EverHealth - Revenue Cycle Management (RCM) Manager ( Remote, US)
name
71d ago
0$60k - $70kSalesUnited Stateshimalayas
Revenue-Cycle-ManagementHealthcare-AdministrationClaims-ManagementDenial-ManagementHealthcare-OperationsRevenue-Cycle-Management-ManagerRevenue-Cycle-ManagerRevenue-Cycle-Operations-ManagerManager
Job Description
AtEverCommerce[Nasdaq: EVCM], we are on a mission to digitally transform the service economy with tailored, end-to-end SaaS solutions that simplify and empower the lives of our 725,000+ customers. As a leading service commerce platform, our modern digital and mobile applications create predictable, informed, and convenient experiences between customers and their service professionals in the areas of Home & Field Services, Health Services, and Wellness industries.
We are building an extraordinary company and looking for talented, energetic, and motivated people to join our team. You can learn more about our Company, Culture and Values here:
We are looking for aRevenue Cycle Management (RCM) Manager is responsible for leading the organization’s revenue cycle operations with a focus on accounts receivable optimization, denial management, claims resolution, and overall client financial performance. This role provides leadership to the Claims Management Specialist team and partners with Service Managers, BPO partners, and Operations to improve client health, maximize reimbursement, and drive operational excellence.
The RCM Manager provides strategic leadership for the Claims Management Specialist team by establishing priorities, driving performance, and ensuring the team delivers actionable insights that improve client financial outcomes. While Claims Management Specialists are responsible for investigating claims, identifying root causes, and recommending solutions, the RCM Manager is accountable for working with leadership on the strategic direction, removing operational barriers, aligning resources, and ensuring recommendations are executed to achieve measurable improvements in revenue cycle performance.Key ResponsibilitiesLeadership & Team Management
Lead, mentor, and develop the Claims Management Specialist team.
Establish team goals, performance expectations, and professional development plans.
Monitor productivity, quality, and service levels to ensure operational excellence.
Foster a culture of accountability, collaboration, continuous learning, and data-driven decision making.
Conduct performance reviews, coaching sessions, and career development planning.
Strategic Leadership & Accountability
Establish the strategic vision and priorities for the Claims Management Specialist team in alignment with organizational and client objectives.
Own revenue cycle performance by ensuring the team focuses on the highest-impact opportunities for revenue recovery and operational improvement.
Translate analytical findings into actionable business strategies and operational initiatives.
Prioritize work based on client health, financial impact, payer trends, and organizational goals.
Remove barriers that prevent successful execution of team recommendations.
Hold the team accountable for delivering measurable improvements in key revenue cycle metrics while empowering specialists to determine the most effective analytical approach and claim resolution strategies.
Serve as the primary escalation point for complex reimbursement issues, systemic payer challenges, and cross-functional operational concerns.
Balance day-to-day operational priorities with long-term strategic initiatives to improve scalability, efficiency, and client outcomes.
Revenue Cycle Strategy & Performance
Develop and execute strategies to improve revenue cycle performance across assigned client portfolios.
Monitor organizational and client-level performance against established KPIs.
Identify trends impacting reimbursement and implement corrective action plans.
Provide strategic recommendations to senior leadership regarding revenue cycle optimization.
Drive initiatives that improve cash flow, reduce aging accounts receivable, and increase reimbursement.
Claims Management OversightProvide oversight and direction for the Claims Management Specialist team responsible for:
Complex claims resolution
Root cause analysis of denied and unpaid claims
Payer trend analysis
Practice workflow analysis
Revenue recovery opportunities
Escalation of systemic reimbursement issues
Ensure recommendations developed by the team result in measurable operational improvements.Denial Management & Revenue Integrity
Oversee organizational denial management strategy.
Review denial trends and identify systemic opportunities for improvement.
Partner with operational leaders to implement denial prevention initiatives.
Ensure timely escalation of payer issues and reimbursement challenges.
Monitor effectiveness of corrective action plans.
Client Health & Operational Partnership
Partner with Service Managers to improve client financial performance and overall client health.
Participate in client business reviews and operational performance meetings.
Support initiatives that improve client retention and revenue optimization.
Provide executive-level reporting and recommendations on revenue cycle performance.
BPO Oversight & Operational Excellence
Provide leadership for BPO performance related
