Revenue Cycle Management, Manager

Adaptive Home Health•Houston, TX

About The Position

We are seeking a hands-on Revenue Cycle Management (RCM) Manager to lead and support specialists in a home health environment. The manager stays close to daily operations, monitors team performance, and responds to questions and emerging issues so the team can meet its goals. The role focuses on accounts receivable (AR), helping move outstanding claims from follow-up to verified resolution. The manager oversees home health revenue cycle workflows, tracks attendance and performance against KPIs and daily quotas, monitors workflow boards for backlogs and risks, and helps resolve process gaps. They use home health and Homecare Homebase (HCHB) knowledge to help specialists navigate workflows and operational questions. The role also guides AR and collections work across commercial, Medicare, and Medicare Advantage receivables. It oversees claim follow-up through resolution, including status and payment verification, investigation of collection barriers and underpayments, and appropriate corrections, reprocessing, reconsiderations, or appeals. The manager reviews escalations, maintains accurate claim documentation, coordinates with partner teams, reviews proposed write-offs, and supports quality, coaching, onboarding, cross-training, and workflow improvements.

Requirements

Strong experience in home health revenue cycle operations.
Familiarity with Homecare Homebase (HCHB).
Experience managing RCM specialists, including tracking attendance and performance KPIs.
Experience monitoring workflows throughout the day and identifying risks to daily productivity targets.
Experience identifying collection challenges and implementing processes to resolve them.
Working knowledge of AR follow-up, denial investigation, appeals or reprocessing, and payer-specific filing requirements.
Experience reviewing claim documentation and quality, escalating unresolved issues, and coordinating with billing or posting teams.
Ability to respond promptly to team questions while managing multiple priorities.
Ability to identify workflow or process gaps and help the team address them.

Nice To Haves

Experience managing distributed or offshore revenue cycle teams.
Familiarity with commercial fee-for-service and Medicare or Medicare Advantage home health claims, including episodic/PDGM workflows.
Experience with AR dashboards, clearinghouses, and payer portals such as Waystar and Availity.
Experience using denial trends, quality reviews, or operational data to improve collections workflows and team training.

Responsibilities

Manage and support RCM specialists working across home health revenue cycle workflows.
Track attendance and monitor individual and team performance against established KPIs and daily quotas.
Review workflow boards throughout the day to identify backlogs, red flags, and specialists at risk of missing end-of-day quotas.
Respond promptly to specialist questions while balancing real-time workflow monitoring and other team needs.
Identify process gaps and work with the team to resolve issues affecting daily performance.
Use home health and Homecare Homebase (HCHB) knowledge to help specialists navigate workflows and resolve operational questions.
Guide specialists and team leads in prioritizing commercial, Medicare, and Medicare Advantage receivables, including aged balances, payer responses, rejections, denials, and filing or appeal deadlines.
Oversee claim follow-up through resolution by verifying claim status and payment, investigating collection barriers and underpayments, and guiding appropriate corrections, reprocessing, reconsiderations, or appeals under payer-specific requirements.
Review and respond to escalations when specialists cannot determine the next action; surface recurring payer, workflow, or system issues to leadership and coordinate resolution.
Ensure claim activity, supporting evidence, next actions, and follow-up dates are accurately documented in the applicable AR workflow and HCHB.
Partner with billing, payment posting, prior authorization, clinical, and other teams to resolve discrepancies, obtain documentation, and follow paid-but-not-posted claims through resolution.
Review proposed write-offs for documented collection efforts and supporting evidence, and route them through required approval and posting processes.
Review claim work for accurate denial interpretation, appropriate action, complete documentation, timely follow-up, and correct escalation; use findings to coach specialists and strengthen performance.
Support onboarding, payer and system cross-training, and regular knowledge sharing.
Identify patterns behind collection challenges and update SOPs or workflows to prevent repeat issues.
Share frontline feedback on AR dashboards and automation with relevant teams to improve prioritization, visibility, and specialist workflows.