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Revenue Cycle Management, Manager
Adaptive Innovations. 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 strong expertise in home health revenue cycle operations, including managing RCM specialists and optimizing workflows. Proficient in AR follow-up processes, denial investigations, and leveraging operational data to enhance team performance and collections.
Highest-signal resume keywords
Home Health Revenue Cycle OperationsManagement of RCM SpecialistsAR Follow-Up and Denial InvestigationHomecare Homebase (HCHB) FamiliarityWorkflow Monitoring and Risk Identification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
AR Follow-UpDenial InvestigationClaims ProcessingPerformance KPI TrackingWorkflow OptimizationCollection Process ImplementationClaims Documentation ReviewPayer-Specific Filing RequirementsCommercial Fee-For-Service ClaimsMedicare Advantage Claims
Soft Skills
Team LeadershipProblem SolvingEffective CommunicationMulti-Priority ManagementCoaching and Mentoring
Tools & Technologies
Homecare Homebase (HCHB)AR DashboardsWaystarAvailityClearinghouses
Industry Keywords
Revenue Cycle ManagementHome HealthMedicareMedicare AdvantageEpisodic/PDGM Workflows
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 identify backlogs, red flags, and specialists at risk of missing 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 navigate workflows and resolve operational questions
- Guide specialists and team leads in prioritizing commercial, Medicare, and Medicare Advantage receivables
- Oversee claim follow-up through resolution, including claim status and payment verification, collection-barrier 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 the required approval and posting process
- Review claim work for denial interpretation, appropriate action, documentation, timely follow-up, and escalation; coach specialists based on findings
- Support onboarding, payer and system cross-training, and knowledge sharing
- Update SOPs or workflows to prevent recurring collection issues
- Share frontline feedback on AR dashboards and automation to improve prioritization 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
- Must answer whether employment visa sponsorship will be required
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
- Competitive salary