Manager_Transition

About the Role

We are seeking an experienced RCM Manager to lead our Professional (CMS-1500) Billing operations across multiple specialties. This role owns end-to-end billing delivery for existing client accounts, drives new client/project implementations, and oversees EDI and ERA enrollment functions. The ideal candidate combines strong operational management skills with deep subject-matter expertise in US healthcare provider billing, and has a track record of leading teams through client transitions and go-lives.

 

Key Responsibilities

Operations & Team Management

• Manage day-to-day operations of the professional billing team across multiple specialties and client accounts
• Set, monitor, and drive team performance against KPIs: clean claim rate, days in AR, denial rate, productivity, and quality/accuracy targets
• Conduct regular huddles, one-on-ones, and performance reviews; manage coaching, training, and PIPs as needed
• Own workforce planning, shift scheduling, and capacity/utilization management
• Build and maintain SOPs, training materials, and quality audit frameworks for the billing function