RCM Claims Status Manager

📋 Description

• Lead a remote team of RCM claim specialists for status follow-up and resolution.
• Oversee electronic claim inquiries and payer communications across Medicare, Medicaid, and commercial payers.
• Document payer responses, statuses, denials, and actions in internal systems.
• Monitor productivity, quality, and turnaround time to meet SLAs.
• Identify claim trends, bottlenecks, and payer issues affecting reimbursement.
• Escalate and resolve complex claim discrepancies and EDI issues.

🎯 Requirements

• Bachelor’s degree or equivalent combination of education and relevant RCM experience
• 5+ years of progressive Revenue Cycle Management experience within healthcare billing operations
• 2+ years of leadership or people management in an RCM/billing ops environment
• Strong understanding of healthcare claims workflows and payer follow-up processes
• Hands-on experience with EDI transactions, specifically 276/277 claim status transactions
• Experience working with Medicare, Medicaid, managed care, and commercial payer portals

🎁 Benefits

• Medical, dental, vision, life, and disability plans; fertility care.
• 401k plan, commuter benefits, and a generous employee referral program.
• Pregnancy and baby bonding leave; other paid time off options.