1 день назад
Manager, Revenue Cycle (Post-Appeals)
101 400 - 120 000$
Мэтч & Сопровод
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Описание вакансии
Текст:
TL;DR
Manager, Revenue Cycle (Post-Appeals) (Healthcare Billing): Overseeing post-appeal payer response tracking and resolution across commercial and non-commercial plans with an accent on backlog reduction, SLA compliance, and scalable workflows. Focus on managing large remote and offshore teams, analyzing appeal data, and partnering with technology and Denials & Appeals stakeholders to improve operational processes.
Location: US Remote
Salary: $101,400–$120,000 USD annually
Company
is a healthcare and diagnostics company focused on cell-free DNA testing for oncology, women’s health, and organ health.
What you will do
- Oversee daily operations of the Unresponded team, including 124+ offshore representatives, supporting leaders, onshore analysts, and a supervisor.
- Track and drive resolution of post-appeal payer responses across commercial and non-commercial plans.
- Identify backlog drivers and implement strategies to reduce aging unresponded appeals and meet SLA targets.
- Partner with technology and systems teams to prioritize and implement workflow improvements.
- Coordinate with Denials & Appeals teams to escalate, document, and address process errors.
- Manage performance through goal-setting, productivity monitoring, coaching, development, and standard operating procedures.
Requirements
- Bachelor’s degree in a related field or equivalent experience.
- At least five years of experience managing large teams in billing, denials management, or revenue cycle operations within a laboratory or healthcare setting.
- Experience managing large remote or offshore teams.
- Strong knowledge of commercial and non-commercial payer plans, appeal processes, and post-appeal response workflows.
- Familiarity with multiple payer portals and experience collaborating with technology or systems teams on workflow improvements.
- Knowledge of PHI handling requirements and proficiency with Microsoft Word and Excel.
Nice to have
- Experience with AMD.
- Experience with billing platforms and payer portals.
Culture & Benefits
- Remote work in the United States.
- Medical, dental, vision, life, and disability benefits for eligible employees and dependents.
- Free testing for employees and immediate family members, plus fertility care benefits.
- Pregnancy and baby bonding leave, 401(k) benefits, commuter benefits, and an employee referral program.
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