Overview
This role is a remote Revenue Cycle Operations Manager position focused on leading day-to-day revenue cycle operations across multiple women’s health practices. The position involves overseeing billing, coding, accounts receivable follow-up, denial management, payment posting, operational reporting, and process optimization across various markets.
Responsibilities
- Manage daily revenue cycle operations across multiple markets and practice locations
- Oversee billing, coding, claims follow-up, denial management, appeals, payment posting, and accounts receivable workflows
- Monitor and improve key operational KPIs such as days in accounts receivable (AR), aging over 90 days, initial denial rates, charge entry lag, claims edit resolution, hold workqueues, payment plan performance, and time-of-service collections
- Ensure timely and accurate claims submission to maximize reimbursement and minimize AR aging
- Oversee operational workqueues within Athena and ensure timely resolution of billing and claim issues
- Collaborate with finance and analytics teams to identify trends, gaps, and opportunities for operational improvement
- Support month-end close readiness and ensure timely billing across all sites
- Serve as an escalation point for complex payer, operational, and billing issues
- Lead and develop a team of billers, coders, AR specialists, and operational support staff
- Establish productivity expectations and accountability metrics across all functional areas
- Conduct workflow reviews and operational audits to identify bottlenecks and inefficiencies
- Provide coaching, mentoring, and performance feedback to team members
- Support onboarding, training, SOP development, and cross-functional education initiatives
- Foster a culture of collaboration, accountability, continuous improvement, and operational excellence
- Identify opportunities to improve operational efficiency, reduce denials, and streamline workflows
- Partner with operations, product, and engineering teams on workflow redesign and automation initiatives
- Support implementation and optimization of systems including AthenaOne, Collectly, Freesia, and related revenue cycle tools
- Assist in developing and maintaining revenue cycle playbooks, SOPs, and training materials
- Support automation, AI, and workflow optimization initiatives to improve scalability and performance
- Collaborate with Practice Managers and operational leaders to improve front-end revenue cycle performance
- Work with credentialing, contracting, finance, and clinical operations teams to resolve operational barriers
- Support implementation and refinement of patient financial workflows, payment plans, and collection strategies
- Assist in operationalizing payer requirements and workflow changes across the organization
Success Metrics
- Reduction in aging AR and unresolved hold volumes
- Improvement in denial prevention and claim throughput
- Timely month-end billing completion across all markets
- Increased operational accountability and workflow consistency
- Strong team engagement, development, and productivity
- Successful implementation of operational improvements and automation initiatives
Qualifications
- Bachelor’s degree preferred
- 5–7+ years of progressive healthcare revenue cycle experience
- 3–5+ years of leadership or management experience within revenue cycle operations
- Strong understanding of physician billing, coding workflows, claims management, and AR operations
- Experience managing denial follow-up and accounts receivable teams
- Experience with AthenaOne or similar practice management platforms strongly preferred
- Experience with multi-site physician practice operations
- OB/GYN or women’s health experience strongly preferred
- Experience supporting high-growth healthcare organizations preferred
- Experience with multi-state healthcare operations (Tennessee, Florida, and/or Texas preferred)
- Strong Excel and operational reporting skills preferred
Skills and Attributes
- Mission-driven with a passion for improving women’s healthcare
- Operationally minded with strong process management and problem-solving skills
- Experienced people leader capable of driving accountability and collaboration
- Comfortable managing in a fast-paced, high-growth environment
- Strong communicator able to work cross-functionally across operational and executive teams
- Data-driven and comfortable using metrics to guide operational decisions
- Hands-on leader willing to engage directly in operational workflows
- Positive, solution-oriented, and adaptable
Compensation and Benefits
- Competitive compensation
- Medical, dental, and vision insurance plans with HSA/FSA options
- 401(k) retirement plan
- Paid time off
- Paid parental leave
Location
- Remote position
- Experience with multi-state healthcare operations in Tennessee, Florida, and/or Texas preferred