Front End Revenue Cycle Manager (Healthcare)

TL;DR

Front End Revenue Cycle Manager (Healthcare Finance): Managing the accuracy and timeliness of upstream revenue cycle activities with an accent on member eligibility, claims entry, and provider credentialing. Focus on reducing claim submission lag, improving clean claim rates, and optimizing the billing data flow between internal systems and Athena Health.

Location: Remote (USA). Not hiring in AK, AR, DE, HI, ME, MS, NM, OK, SD, VT, WI

Salary: $93,000 – $107,000

Company

hirify.global is a virtual care company on a mission to reverse metabolic disease through technology, personalized nutrition, and reinvented virtual care delivery.

What you will do

• Own the end-to-end member eligibility process, including RTE verification via ANSI X12 270/271 transactions.
• Oversee the accuracy of claims preparation and submission across all product lines to ensure timely filing.
• Manage provider and program credentialing and payer enrollment to prevent claim denials.
• Recruit and develop a team of RCM staff, establishing SOPs and performance expectations.
• Collaborate with Engineering to automate billing trigger data flow and implement claim scrubbing processes.

Requirements

• 5+ years of revenue cycle management experience with a focus on front-end functions.
• Strong knowledge of ANSI X12 EDI transactions (270/271, 837, 835).
• Experience with Athena Health or comparable practice management/claims systems.
• Ability to manage cross-functional relationships with Client Success, Engineering, and clinical teams.
• Must be based in the USA (excluding restricted states mentioned above).

Nice to have

• Experience in healthcare technology, digital health, or value-based care environments.
• Proactive use of AI tools to improve individual output and efficiency.

Culture & Benefits

• Remote-first work environment with office hubs in Denver and San Francisco.
• Compensation includes equity options.
• Culture based on ownership, impact, transparency, and evidence-based decision making.
• Focus on a people-first approach for both employees and patients.