ExecutivePlacements.com ยท 1 day ago
Senior Revenue Cycle Manager (remote)
United States
Full-time
Remote
Mid, Senior Level
$90K/yr - $140K/yr
5+ years expEnara is a world renowned obesity and medical weight loss start-up, based in Silicon Valley, pioneering the use of data, digital, and clinical treatments to provide personalized plans with measurable results. The Revenue Cycle Manager will lead and scale insurance revenue operations while managing a cross-functional team to optimize processes for revenue cycle management.
Human ResourcesOnline PortalsRecruiting
Responsibilities
You will be responsible for managing and optimizing our processes for full revenue cycle from eligibility and coding to claim submission and denial analysis
Lead and mentor a cross-functional team of eligibility administrators, medical coders, payment posters, and denial managers (offshore and outsourced)
Set and monitor team KPIs, workloads, and performance dashboards
Develop structured daily/weekly workflows and escalation protocols
Set up and manage multi-TIN (Tax Identification Number) billing infrastructure, including payer portal access across multiple entities
Establish and maintain SFT/SFTP systems for secure charge capture and electronic remittance processing (837/835 files)
Build and maintain custom dashboards for denial analysis, reimbursement trends, and operational performance metrics
Analyze claims and denial data to identify coding and billing improvement opportunities
Create worklists and data-driven assignments for coders, posters, and denial specialists
Develop policies and tools to reduce days in A/R, increase first-pass resolution rates, and ensure payer compliance
Collaborate with Clinical, Product/Engineering, and Operations teams to align billing strategy with service delivery
Support payer contracting, MIPS reporting, and special billing initiatives such as Remote Patient Monitoring (RPM)
Maintain up-to-date knowledge of Medicare and commercial payer regulations, CPT/ICD coding updates, and reimbursement policy changes
Qualification
Required
Bachelors degree in Business, Finance, Accounting, Healthcare Administration, or related field
5+ years of experience in healthcare revenue cycle management, including claims processing, coding, and payment posting
Proven experience leading teams and managing RCM systems in a multi-entity environment
Strong technical understanding of SFTP, 837/835 EDI, and charge capture systems (ability to set those up using Agentic tools is huge plus)
Expertise in denial management, coding rules, and claims workflow optimization
Proficient in analyzing large datasets and creating dashboards (BigQ, Looker)
Deep knowledge of CPT, HCPCS, ICD-10, and payer billing requirements
Familiarity with Medicare and commercial insurance reimbursement practices
Exceptional organizational, analytical, and communication skills
Preferred
Familiarity with Apero Health billing platform is plus
1+ years of experience in Merit-Based Incentive Payment System (MIPS) reporting
Company
ExecutivePlacements.com
Online recruitment
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase