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Revenue Operations Manager
Adaptive Innovations. 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 pre-bill audits and claims processing, while effectively leading and developing operational teams. Proficient in utilizing data to drive process improvements and ensure compliance across clinical and billing functions.
Highest-signal resume keywords
Home Health Revenue Cycle ManagementOperational Team LeadershipPre-Bill Audit ManagementHomecare Homebase (HCHB) FamiliarityPDGM Billing-Readiness Workflows
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 ProcessingDocumentation ManagementWorkflow OptimizationPerformance TrackingOperational Process Improvement
Soft Skills
CoachingCommunicationProblem-SolvingTeam CollaborationFeedback Provision
Tools & Technologies
Homecare Homebase (HCHB)Workflow BoardsDashboardsOperational ToolsAutomation Tools
Industry Keywords
MedicareMedicare AdvantageContract TherapyPhysician Orders ManagementClinical Documentation
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
- Manage, coach, and support onshore and offshore team members and team leads
- Set priorities, monitor workload and performance, and provide feedback and training
- Respond to workflow questions and resolve or escalate operational and clinical issues
- Develop and maintain SOPs, quality controls, and escalation paths
- Oversee outstanding physician orders and plans of care, prioritizing aged items and orders holding claims
- Verify physician information and delivery methods, confirm receipt, follow up on missing signatures, and record returned orders accurately in HCHB
- Manage pre-bill audit and held-claim workflows, ensuring requirements are met before clearing holds
- 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
- Monitor unsigned orders, held claims, aging, productivity, and unbilled revenue using workflow boards and dashboards
- Partner with R&D, product, and engineering to define requirements, test tools and automations, and improve workflows
- Translate frontline feedback and performance data into process improvements, updated SOPs, 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
- Experience working with product, engineering, or technical teams to design or implement operational tools or automation
- Familiarity with physician signature workflows, contract therapy documentation, and home health medical records processes
- Experience with PDGM, Medicare and Medicare Advantage billing-readiness workflows, or payer-specific documentation requirements
- Legally authorized to work in the United States
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