EverCommerce

Software that Powers the Service Economy

RCM Manager, Front End

Frontend EngineerSoftware EngineerFull TimeRemoteTeam 1,001-5,000Since 2016H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

17 days ago

Salary

$60K - $70K / year

Bachelor Degree5 yrs expEnglish

Job Description

• Lead all front-end revenue cycle operations including benefits verification, authorization, coding, charge entry, and rejection/edit resolution. • Set front-end strategy, KPIs, performance standards, and operating cadence to support clean claim submission and payer compliance. • Design, implement, and maintain workflows, SOPs, and escalation paths across all front-end functions and tiers. • Allocate work and manage capacity to meet daily throughput expectations and service-level turnaround times. • Drive root-cause analysis for rejections, edits, and coding errors; implement corrective actions, training, and upstream fixes. • Partner with the Back-End RCM Manager to close the loop on denial prevention, trend analysis, and cash acceleration initiatives. • Monitor payer policies, medical necessity rules, and regulatory changes; update processes, playbooks, and guidance accordingly. • Ensure compliance with HIPAA, payer requirements, medical necessity, and documentation standards. • Lead audit readiness and support internal and external audits related to front-end RCM functions. • Drive continuous improvement initiatives through data analysis, reporting, and performance management. • Communicate risks, progress, and outcomes to leadership and cross-functional stakeholders. • Manage staffing models, cross-coverage, and productivity across front-end teams. • Perform other related duties as assigned.

Job Requirements

  • Bachelor’s degree in Business Administration, Healthcare, or related field preferred.
  • 5+ years of healthcare or revenue cycle management experience, including demonstrated leadership responsibility.
  • Demonstrated experience with KPI development, financial analysis, and performance improvement initiatives.
  • Extensive knowledge of medical billing, coding (ICD-10, CPT, HCPCS), and end-to-end revenue cycle workflows.
  • Strong understanding of payer rules, denial management, appeals, and reimbursement methodologies.
  • Proven ability to partner with client-facing teams and communicate effectively with internal and external stakeholders.
  • Professional demeanor with strong written, verbal, and interpersonal communication skills.

Benefits

  • Flexibility to work where/how you want within your country of employment – in-office, remote, or hybrid
  • Continued investment in your professional development
  • Day 1 access to a robust health and wellness benefits package, including an annual wellness stipend.
  • 401k with up to a 4% match and immediate vesting
  • Flexible and generous (FTO) time-off
  • Employee Stock Purchase Program

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