Revenue Operations Manager

Adaptive Innovations•Houston, TX

About The Position

The Revenue Operations Manager leads the team responsible for making home health claims ready to bill. The role oversees day-to-day execution across orders management, pre-bill audit, held-claim resolution, and related medical records and contract therapy workflows, while partnering with R&D and other technical teams to improve processes and technology. The manager leads and develops onshore and offshore team members and team leads by setting priorities, monitoring workload and performance, providing feedback and training, and resolving or escalating operational and clinical issues. The role also develops and maintains standard operating procedures, quality controls, and escalation paths. The position oversees physician orders and plans of care, including prioritizing aged orders and those holding claims, tracking signatures and receipt, and ensuring returned orders are accurately recorded in Homecare Homebase (HCHB). It also manages pre-bill audits and held claims, coordinates resolution of documentation and compliance issues with partner teams, and oversees contract therapy notes and medical records requests. The manager uses workflow boards and dashboards to monitor unsigned orders, held claims, aging, productivity, and unbilled revenue. In collaboration with R&D, product, and engineering, the role maps workflows, defines requirements and guardrails, tests tools and automations, and uses frontline feedback and performance data to drive process improvements, SOP updates, 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 feedback and training.
Stay engaged with daily workflows, answer questions, and resolve or escalate operational and clinical issues to 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.
Ensure the team verifies physician information and preferred delivery methods, confirms receipt, follows up on missing signatures, and accurately records returned orders in HCHB.
Manage pre-bill audits and held-claim workflows; ensure claims are reviewed against applicable requirements and that 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 identify 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 process improvements, updated SOPs, and training.