Backend Revenue Cycle Manager

🔥 2 hours ago

🇺🇸 United States – Remote

💵 $99.9k - $135.1k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔙 Backend Engineer

🚫👨‍🎓 No degree required

👻 Ghost score 0%

infoinfo
Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Ascension

Ascension

10,000+ employees

🏥 Healthcare

🤝 Non-profit

💰 $500M Debt on 2019-11

Healthcare • Non-profit

Ascension is a U. S. -based healthcare organization that connects patients to care across the communities it serves. The company operates hospitals and specialized care sites in multiple states (e. g. , Florida, Illinois, Indiana, Kansas), highlights location-based search for care, and promotes compassionate, community-focused services.

📋 Description

• Facilitate and document approximately 45 monthly Joint Operating Committee (JOC) executive sessions with key commercial and government payers • Maintain partnership agreements and share policy updates received during JOC meetings with appropriate parties • Act as the primary escalation lead and senior negotiator for complex, high-dollar claim disputes and denials across five multi-state regions • Deploy advanced revenue integrity tactics to drive rapid variance resolution and maximum reimbursement • Direct continuous auditing, triage, and monthly transmission of six specialized escalation logs • Oversee vendor communication streams, including R1 RCM, to ensure systematic inventory clearance and high-dollar account compliance with Ascension revenue standards • Direct and develop Senior Analysts by establishing review standards for claim denial inquiries • Set escalation documentation criteria and manage daily task allocation across competing regional priorities • Conduct structured monthly reviews on aged inventory to determine whether items should be sent to Legal or R1 RCM for next steps • Maintain awareness of payer policy updates and contract provisions

🎯 Requirements

• Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) preferred • Licensure required relevant to state in which work is performed • High School diploma equivalency with 3 years of cumulative experience OR Associate's degree/Bachelor's degree with 2 years of cumulative experience OR 7 years of applicable cumulative job specific experience required • 3 years of leadership or management experience preferred • Advanced professional revenue cycle certification (e.g., CRCR, CSPR, or CSPPM) preferred • Direct experience structuring and facilitating JOC or strategic payer-provider alignment frameworks • Deep subject-matter expertise with major national and regional payer environments (e.g., UHC, BCBS, Cigna, Aetna, Humana) and vendor ecosystem integrations (e.g., R1 RCM)

🏖️ Benefits

• Eligible for an annual bonus incentive • Paid time off (PTO) • Various health insurance options & wellness plans • Retirement benefits including employer match plans • Long-term & short-term disability • Employee assistance programs (EAP) • Parental leave & adoption assistance • Tuition reimbursement • Ways to give back to your community

Apply Now

Similar Jobs

🔥 8 hours ago

Tailscale

51 - 200

☁️ SaaS

🔐 Security

📡 Telecommunications

Backend Engineer developing distributed control-plane, relay, and identity-integration software for Tailscale’s secure networking platform. Designing, operating, and scaling Go-based backend services.

🇺🇸 United States – Remote

💵 $163k - $226k / year

💰 $100M Series B on 2022-05

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔙 Backend Engineer

🔥 12 hours ago

eSimplicity

51 - 200

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Backend data validation engineer testing CMS databases, ETL pipelines, APIs, and performance. Supporting eSimplicity’s government digital services through compliant, reliable backend systems.

🕒 Yesterday

Reddit, Inc.

501 - 1000

💼 Consulting

📣 Marketing

📱 Media

Backend Engineer building scalable identity, authentication, and authorization systems for Reddit’s online communities. Designing backend services and IAM architecture with cross-functional engineering teams.

🕒 Yesterday

NewRocket

501 - 1000

💼 Consulting

🏥 Healthcare

🛡️ Insurance

AI Platform Engineer building secure, scalable Claude-powered enterprise AI platforms. Enabling RAG, agentic workflows, ServiceNow integrations, and governed production deployments for enterprise clients.

🕒 2 days ago

General Dynamics Information Technology

10,000+ employees

💼 Consulting

🏥 Healthcare

📦 Logistics

Database Administrator Principal managing AWS PostgreSQL environments, migrations, performance, and data pipelines for GDIT’s government mission customers. Supporting CMS fraud, waste, and abuse investigations.