The Operations Manager (RCM) is responsible for leading end-to-end revenue cycle operations with a strong focus on billing, prior authorization, denials, and appeals management. This role ensures operational performance, regulatory compliance, and delivery against client and organizational objectives. The Operations Manager oversees large-scale teams, manages inventory and workflow, and implements strategies to improve collections, reduce denials, and optimize revenue outcomes. This position requires a deep understanding of billing systems, payer requirements, and denial management processes, while driving cross-functional collaboration and continuous improvement. Performs other duties as assigned.
Lead and manage daily revenue cycle operations like billing, eligibility, prior authorizations, denials, appeals, AR follow-up, and payment posting.
Supervise and develop large teams (100+ staff), focusing on coaching, performance, and career growth.
Direct denial management by researching issues, filing appeals, analyzing reimbursements, and following up on claims.
Ensure accurate claim submissions and timely account resolution to maximize reimbursement and reduce denials.
Analyze payer trends and denial patterns to identify problems and implement corrective actions.
Oversee workload distribution and inventory management to meet deadlines and minimize aging accounts.
Collaborate with HR, IT, Compliance, and other teams to improve processes and align revenue cycle initiatives.
Provide leadership and clients with reports, KPIs, and insights, while leading business reviews and client discussions.
Benefits include medical insurance, paid leave and holidays, and a 401K
Apply now to join our team.
Apply now to join our team.