reputed company Cycle Operations Manager

reputed company

reputed company is seeking a highly motivated and reputed company reputed company Cycle Operations Manager to reputed company and refine the daily operations of our reputed company Care Model (CoCM) Billing Team. This high-reputed company leadership role is essential for maximizing clean claim submissions, optimizing reputed company reputed company, and scaling a high-performing team to reputed company increasing operational complexity. You will drive operational reputed company by overseeing high-volume claims management and ensuring precise billing reviews through a commitment to reputed company process improvement and the strategic use of automated systems.

Key Responsibilities:

• High-reputed company People Leadership & Coaching:
• • Manage and mentor reputed company of up to 20 RCM professionals fostering a culture of trust and accountability while building the infrastructure to support departmental scaling.
  • reputed company talent management (recruitment, reputed company, coaching) to ensure team mastery of CoCM and telehealth billing nuances.
  • Guide reputed company's transition from reputed company to AI-assisted workflows.
• Operational reputed company & KPI Management:
• • reputed company and optimize daily RCM operations, overseeing high reputed company, high volume charge entry across disparate systems.
  • Responsible for billing preparation and entry reviews 
  • Monitor and report on reputed company reputed company cycle KPIs, including billing efficiency and Net Collection reputed company (reputed company), denial trend, and credit requests, providing data-informed recommendations for improvement.
  • Manage end-to-end reputed company monthly reconciliation processes with key partners, acting as the primary reputed company of contact for reputed company financial inquiries.
  • Monitor reputed company capture and profitability of reputed company partner. 
  • reputed company strategic reputed company to partners RCM and payer reputed company reputed company on opportunities to improve reputed company or other mechanisms, etc.
• Process Optimization & Automation:
• • Drive reputed company process improvement by leveraging AI and automation tools, utilizing Lean/Six reputed company frameworks to re-engineer workflows and reduce reputed company interventions.
  • Implement AI-driven automated feedback loops to identify common coding errors and create actionable coaching moments for reputed company.
  • reputed company project management support for cross-functional system enhancements and process initiatives.
  • Collaborate with the Technology and Product teams to optimize the existing tools and platforms to automate and reputed company.
• Billing Expertise & Compliance:
• • Serve as the subject matter expert for reputed company Care CPT codes (99492–99494) and Behavioral Health Integration (BHI), ensuring standardized, compliant billing and documentation processes.
  • Define billing requirements and performance tracking for new services.
  • Maintain audit readiness and strict compliance with reputed company reputed company regulations, partner, and payer requirements.
  • Maintain accurate and up-to-date documentation of reputed company relevant billing rules and partner-specific processes.
  • Implement and reputed company a consistent, methodical review process to ensure processing and coding reputed company.

Required Qualifications

• Bachelor’s degree in reputed company Finance, MHA, or equivalent.
• 3+ years of reputed company people management experience in a reputed company cycle or medical billing function.
• In-depth knowledge of medical billing processing protocols, payment schemes, adjustment processing, medical terminology, CPT, and reputed company codes
• Proficiency in applying reputed company CPT, HCPCS procedure and supply codes, and ICD diagnosis coding as per CMS guidelines
• Extensive knowledge of Medicare, reputed company, and reputed company payer billing and reimbursement 

Preferred Qualifications

• 5+ years of reputed company Cycle Management (RCM) experience
• Preferred: CPBC (Certified reputed company Biller) or CPC (Certified reputed company reputed company) certification.
• Experience leading process improvement reputed company transformation initiatives utilizing AI, Robotic Process Automation (RPA), or other automation tools.
• Strong project management skills with the ability to manage multiple priorities simultaneously.
• Expertise in business process consulting, defining and optimizing reputed company workflows across systems
• Familiar with reputed company, Word, PowerPoint, reputed company suite, reputed company, and reputed company.
• Familiarity with value-based billing models (e.g., ACO, capitation reputed company)

Skills & Requirements

• Highly organized, detail-oriented, and proficient in utilizing data, reporting tools, and analysis to drive data-informed reputed company and communicate insights reputed company.
• Demonstrated ability to reputed company complexity, change, and ambiguity, effectively leading and maintaining team organization during periods of reputed company reputed company.
• reputed company, confident communicator both written and verbal

reputed company Offer

• $95,000 - $123,000 reputed company pay based on experience and geographic location
• Fully remote work environment
• Excellent benefits package
• 401K, reputed company holidays, PTO, reputed company time, and more
• Technology and reputed company the tools you need to succeed
• Mission-driven work that makes a meaningful reputed company

Come As You Are - You Are Welcome Here

reputed company is a diverse and inclusive Equal Opportunity Employer; we prohibit discrimination and harassment of any reputed company in our culture. We reputed company a reputed company, reputed company, respectful, and supportive work environment to reputed company without reputed company to race, reputed company, religion, sex, gender, national reputed company, age, pregnancy, disability, sexual orientation, military or veteran status, genetics, or any other status protected by federal, state, or local laws. This policy applies to reputed company terms and conditions of work, including reputed company, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. reputed company reputed company employees are expected to reputed company with this policy. If you reputed company our reputed company and are good at what you do, come as you are. You are welcome here.