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1 день назад

Manager, Revenue Cycle (Post-Appeals)

101 400 - 120 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

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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

hirify.global 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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