Revenue Cycle Operations Manager @ Midi Health: 👩‍⚕️💻

We are seeking an experienced and strategic Revenue Cycle Operations Manager to lead, develop, and scale our rapidly growing billing operations. This is a leadership role with full management responsibility, including team development, coaching, performance management, workforce planning, and ownership of operational outcomes. This is a highly cross-functional role that sits at the intersection of operations, technology, and patient support.This individual will serve as the subject matter expert (SME) for insurance eligibility, network status, and medical billing, ensuring accuracy, compliance, and best practices across all workflows.The Revenue Cycle Operations Manager will oversee billing, eligibility, accounts receivable, collections, and patient support, while executing on scalable processes and performance metrics to support growth.

This role manages a team of revenue cycle and/or eligibility specialists and partners with internal teams and vendors. The ideal candidate brings deep expertise in end-to-end revenue cycle—preferably in telehealth environments—combined with proven experience leading teams, coaching specialists, and proposing solutions to complex issues.

Responsibilities

• Lead and manage a team of revenue cycle and/or eligibility specialists, including hiring, onboarding, performance evaluations, coaching, promotions, corrective actions, and professional development planning.
• Serve as the primary subject matter expert for insurance eligibility verification, payer network status, coverage rules, and billing requirements, ensuring team adherence to best practices and payer guidelines.
• Oversee day-to-day revenue cycle operations, including patient billing support, claim resolution, collections, A/R and denial management, administrative discharge, and eligibility workflows.
• Review performance data and trends to identify root causes, risks, and opportunities, translating insights into actionable improvement plans.
• Manage established process flows, SOPs, and training materials for billing and eligibility workflows to ensure consistency, accuracy, and scalability.
• Own and drive ad hoc operational projects to support business growth and process improvement 
• Assign, prioritize, and balance workload across the team to meet productivity targets and SLA commitments while maintaining quality standards.
• Support Senior Manager to partner with Product and Engineering teams to identify, prioritize, and implement system and workflow enhancements that improve billing accuracy, automation, and reporting.
• Ensure all billing and eligibility activities comply with regulatory requirements, payer rules, and telehealth-specific billing standards.
• Oversee insurance eligibility verification and network status validation processes, ensuring timely, accurate confirmation prior to services.
• Monitor and manage accounts receivable performance, including Athena holds and Athena enrollment worklists, implementing strategies to reduce aging balances and improve collections outcomes.
• Participate in audits and reporting related to third-party performance, eligibility accuracy, A/R, and collections, providing clear insights and recommendations to leadership.
• Stay current on payer policy changes, coding updates, and industry trends, ensuring timely communication, training, and process updates for the team.
• Serve as the escalation point for unresolved billing inquiries, complex eligibility issues, payer disputes, and patient financial concerns.

Qualifications

• Minimum of 6 years of experience in healthcare administration, revenue cycle management, or medical billing, with 3+ years in a people management role.
• Minimum of 1-2 years of remote work experience in a similar role.
• Demonstrated ability to manage staffing coverage, productivity goals, and daily team operations
• Strong leadership and team management skills, with the ability to motivate and mentor team members.
• Excellent communication skills, both written and verbal.
• Tech savvy with strong analytical and problem-solving abilities with a bias for action 
• Proven conflict resolution skills, with the ability to remain calm under pressure and de-escalate tense situations. 
• Ability to handle sensitive patient information with confidentiality and professionalism

Preferred Qualifications

• Experience in billing for women's health services and/or telehealth
• AthenaHealth and Zendesk experience
• Comfortable learning new proprietary technology tools
• Associate’s and/or Bachelor’s Degree
• Revenue cycle certifications are a plus, but not required
• Proficiency in Google Office Tools and experience with reporting

Who You Are

You are a detail-oriented and compassionate leader with a strong background in medical billing, specifically in telehealth environments. With proven expertise in overseeing billing processes, eligibility verification, A/R management, and patient conflict resolution, you thrive on ensuring smooth workflows and effective outcomes. You possess exceptional communication skills, allowing you to de-escalate patient concerns with empathy while supporting your team through clear guidance and training. Your knowledge of systems like AthenaHealth and Zendesk, combined with a commitment to accuracy, teamwork, and continuous improvement, makes you a vital part of driving operational success in a fast-paced, growth-focused environment. You are proactive, adaptable, and committed to delivering excellence in every aspect of the revenue cycle. 

What We Offer

• 100% remote opportunity 
• $70,000 base pay compensation, dependent upon experience 
• Comprehensive health benefits (medical, dental, vision)
• Paid time off 
• Paid holidays

The interview process will include: 📚 

Interview 1: Recruiter (30 min Zoom)

Interview 2: Senior Manager, Revenue Cycle Operations (30 min Zoom)

Interview 3: Manager of Revenue Cycle Operations (30 min Zoom)

Interview 4: Director of Revenue Cycle Operations (30 min Zoom)

Interview 5: Head of Revenue Cycle Management (30 min Zoom)

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