Revenue Cycle Manager & Subject Matter Expert, Care Management Billing

The role

This is a player-coach role for a revenue cycle leader. You will run care management billing hands-on and lead a small team of billers. You will own collections performance and serve as an expert on RTM, CCM, and PCM coding and billing.

What you will do

• Own charge and payment reconciliation.
• Run monthly claim-level payment analysis.
• Lead payer follow-up and denial resolution.
• Oversee claim entry and corrections.
• Manage a team of billers and contractors.
• Run the team's operating cadence.
• Measure and audit quality.
• Review claims for coding compliance.
• Build coding reference materials.
• Write and maintain SOPs.

Required qualifications

• 5+ years of hands-on revenue cycle experience in physician practice or ambulatory billing, including A/R follow-up, denial management, and payment reconciliation
• 2+ years leading or supervising billers, coders, or a denials team
• Working knowledge of CPT and ICD-10-CM coding guidelines, ideally for care management codes (RTM, CCM, PCM)
• Experience with Medicare, Medicare Advantage, and commercial payers, including working directly with payer representatives
• Experience across multiple EHR and practice management systems
• Strong spreadsheet skills (pivot tables, lookups) for claim-level analysis
• Clear written communication; comfortable writing SOPs and presenting findings to clients and leadership

Nice to have

• CPC, CPB, or CRCR certification
• experience working with engineering teams on billing automation
• experience at a growth-stage healthcare services company

About the company

Flagler Health is building the clinical operating system for modern musculoskeletal care. They partner with MSK provider groups and specialty clinics to help them grow, operate more efficiently, and deliver better longitudinal care.