Revenue Cycle & Claims Operations Manager

Job not on LinkedIn

🔥 0 minutes ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

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

Upload Resume

Jukebox Health

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Jukebox Health is a company that focuses on improving home safety and enabling individuals to live healthier and more independent lives at home. With a clinically-led approach, Jukebox Health works with licensed occupational therapists to evaluate home environments and offers personalized safety reports and plans. They provide professional home modifications and environmental services through a network of vetted installers. Jukebox Health partners with Medicare and Medicaid plans to address the unique needs of each member and tackle the challenges of making homes safer and more accessible. Their services are driven by a combination of clinical expertise and technology to deliver effective, scalable solutions for home safety.

📋 Description

• Own end-to-end claims and revenue-cycle operations, including claim readiness, submission, rejections, denials, appeals, payer follow-up, payment posting, reconciliation, aging, and collections reporting across Medicaid managed-care, commercial, and other payer programs • Build and optimize payer- and program-specific billing workflows, including claim configuration, test claims, provider and rendering setup, coding/modifier requirements, credentialing and linkage readiness, and scalable processes across internal systems, clearinghouses, and payer portals • Drive cross-functional execution and accountability by partnering with Operations, Partner Success, Clinical, Product, Data, and Finance to resolve missing data, improve handoffs, eliminate recurring workflow issues, and build a scalable RCM function capable of supporting more than $1M in monthly claims • Convert completed services and program requirements into accurate, timely claims • Own outcomes from claim readiness through cash collection • Work across Finance, Operations, Partner Success, clinical teams, and external payers to obtain missing information and resolve issues • Improve internal processes and systems supporting clean claims and predictable collections

🎯 Requirements

• 7+ years of experience in medical billing, claims operations, or revenue-cycle management • 3+ years of experience owning or leading a meaningful portion of a revenue-cycle function • Strong hands-on experience with claim submission, rejections, denials, appeals, payer follow-up, payment posting, and A/R management • Experience working with Medicaid managed-care plans and complex payer requirements • Demonstrated ability to configure and launch new payer or program billing workflows • Experience with billing and rendering-provider structures, NPIs, modifiers, diagnosis codes, procedure codes, authorizations, and timely-filing requirements • Ability to work effectively without a single fully integrated EHR or mature claims infrastructure • Strong analytical, organizational, and project-management skills • Ability to work cross-functionally and hold internal and external stakeholders accountable • Comfort operating both strategically and tactically in a fast-growing environment • Strong ownership mindset and focus on measurable collection outcomes • Preferred: Experience in occupational therapy, home health, behavioral health, HCBS, value-based care, or other nontraditional provider models • Preferred: Experience with provider credentialing, payer enrollment, CAQH, roster management, and provider linkage • Preferred: Experience bringing revenue-cycle operations in-house or transitioning between billing vendors • Preferred: Experience implementing or optimizing claims-management, practice-management, clearinghouse, or RCM technology • Preferred: Familiarity with Salesforce, Waystar, Availity, PaySpan, or similar systems • Preferred: Experience working in a healthcare startup or rapidly scaling organization • CPC, CPB, CRCR, or comparable certification is a plus but not required

🏖️ Benefits

• Generous company-funding of our health, vision, and dental plans • HSA plan with company seeding • FSA plan • Short and Long-Term Disability • Life and Personal Accident Insurance • Hospital Insurance • 401k immediately upon hire • Generous candidate referral program • Yearly wellness stipend • Unlimited PTO + 10 paid holidays • $1000 stipend towards work from home costs • Frequent team off-sites and get-togethers around the country • Collaborative team environment • Monthly Townhalls • High trust environment • A laptop and company swag upon hire • Company equity