Revenue Cycle Manager

Fabric
17d$90,000 - $130,000

About The Position

We are looking for a high-impact, outcome-oriented Revenue Cycle Manager (RCM) to own and optimize our financial operations. In this role, you will lead the end-to-end claims lifecycle with a direct focus on maximizing collection velocity and resolving unsettled revenue. You are the bridge between clinical operations and financial health. While you will initially lead an aggressive effort to clear our denied claims backlog and stabilize our A/R, your long-term mission is to act as a strategic partner to our Product and Engineering teams. You will use your "in-the-trenches" insights to harden our billing technology, automate eligibility workflows, and ensure 100% compliance with the latest healthcare regulations.

Requirements

  • Hold an active CPC (Certified Professional Coder) or CPB (Certified Professional Biller) certification.
  • Possess 5+ years of experience in Revenue Cycle Management, with a proven track record of managing high-volume claims and successful A/R recovery.
  • Demonstrate proficiency with Stedi or similar Real-Time Eligibility (RTE) vendors and the ability to interpret raw 271 and 837 EDI data.
  • Maintain expert-level ability to work within spreadsheets and visualization tools to build and track performance dashboards.
  • Exhibit outstanding verbal and written skills, with the ability to interface effectively with both internal Finance teams and external insurance payers.
  • Please note that all professional certifications and prior employment history are subject to rigorous primary source verification.

Responsibilities

  • Revenue Recovery & Denial Management: Lead the resolution of unsettled and denied claims; perform deep-dive root cause analysis to identify systemic barriers to payment and execute high-quality appeals to recover revenue.
  • Claims Lifecycle Ownership: Manage the end-to-end submission and tracking of claims to commercial and government payers, ensuring a "clean claim" rate that leads the industry.
  • Eligibility & Logic Oversight: Audit payer eligibility configurations and 271 data logic to ensure patient co-pays and insurance setups are verified accurately before care is delivered.
  • Payment Reconciliation: Oversee the accurate posting of payments from ERAs and EOBs, meticulously reconciling platform data against actual bank deposits.
  • Finance & Stakeholder Reporting: Partner with Fabric’s Finance leadership to provide clear visibility into A/R aging, collection rates, and cash flow projections.
  • Product Innovation Loop: Serve as a technical "Power User" for our Product team, identifying UI/UX bottlenecks and workflow flaws that contribute to billing friction or administrative waste.

Benefits

  • medical
  • dental
  • vision
  • unlimited PTO
  • 401(k) plan
  • stock options
  • bonuses
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