, or revenue-cycle management.
• 3+ years leading a meaningful portion of a revenue-cycle function.
• Hands-on experience with claim submission, rejections, denials, appeals, payer follow-up, payment
• Experience with Medicaid managed-care plans and complex payer requirements.
• Ability to configure and launch new payer or program billing workflows.
• Experience with billing/rendering-provider structures, NPIs, modifiers, codes, authorizations, and

🎁 Benefits

• Remote-first team with flexible work environment.
• Generous health, vision, dental plans; HSA, FSA; disability and life insurance.
• 401k eligibility; annual wellness stipend; company equity.
• Unlimited PTO and holidays; paid time away programs.
• Team off-sites, monthly Townhalls, and a collaborative culture.