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Revenue Cycle Management, Manager
Adaptive Home Health. Manage and support RCM specialists working across home health revenue cycle workflows .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing home health revenue cycle operations, including oversight of RCM specialists and workflow optimization. Proficient in AR follow-up processes, denial investigations, and collaboration with cross-functional teams to enhance operational efficiency.
Highest-signal resume keywords
Home Health Revenue Cycle OperationsHomecare Homebase (HCHB)RCM Specialist ManagementAR Follow-Up and Denial InvestigationCommercial and Medicare Claims Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Revenue Cycle ManagementWorkflow MonitoringPerformance KPI TrackingClaim Documentation ReviewDenial Trends AnalysisOperational Data UtilizationProcess Gap IdentificationClaims Follow-UpPayer-Specific Filing RequirementsEpisodic/PDGM Workflows
Soft Skills
Team LeadershipEffective CommunicationProblem SolvingMulti-Priority ManagementCoaching and Mentoring
Tools & Technologies
AR DashboardsWaystarAvailityClearinghousesPayer Portals
Industry Keywords
Home HealthMedicare AdvantageFee-for-ServiceClaims ProcessingSOP Development
About the role
Key responsibilities & impact- Manage and support RCM specialists working across home health revenue cycle workflows
- Track attendance and monitor individual and team performance against established KPIs and daily quotas
- Review workflow boards throughout the day to spot backlogs, red flags, and specialists at risk of missing end-of-day quotas
- Respond promptly to specialist questions while balancing real-time workflow monitoring and other team needs
- Identify process gaps and work with the team to resolve issues affecting daily performance
- Apply home health and Homecare Homebase knowledge to help specialists navigate workflows and resolve operational questions
- Guide specialists and team leads in prioritizing commercial, Medicare, and Medicare Advantage receivables, including aged balances, payer responses, rejections, denials, and filing or appeal deadlines
- Oversee claim follow-up through resolution, including claim status and payment verification, collection barrier and underpayment investigation, corrections, reprocessing, reconsiderations, and appeals
- Review and respond to escalations and surface recurring payer, workflow, or system issues to leadership
- Ensure claim activity, supporting evidence, next actions, and follow-up dates are accurately documented in AR workflows and HCHB
- Partner with billing, payment posting, prior authorization, clinical, and other teams to resolve discrepancies and claims issues
- Review proposed write-offs and route them through approval and posting processes
- Review claim work for accuracy, documentation, timely follow-up, and correct escalation; coach specialists based on findings
- Support onboarding, payer and system cross-training, and knowledge sharing
- Identify collection challenge patterns and update SOPs or workflows
- Share frontline feedback on AR dashboards and automation to improve prioritization, visibility, and workflows
Requirements
What you’ll need- 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 them
- 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
- 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
- Legally authorized to work in the United States
- No current or future employment visa sponsorship requirement
Benefits
Comp & perks- Comprehensive health insurance, dental, and commuter benefits
- 401(k) retirement plan with employer contribution
- Opportunity for growth in a fast-growing company
- Collaborative team valuing innovation and problem-solving