You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a hands-on RCM Manager to own the revenue cycle from start to finish. This role involves leading a remote billing team, taking responsibility for collection goals, and overseeing claims processing, contracting, credentialing, and rejections triage. You will collaborate closely with operations and engineering teams to prevent denials and automate billing workflows.
Responsibilities / Job Duties
- Lead, coach, and hold accountable a 5-person RCM team, setting clear productivity and quality standards.
- Own collection goals and core RCM KPIs: clean claim rate, denial rate, days in A/R, and net collection rate.
- Oversee claims processing for Medicare and Medicare Advantage from start to finish: charge capture, submission, payment posting, denials, and appeals.
- Manage payer contracting and provider credentialing.
- Run rejections and denials triage, finding root causes, and resolving issues quickly.
- Work with operations and engineering to prevent as many denials as possible upstream, and to design and prioritize billing automation and reporting.
- Keep billing compliant with CMS guidelines and payer-specific requirements.
- Report on revenue performance to leadership regularly.
Minimum Education and Experience Qualification Requirements
Qualifications
- Deep experience billing Medicare and Medicare Advantage plans.
- Hands-on experience with payer contracting and credentialing.
- A track record of improving collections and reducing denials.
- Interest in working closely with engineers to improve processes through technology.
Experience
- 2+ years experience in healthcare RCM including Medicare/Medicare Advantage billing and accounts receivable.
Skills
- Experience with care management or time-based codes (PIN, CHI, CCM, PCM, or similar).
- Background at a care navigation, value-based care, or digital health company.
- Experience scaling an RCM function at a startup.
Schedule / Shift
Benefits
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
Any required state or Joint Commission training is compensated at the state or local minimum wage rate.
*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
