# Revenue Cycle Management Operations Lead Remote from[USA](https://jobicy.com/job-region/usa.md)Salary, yearly, USD 75,000 - 95,000Department [Product & Operations](https://jobicy.com/categories/management.md) Employment type Full Time, Job posted30 Jun 2026Apply before30 Jul 2026Experience level Senior Views / Applies 25 / 8 [About company](https://jobicy.com/company/abby-care.md) [Share](#share) About [Abby Care](https://jobicy.com/company/abby-care.md) Family care that pays, bringing back compassion and empathy within healthcare. * [Hospital & Health Care](https://jobicy.com/company-category/hospital-health-care.md) * 2008 Verified job posting This job post has been [manually reviewed](https://jobicy.com/tools/help-center/employee/how-does-jobicy-verify-the-legitimacy-of-remote-job-listings.md) for authenticity and compliance. Tailor Resume Check Job Fit Cover Letter ### Tailor my resume to this job Discover how to best rewrite and optimize your resume for this specific job. You'll receive personalized suggestions and detailed guidance to highlight your key strengths, effectively address the job requirements, and make your application more compelling to recruiters and hiring managers. After analyzing your resume, I can provide several recommendations to better position yourself for this role. Your background in software development shows strong technical skills, particularly in Java and Python development. However, for this Senior Backend Developer position, I notice there could be more emphasis on your experience with microservices architecture and cloud technologies, which are key requirements for this role. I recommend highlighting specific projects where you utilized these technologies and quantifying your achievements to demonstrate impact... Upgrade to Plus ### Am I a good fit for this job? Understand your compatibility with this specific job opportunity. Our detailed analysis will assess your resume against the role's requirements, providing insights into your potential fit, key skill alignments, and areas you might need to develop to be a strong candidate. After assessing your resume against the job requirements, here's a summary of your fit: 1. Overall Match: Moderate Fit (Approx. 65-70%). Your resume shows good alignment with several core responsibilities for the Project Manager role, especially your experience in agile methodologies and stakeholder communication. 2. Key Strengths: Your PMP certification and proven track record in delivering projects on time are strong assets for this position. 3. Potential Gap: The role specifies experience with 'XYZ specific software', which is not explicitly mentioned in your resume. If you have this experience, ensure it's highlighted. 4. Recommendation: Consider adding a quantifiable achievement related to budget management, as this is often a key metric for PM roles... Upgrade to Plus ### Cover Letter Assistant Need help writing a compelling cover letter? Our system can analyze this job and your resume to help you draft personalized paragraphs that highlight your strengths and impress hiring managers. Let me help you draft a strong opening... Dear Hiring Manager, I am writing to express my keen interest in the Senior Marketing Manager position. My background in developing data-driven marketing strategies and leading successful product launches, as detailed in my resume, directly aligns with your need for a candidate capable of enhancing brand visibility and driving market share growth. I am confident I can make a significant contribution to your team... Upgrade to Plus ### AI Summary Abby Care is seeking a Revenue Cycle Management Operations Lead to establish billing operations for newly launched markets in Georgia and New Jersey. This hands-on role involves researching payer requirements, creating SOPs, and building a scalable department. As the market grows, the position will evolve into a people leadership role overseeing billing specialists. The ideal candidate has experience in home health care billing, team development, and process improvement. The role offers a competitive salary and the opportunity to shape the future of family-led care. ### Role DNA Job Complexity Easy Hard Pace & Pressure Relaxed Fast-paced Autonomy Level Guided Full Ownership Communication Load Independent Highly Collaborative AI Insight The role requires building RCM processes from scratch, researching state-specific regulations, and transitioning to a leadership position, making it challenging but manageable for experienced professionals. ### Salary Analysis Median Market Rate USD85,000US Market USD70k – 110k 0 USD121k AI Insight The offered median salary of $85,000 is competitive for a Revenue Cycle Management Lead role, especially considering the startup environment and potential for growth. This falls within the typical market range for similar positions in the healthcare industry. ### Core Skills Required [Revenue Cycle Management](https://jobicy.com/jobs?search_keywords=Revenue+Cycle+Management.md) [Billing Operations](https://jobicy.com/jobs?search_keywords=Billing+Operations.md) [Medicaid Billing](https://jobicy.com/jobs?search_keywords=Medicaid+Billing.md) [Team Leadership](https://jobicy.com/jobs?search_keywords=Team+Leadership.md) [Process Improvement](https://jobicy.com/jobs?search_keywords=Process+Improvement.md) [SOP Development](https://jobicy.com/jobs?search_keywords=SOP+Development.md) [Claims Management](https://jobicy.com/jobs?search_keywords=Claims+Management.md) [Compliance](https://jobicy.com/jobs?search_keywords=Compliance.md) [Healthcare Regulations](https://jobicy.com/jobs?search_keywords=Healthcare+Regulations.md) [Data Analysis](https://jobicy.com/jobs?search_keywords=Data+Analysis.md) ### Cover Letter Sample Dear Hiring Manager, I am writing to express my enthusiastic interest in the Revenue Cycle Management Operations Lead position at Abby Care. With over five years of experience in healthcare billing and revenue cycle management, I have successfully built and scaled billing operations for multiple startups. My expertise in researching payer requirements, developing SOPs, and leading teams aligns perfectly with the needs of this role. I am particularly drawn to Abby Care’s mission of empowering family caregivers through technology. In my previous role, I reduced claim denial rates by 20% through process improvements and staff training. I am confident that I can establish a robust RCM foundation for your Georgia and New Jersey markets and mentor a high-performing team as we grow. I look forward to the opportunity to discuss how my skills can contribute to Abby Care’s success. Thank you for your consideration. Sincerely, [Your Name] Copy ### Sample Interview Questions Can you describe your experience with building a revenue cycle management department from scratch?In my previous role at a home health startup, I established the entire RCM department. I researched payer requirements for multiple states, developed billing workflows, created SOPs, and hired and trained a team of five billing specialists. Within six months, we achieved a 95% clean claim rate and reduced accounts receivable days from 60 to 45.How do you stay updated on changes in Medicaid billing regulations?I subscribe to CMS newsletters, attend webinars from industry associations like HFMA, and maintain memberships with state Medicaid portals. I also have a process for regularly reviewing payer bulletins and updating our SOPs accordingly to ensure compliance.Describe a time you managed a difficult claim denial and how you resolved it.A claim was denied due to a coding mismatch. I reviewed the documentation, identified the correct CPT code, and submitted an appeal with supporting medical records. I also communicated with the payer's provider relations team to clarify our coding guidelines. The claim was paid in full, and we updated our training to prevent similar issues.How would you handle transitioning from an individual contributor to a people leader in this role?I plan to initially focus on building processes and documenting them thoroughly. As the team grows, I would prioritize delegation, mentoring, and setting clear expectations. I have experience conducting performance reviews and providing constructive feedback, which I will use to develop my team's skills and ensure consistency.What strategies would you implement to improve the efficiency of the billing process?I would start by mapping the current workflow to identify bottlenecks. Key strategies include automating claim submissions and follow-ups using RCM software, standardizing coding practices, and implementing a daily reconciliation process. I would also establish KPIs such as denial rate, days in AR, and first-pass resolution rate to monitor performance. ## About Abby Care: Powering the future of care at home for all of America. Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever. Over 50 million family caregivers support loved ones without the tools, training, or recognition they deserve. We believe families are the largest untapped caregiving workforce in America, and that technology can help them deliver better care while driving stronger outcomes and greater transparency across the healthcare system. Abby Care combines clinical oversight with an AI-powered platform to train, enable, and support family caregivers in delivering high-quality care at home. Our platform helps health plans and government partners better understand, verify, and improve care in the home. We expand access to care, reduce reliance on higher-cost settings, and help ensure public dollars are spent effectively. We are proud to partner with leading health plans, providers, and community organizations and are backed by top VCs. We envision a future where family-led care is a core part of the healthcare system. Abby Care is building that future. Join us in solving one of the most important challenges of our time. ## The Role This role will initially function as a hands-on Revenue Cycle Management (RCM) Lead responsible for establishing billing operations for a newly launched Georgia and New Jersey market. The successful candidate will build processes, conduct payer and regulatory research, create SOPs, and lay the foundation for a scalable RCM department. As the market grows, this role will evolve into a formal people leadership position overseeing billing specialists and offshore team members. ## Key Responsibilities: * New Department Development Lead the establishment of revenue cycle operations for a newly launched market, including researching payer requirements, workflows, billing processes, and reimbursement guidelines. * Develop, document, and implement SOPs, workflows, and operational best practices to support future team growth. * Research and interpret Georgia and New Jersey Medicaid billing requirements and identify operational requirements necessary to support compliance and reimbursement. * Partner with leadership to define team structure, operational processes, performance metrics, and future KPIs as the department scales. * Identify process gaps and recommend solutions to improve operational efficiency and future revenue cycle performance. * Team Leadership: Initially operate as an individual contributor while building the foundation of the department. * Transition into a people leadership role as the Georgia and New Jersey markets expand, including hiring, training, coaching, and managing billing team members. * Provide mentorship, onboarding support, and performance coaching to future team members. * Experience conducting performance reviews is highly preferred. * Billing Operations: Oversee the preparation, submission, and follow-up of insurance claims for home health care services. * Ensure accurate coding (CPT, HCPCS, ICD-10) and adherence to payer-specific guidelines. * Monitor and resolve claim rejections, denials, and underpayments promptly. * Manage accounts receivable to minimize outstanding balances and maximize collections. * Compliance and Documentation: Ensure billing practices comply with federal, state, and payer-specific regulations, including Medicare and Medicaid guidelines. * Maintain up-to-date knowledge of changes in billing rules and home health care regulations. * Review documentation for accuracy and completeness to support submitted claims. * Process Improvement: Analyze billing processes and implement strategies to improve efficiency and reduce errors. * Collaborate with other departments to address issues impacting the revenue cycle, such as intake and documentation workflows. ## The Requirements: * Education: High school diploma or equivalent required; Associate’s or Bachelor’s degree in a related field preferred. * Experience: Minimum 3-5 years of experience in medical billing, with at least 1-2 years in a supervisory or leadership role. * Proven expertise in home health care billing, including Medicare and Medicaid processes. * Experience building, implementing, or improving billing processes and operational workflows is strongly preferred. * Georgia and New Jersey Medicaid billing experience is a significant advantage. * Candidates with Home Health, Hospice, or Skilled Nursing billing experience will be considered. * Intermediate Microsoft Excel proficiency preferred. * Certifications: Certified Professional Biller (CPB) or equivalent preferred. * Skills: Excellent organizational, analytical, and problem-solving abilities. * Exceptional communication and interpersonal skills to lead a team and collaborate across departments. * Strong research and investigative skills with the ability to gather information independently in a newly established market. * Demonstrated accountability, including ownership of mistakes, problem resolution, and continuous improvement. * Strong conflict resolution, coaching, and delegation skills. * Ability to build processes and operate effectively in an ambiguous, startup-like environment. ## Benefits: * Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work – full-time employees are eligible for an annual company performance bonus. * Comprehensive health coverage that works for you. Choose from high-quality medical dental and vision options, including a $0 deductible PPO and a company-funded HSA, alongside employer-paid life and disability insurance. * Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays. * Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered). * Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows. We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation. ## Our Values * Families First Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?” * Urgency with Precision Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand. * Relentlessly Resourceful As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity. * Purpose with Positivity We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve. * Driven to Redefine What’s Possible We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care. Show more [Apply now >](https://jobicy.com/jobs/148139-revenue-cycle-management-operations-lead.md) * ![Upload CV](data:image/svg+xml;base64,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) ### Upload your resume now To unlock remote work opportunities and be discovered by global employers. 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