RCM Operations Lead

Job not on LinkedIn

🕒 May 29

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

⚙️ Operations

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Rockstar

WebsiteLinkedInAll Job Openings

1 - 10 employees

🎯 Recruiter

👥 HR Tech

🤖 Artificial Intelligence

Recruitment • HR Tech • Artificial Intelligence

Rockstar is a full-service recruitment company that leverages a blend of human expertise and artificial intelligence to help businesses hire better and faster at a lower cost. They offer a comprehensive recruitment service for less than $1,500 per role by providing access to a large talent database, fast and efficient candidate reviews, and human screening. Their proprietary AI enables the review of thousands of applications to quickly match candidates to job descriptions, while custom screening calls are conducted by recruiters in the US, UK, or Australia. Rockstar supports hiring across a wide range of professional roles, including sales, marketing, strategy, product, business operations, analytics, data science, software development, infrastructure, finance, and accounting. This flexible approach allows companies to meet strong candidates without long-term commitments, making it a cost-effective solution for teams of all sizes.

📋 Description

• Own end-to-end billing operations across the full claims lifecycle. From front-end insurance verification and prior auth through claim submission, follow-up, denial/rejection resolution, and back-end reporting. • Lead and manage a team of 4+ offshore support staff. Set priorities, assign workstreams, review output, and keep the team on track. Serve as the escalation point when issues arise and ensure processes are running consistently and correctly across the team. • Manage a high volume of billing questions and escalations from vendors and internal teams — investigating patient responsibility questions, handling vendor escalations, and triaging high-priority items like medical record subpoenas and collection agency contacts. • Support ad-hoc RCM projects, including state launches, new payer setup, provider enrollment, and credentialing gaps for existing clinicians.

🎯 Requirements

• 5+ years of hands-on RCM experience • Strong familiarity across the claims lifecycle: denials, rejections, adjustments, resubmissions. Comfortable in Availity and standard provider portals. • Ownership-oriented. You keep workflows clean, follow up on open items without being asked, and treat the function like it's yours to run. • Clear communicator. You surface what matters in a format others can act on, and you stay responsive to the teams that depend on you. • Comfortable in a fast-moving environment. Startup or high-growth experience preferred. You manage multiple workstreams simultaneously and don't need heavy oversight to stay organized. • You raise the bar. You're comfortable pushing back, flagging problems, and holding vendors and internal teams to a higher standard — even without formal authority.