Revenue Cycle Manager

The role

This manager will lead and support a team of RCM specialists in a home health environment. The role focuses on accounts receivable, monitoring team performance, and resolving claim issues.

What you will do

• Manage and support RCM specialists working across home health revenue cycle workflows.
• Track attendance and monitor individual and team performance against KPIs and daily quotas.
• Review workflow boards to spot backlogs and red flags.
• Respond promptly to specialist questions.
• Identify process gaps and work with the team to resolve issues.
• Guide specialists in prioritizing commercial, Medicare, and Medicare Advantage receivables.
• Oversee claim follow-up through resolution.
• Review and respond to escalations.
• Ensure claim activity and follow-up dates are documented in HCHB.
• Partner with billing, payment posting, prior authorization, and clinical teams.

Required qualifications

• Strong experience in home health revenue cycle operations.
• Familiarity with Homecare Homebase (HCHB).
• Experience managing RCM specialists, including tracking attendance and performance KPIs.
• Experience monitoring workflows throughout the day and identifying risks to daily productivity targets.
• Experience identifying collection challenges and implementing processes to resolve.
• Working knowledge of AR follow-up, denial investigation, appeals or reprocessing, and payer-specific filing requirements.
• Experience reviewing claim documentation and quality, escalating unresolved issues, and coordinating with billing or posting teams.
• Ability to respond promptly to team questions while managing multiple priorities.
• Ability to identify workflow or process gaps and help the team address them.

Nice to have

• Experience managing distributed or offshore revenue cycle teams.
• Familiarity with commercial fee-for-service and Medicare or Medicare Advantage home health claims, including episodic/PDGM workflows.
• Experience with AR dashboards, clearinghouses, and payer portals such as Waystar and Availity.
• Experience using denial trends, quality reviews, or operational data to improve collections workflows and team training.

Benefits

• Competitive salary
• Comprehensive health insurance
• Dental
• Commuter benefits
• 401(k) retirement plan with employer contribution
• Opportunity for growth in a fast-growing company

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 industry by automating administrative work with AI.