Revenue Operations Manager

The role

You will lead a team responsible for making home health claims ready to bill. You will manage day-to-day execution across orders management, pre-bill audit, and related medical records and contract therapy workflows while partnering with R&D to improve processes and technology.

What you will do

• Manage, coach, and support onshore and offshore team members and team leads.
• Set clear priorities, monitor workload and performance, and provide timely feedback and training.
• Respond to questions and resolve or escalate operational and clinical issues.
• Develop and maintain SOPs, quality controls, and escalation paths.
• Oversee the pursuit of outstanding physician orders and plans of care.
• Verify physician information, confirm receipt, follow up on missing signatures, and ensure orders are recorded in HCHB.
• Manage the pre-bill audit and held-claim workflow.
• Coordinate with clinical, quality, medical records, contract therapy, and billing teams.
• Oversee documentation workflows including contract therapy notes and medical records requests.
• Use workflow boards and dashboards to monitor orders, held claims, and team productivity.

Required qualifications

• Strong experience in home health revenue cycle or revenue operations, including documentation and workflows required before claims can be billed.
• Experience managing and developing operational teams, including setting priorities, coaching performance, and addressing escalations.
• Working knowledge of physician orders management and pre-bill audit or held-claim resolution.
• Familiarity with Homecare Homebase (HCHB) and its home health workflows.
• Ability to use operational data and work queues to identify bottlenecks, track performance, and drive follow-through.
• Experience improving and documenting operational processes across teams.
• Ability to work effectively with clinical, quality, billing, and other partners and communicate clearly about complex issues.

Nice to have

• Experience leading distributed teams across onshore and offshore locations.
• Experience working with product, engineering, or technical teams to design or implement operational tools or automation.
• Familiarity with physician signature workflows, contract therapy documentation, and home health medical records processes.
• Experience with PDGM, Medicare and Medicare Advantage billing-readiness workflows, or payer-specific documentation requirements.

Benefits

• Competitive salary
• Comprehensive health insurance
• Dental
• Commuter benefits
• 401(k) retirement plan with employer contribution
• Opportunity for growth in a fast-growing company
• Collaborative team valuing innovation and problem-solving

About the company

adaptive-innovations is building an AI-native physical care platform starting with home health. They aim to reshape the cost structure of the healthcare industry using AI.