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Revenue Operations Manager
Adaptive Home Health. Lead a team responsible for making home health claims ready to bill .
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 claims readiness, physician orders management, and pre-bill audits. Proven ability to lead and develop operational teams while improving processes and ensuring compliance across multiple stakeholders.
Highest-signal resume keywords
Home Health Revenue Cycle ManagementOperational Team LeadershipPre-Bill Audit ManagementHomecare Homebase (HCHB) FamiliarityProcess Improvement
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ReadinessDocumentation WorkflowsOperational Data AnalysisWorkflow MappingPerformance TrackingContract Therapy DocumentationMedicare Billing WorkflowsPayer-Specific DocumentationSOP DevelopmentEscalation Management
Soft Skills
CoachingCommunicationProblem-SolvingTeam CollaborationFeedback Provision
Tools & Technologies
Workflow BoardsDashboardsOperational ToolsAutomation Tools
Industry Keywords
Home HealthRevenue OperationsClinical ComplianceMedical RecordsPhysician Orders Management
About the role
Key responsibilities & impact- Lead a team responsible for making home health claims ready to bill
- Manage day-to-day execution across orders management, pre-bill audit, medical records, and contract therapy workflows
- Partner with R&D, product, and engineering teams to build better processes and technology
- Manage, coach, and support onshore and offshore team members and team leads
- Set priorities, monitor workload and performance, and provide feedback and training
- Resolve or escalate operational and clinical issues with appropriate partners
- Develop and maintain SOPs, quality controls, and escalation paths
- Oversee outstanding physician orders and plans of care, prioritizing aged items and claims-blocking orders
- Verify physician information and delivery methods, confirm receipt, follow up on missing signatures, and accurately record returned orders in HCHB
- Manage pre-bill audits and held-claim workflows, ensuring requirements are met before holds are cleared
- Coordinate with clinical, quality, medical records, contract therapy, billing, and other teams to resolve documentation and compliance issues
- Oversee contract therapy notes and medical records requests
- Use workflow boards and dashboards to monitor orders, held claims, aging, productivity, and unbilled revenue
- Map workflows, define requirements and guardrails, test tools and automations, and improve team workflows
- Translate frontline feedback and performance data into process improvements, SOP updates, and training
Requirements
What you’ll need- Strong experience in home health revenue cycle or revenue operations, including the documentation and workflows required before claims can be billed
- Experience managing and developing operational teams, including setting priorities, coaching performance, and addressing escalations
- Working knowledge of physician orders management and pre-bill audit or held-claim resolution
- Familiarity with Homecare Homebase (HCHB) and its home health workflows
- Ability to use operational data and work queues to identify bottlenecks, track performance, and drive follow-through
- Experience improving and documenting operational processes across teams
- Ability to work effectively with clinical, quality, billing, and other partners and communicate clearly about complex issues
- Experience leading distributed teams across onshore and offshore locations (preferred)
- Experience working with product, engineering, or technical teams to design or implement operational tools or automation (preferred)
- Familiarity with physician signature workflows, contract therapy documentation, and home health medical records processes (preferred)
- Experience with PDGM, Medicare and Medicare Advantage billing-readiness workflows, or payer-specific documentation requirements (preferred)
- Legally authorized to work in the United States
- Must not require employment visa sponsorship now or in the future
Benefits
Comp & perks- Competitive salary
- 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