Senior Revenue Operations Manager
Skills
AnalyticsAppealsClinical OperationsHealthcareNegotiationOperations ManagementPrevention
What the job involves
The main requirements, responsibilities and hiring steps.
Requirements
- 5+ years in healthcare revenue cycle or billing operations
- 2+ years in a management or lead role
- Medi-Cal/Medicaid billing experience strongly preferred
- Multi-state Medicaid experience a strong plus
- Telehealth reproductive health or women's health background strongly preferred
- Fluency in clearinghouse workflows ERA/EOB reconciliation and CPT/ICD-10 coding for reproductive and virtual care
- Hands-on experience configuring and managing billing systems and EHRs
- Analytical mindset with experience using data to identify trends and improve processes
- Strong cross-functional operator across Clinical BD Finance Product and Clinical Operations
- Excellent written and verbal communication skills
- Thrives in fast-paced ambiguous environments
Nice to have
- Detail-oriented
- Highly organized
- Resourceful
- Solutions-oriented
- Mission-driven
- Adaptable
Day to day
- Own end-to-end revenue cycle operations across charge capture claims submission denial management payer follow-up patient billing and AR collections
- Monitor clean claim rate AR days denial rate and write-off rate and report performance trends to leadership on a monthly cadence
- Develop billing and coding protocols partner with Clinical and manage workflows systems and team members to improve accuracy speed and revenue capture
- Lead denial prevention appeals and compliance readiness while identifying operational gaps and building scalable processes that reduce manual work