{"id":326377,"date":"2026-06-30T00:00:00","date_gmt":"2026-06-29T23:00:00","guid":{"rendered":"https:\/\/www.remotetribe.life\/remotejobs\/job\/revenue-cycle-management-operations-lead\/"},"modified":"2026-06-30T00:00:00","modified_gmt":"2026-06-29T23:00:00","slug":"revenue-cycle-management-operations-lead","status":"publish","type":"job_listing","link":"https:\/\/www.remotetribe.life\/remotejobs\/job\/revenue-cycle-management-operations-lead\/","title":{"rendered":"Revenue Cycle Management Operations Lead"},"content":{"rendered":"<h2><strong>About Abby Care: Powering the future of care at home for all of America.<\/strong><\/h2>\n<p>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.<br \/>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.<br \/>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.<br \/>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.<br \/><strong>Join us in solving one of the most important challenges of our time.<\/strong><\/p>\n<h2><strong>The Role<\/strong><\/h2>\n<p>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.<\/p>\n<h2><strong>Key Responsibilities:<\/strong><\/h2>\n<ol>\n<li>\n<p><strong>New Department Development<\/strong><\/p>\n<ul>\n<li>\n<p>Lead the establishment of revenue cycle operations for a newly launched market, including researching payer requirements, workflows, billing processes, and reimbursement guidelines.<\/p>\n<\/li>\n<li>\n<p>Develop, document, and implement SOPs, workflows, and operational best practices to support future team growth.<\/p>\n<\/li>\n<li>\n<p>Research and interpret Georgia and New Jersey Medicaid billing requirements and identify operational requirements necessary to support compliance and reimbursement.<\/p>\n<\/li>\n<li>\n<p>Partner with leadership to define team structure, operational processes, performance metrics, and future KPIs as the department scales.<\/p>\n<\/li>\n<li>\n<p>Identify process gaps and recommend solutions to improve operational efficiency and future revenue cycle performance.<\/p>\n<\/li>\n<\/ul>\n<\/li>\n<li>\n<p><strong>Team Leadership:<\/strong><\/p>\n<ul>\n<li>\n<p>Initially operate as an individual contributor while building the foundation of the department.<\/p>\n<\/li>\n<li>\n<p>Transition into a people leadership role as the Georgia and New Jersey markets expand, including hiring, training, coaching, and managing billing team members.<\/p>\n<\/li>\n<li>\n<p>Provide mentorship, onboarding support, and performance coaching to future team members.<\/p>\n<\/li>\n<li>\n<p>Experience conducting performance reviews is highly preferred.<\/p>\n<\/li>\n<\/ul>\n<\/li>\n<li>\n<p><strong>Billing Operations:<\/strong><\/p>\n<ul>\n<li>\n<p>Oversee the preparation, submission, and follow-up of insurance claims for home health care services.<\/p>\n<\/li>\n<li>\n<p>Ensure accurate coding (CPT, HCPCS, ICD-10) and adherence to payer-specific guidelines.<\/p>\n<\/li>\n<li>\n<p>Monitor and resolve claim rejections, denials, and underpayments promptly.<\/p>\n<\/li>\n<li>\n<p>Manage accounts receivable to minimize outstanding balances and maximize collections.<\/p>\n<\/li>\n<\/ul>\n<\/li>\n<li>\n<p><strong>Compliance and Documentation:<\/strong><\/p>\n<ul>\n<li>\n<p>Ensure billing practices comply with federal, state, and payer-specific regulations, including Medicare and Medicaid guidelines.<\/p>\n<\/li>\n<li>\n<p>Maintain up-to-date knowledge of changes in billing rules and home health care regulations.<\/p>\n<\/li>\n<li>\n<p>Review documentation for accuracy and completeness to support submitted claims.<\/p>\n<\/li>\n<\/ul>\n<\/li>\n<li>\n<p><strong>Process Improvement:<\/strong><\/p>\n<ul>\n<li>\n<p>Analyze billing processes and implement strategies to improve efficiency and reduce errors.<\/p>\n<\/li>\n<li>\n<p>Collaborate with other departments to address issues impacting the revenue cycle, such as intake and documentation workflows.<\/p>\n<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<h2><strong>The Requirements:<\/strong><\/h2>\n<ul>\n<li>\n<p><strong>Education:<\/strong> High school diploma or equivalent required; Associate\u2019s or Bachelor\u2019s degree in a related field preferred.<\/p>\n<\/li>\n<li>\n<p><strong>Experience:<\/strong><\/p>\n<ul>\n<li>\n<p>Minimum 3-5 years of experience in medical billing, with at least 1-2 years in a supervisory or leadership role.<\/p>\n<\/li>\n<li>\n<p>Proven expertise in home health care billing, including Medicare and Medicaid processes.<\/p>\n<\/li>\n<li>\n<p>Experience building, implementing, or improving billing processes and operational workflows is strongly preferred.<\/p>\n<\/li>\n<li>\n<p>Georgia and New Jersey Medicaid billing experience is a significant advantage.<\/p>\n<\/li>\n<li>\n<p>Candidates with Home Health, Hospice, or Skilled Nursing billing experience will be considered.<\/p>\n<\/li>\n<li>\n<p>Intermediate Microsoft Excel proficiency preferred.<\/p>\n<\/li>\n<\/ul>\n<\/li>\n<li>\n<p><strong>Certifications:<\/strong> Certified Professional Biller (CPB) or equivalent preferred.<\/p>\n<\/li>\n<li>\n<p><strong>Skills:<\/strong><\/p>\n<ul>\n<li>\n<p>Excellent organizational, analytical, and problem-solving abilities.<\/p>\n<\/li>\n<li>\n<p>Exceptional communication and interpersonal skills to lead a team and collaborate across departments.<\/p>\n<\/li>\n<li>\n<p>Strong research and investigative skills with the ability to gather information independently in a newly established market.<\/p>\n<\/li>\n<li>\n<p>Demonstrated accountability, including ownership of mistakes, problem resolution, and continuous improvement.<\/p>\n<\/li>\n<li>\n<p>Strong conflict resolution, coaching, and delegation skills.<\/p>\n<\/li>\n<li>\n<p>Ability to build processes and operate effectively in an ambiguous, startup-like environment.<\/p>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><strong>Benefits:<\/strong><\/h2>\n<ul>\n<li>\n<p><strong>Competitive compensation packages<\/strong> that reflect the value you bring. We reward our team for the impact of their work \u2013 full-time employees are eligible for an annual company performance bonus.<\/p>\n<\/li>\n<li>\n<p><strong>Comprehensive health coverage that works for you.<\/strong> 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.<\/p>\n<\/li>\n<li>\n<p><strong>Generous paid time off. <\/strong>We provide policies that allow you to recharge along with 10 paid company holidays.<\/p>\n<\/li>\n<li>\n<p><strong>Financial savings benefits to support your future. <\/strong>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).<\/p>\n<\/li>\n<li>\n<p><strong>Paid parental leave to support your growing family.<\/strong> We provide paid leave, so you can focus on bonding and adjusting to life as your family grows.<\/p>\n<\/li>\n<\/ul>\n<p><em>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.<\/em><\/p>\n<h2><strong>Our Values<\/strong><\/h2>\n<ol>\n<li>\n<p><strong>Families First<br \/><\/strong>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, <em>\u201cWould we want this for our own families?\u201d<\/em><\/p>\n<\/li>\n<li>\n<p><strong>Urgency with Precision<br \/><\/strong>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<strong>.<\/strong><\/p>\n<\/li>\n<li>\n<p><strong>Relentlessly Resourceful<br \/><\/strong>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.<\/p>\n<\/li>\n<li>\n<p><strong>Purpose with Positivity<br \/><\/strong>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.<\/p>\n<\/li>\n<li>\n<p><strong>Driven to Redefine What\u2019s Possible<br \/><\/strong>We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care.<\/p>\n<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>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&#8230;<\/p>\n","protected":false},"author":1,"featured_media":326378,"template":"","meta":{"_promoted":"","_job_location":"USA","_application":"https:\/\/jobicy.com\/jobs\/148139-revenue-cycle-management-operations-lead","_company_name":"Abby Care","_company_website":"","_company_tagline":"","_company_twitter":"","_company_video":"","_filled":0,"_featured":0,"_remote_position":0,"_job_salary":"","_job_salary_currency":"","_job_salary_unit":""},"job-categories":[188],"job-types":[16],"job_listing_tag":[191,199],"class_list":["post-326377","job_listing","type-job_listing","status-publish","has-post-thumbnail","hentry","job_listing_category-product","job_listing_type-full-time","job_listing_tag-product-design","job_listing_tag-product-management","job-type-full-time"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Revenue Cycle Management Operations Lead - Land A Remote Job From Top Employers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.remotetribe.life\/remotejobs\/job\/revenue-cycle-management-operations-lead\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Revenue Cycle Management Operations Lead - Land A Remote Job From Top Employers\" \/>\n<meta property=\"og:description\" content=\"About Abby Care: Powering the future of care at home for all of America. 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