Revenue Operations Manager

Adaptive Innovations•Houston, TX

12h

About The Position

The Revenue Operations Manager leads the team responsible for preparing home health claims for billing. The role manages day-to-day execution across orders management, pre-bill audits, and related medical records and contract therapy workflows, while partnering with R&D to improve processes and technology. The manager oversees and develops onshore and offshore team members and team leads, sets priorities, monitors workload and performance, provides feedback and training, and supports the team in resolving or escalating operational and clinical issues. The role establishes and maintains SOPs, quality controls, and escalation paths to promote accurate and consistent work. The position owns physician order follow-up and billing readiness, including oversight of outstanding orders and plans of care, physician information verification, receipt and signature follow-up, and accurate recording in HCHB. It also manages pre-bill audits and held claims, coordinating with clinical, quality, medical records, contract therapy, billing, and other teams to address documentation and compliance exceptions. The manager uses workflow boards and dashboards to monitor unsigned orders, held claims, aging, productivity, and unbilled revenue. In partnership with R&D, product, and engineering, the role maps workflows, defines requirements and guardrails, tests tools and automations, and translates team feedback and performance data into process improvements, revised SOPs, and training.

Requirements

Strong experience in home health revenue cycle or revenue operations, including documentation and workflows required before claims can be billed.
Experience managing and developing operational teams, including setting priorities, coaching performance, and addressing escalations.
Working knowledge of physician orders management and pre-bill audit or held-claim resolution.
Familiarity with Homecare Homebase (HCHB) and its home health workflows.
Ability to use operational data and work queues to identify bottlenecks, track performance, and drive follow-through.
Experience improving and documenting operational processes across teams.
Ability to work effectively with clinical, quality, billing, and other partners and communicate clearly about complex issues.

Nice To Haves

Experience leading distributed teams across onshore and offshore locations.
Experience working with product, engineering, or technical teams to design or implement operational tools or automation.
Familiarity with physician signature workflows, contract therapy documentation, and home health medical records processes.
Experience with PDGM, Medicare and Medicare Advantage billing-readiness workflows, or payer-specific documentation requirements.

Responsibilities

Manage, coach, and support onshore and offshore team members and team leads; set priorities, monitor workload and performance, and provide timely feedback and training.
Stay close to daily workflows, answer questions, and resolve or escalate operational and clinical issues with appropriate partners.
Develop and maintain SOPs, quality controls, and escalation paths.
Oversee pursuit of outstanding physician orders and plans of care, prioritizing aged items and orders holding claims while maintaining compliance follow-up on other orders.
Help verify physician information and preferred delivery methods, confirm receipt, follow up on missing signatures, and ensure returned orders are accurately recorded in HCHB.
Manage pre-bill audits and held-claim workflows; ensure claims are reviewed against applicable requirements and holds are documented, assigned, followed up, and cleared only when requirements are met.
Coordinate with clinical, quality, medical records, contract therapy, billing, and other teams to resolve missing documentation, unverified visits, unsigned orders, and face-to-face or OASIS exceptions.
Oversee timely handling of contract therapy notes and medical records requests, escalating exceptions to the appropriate owner.
Use workflow boards and dashboards to monitor unsigned orders, held claims, aging, team productivity, and unbilled revenue; prioritize work and surface recurring bottlenecks.
Partner with R&D, product, and engineering to map workflows, define requirements and guardrails, test tools and automations, and improve the team's experience.
Translate frontline feedback and performance data into practical process improvements, updated SOPs, and training.