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Posted: 10/20/2026Revenue Cycle Manager – Care Management Billing
Flagler HealthPosted 10/20/2026full-timeRemote • United States, CanadaMid-LevelSenior💰 $90,000 - $100,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive revenue cycle management expertise, including payment reconciliation, denial management, and compliance with CPT and ICD-10-CM coding guidelines. Proven ability to lead teams, improve billing processes, and collaborate with engineering on automation initiatives.
Highest-signal resume keywords
Revenue Cycle ManagementDenial ManagementCPT Coding ComplianceICD-10-CM Coding ComplianceTeam Leadership
About the role
Key responsibilities & impact- Own charge and payment reconciliation for new partner practices
- Run monthly claim-level payment analysis and identify unpaid, underpaid, denied, or incorrectly adjusted claims
- Lead payer follow-up and denial resolution, including rebills, appeals, coding fixes, and front-end fixes
- Oversee accurate and timely claim entry and corrections across multiple EHR and practice management systems
- Manage billers and contractors, assign work, set priorities, and track throughput
- Run denials and billing team meetings and recurring one-on-ones
- Produce monthly productivity reporting, conduct sample-based quality audits, and coach team members
- Review claims for ICD-10-CM and CPT coding compliance
- Create and maintain diagnosis pairing guides and program-specific coding tip sheets
- Write and maintain SOPs for claim entry and billing workflows
- Lead billing implementation for new partner practices using RTM, CCM, and PCM services
- Serve as billing escalation point for active practices and participate in billing and collections calls
- Share denial and underpayment patterns with clinical operations and customer success
- Redesign billing processes to improve accuracy and shorten time to collection
- Partner with engineering on billing requirements, tool testing, and automation
- Improve eligibility checks, benefits verification, and patient enrollment logic
Requirements
What you’ll need- 5+ years of hands-on revenue cycle experience in physician practice or ambulatory billing, including A/R follow-up, denial management, and payment reconciliation
- 2+ years leading or supervising billers, coders, or a denials team
- Working knowledge of CPT and ICD-10-CM coding guidelines, ideally for care management codes (RTM, CCM, PCM)
- Experience with Medicare, Medicare Advantage, and commercial payers, including working directly with payer representatives
- Experience across multiple EHR and practice management systems
- Strong spreadsheet skills, including pivot tables and lookups, for claim-level analysis
- Clear written communication; comfortable writing SOPs and presenting findings to clients and leadership
- CPC, CPB, or CRCR certification is nice to have
- Experience working with engineering teams on billing automation is nice to have
- Experience at a growth-stage healthcare services company is nice to have
- Authorization to work in the United States or Canada
- No current or future visa requirement to continue working in the United States or Canada
Benefits
Comp & perks- Compensation review opportunity after six months
- Remote work arrangement
- Opportunity to lead and build a scalable billing function
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Payment ReconciliationClaim AnalysisCoding FixesEHR SystemsSpreadsheet SkillsQuality AuditsBilling WorkflowsEligibility ChecksBenefits VerificationPatient Enrollment Logic
Soft Skills
Clear Written CommunicationCoachingTeam Management
Tools & Technologies
Practice Management SystemsBilling Automation Tools
Certifications & Qualifications
CPCCPBCRCR
Industry Keywords
Healthcare ServicesMedicareMedicare AdvantageCommercial PayersRevenue Cycle Experience