Remote Operations Manager

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Pacify

📍Remote - United States

Job highlights

Summary

Join our team as an Operations Manager with a strong background in revenue cycle management, billing, and payroll within a healthcare setting. The ideal candidate will possess a collaborative spirit, exceptional organizational skills, and a passion for optimizing operational efficiency to support our mission of delivering quality doula and lactation services.

Requirements

  • Bachelor’s degree in Business Administration, Healthcare Management, or a related field; Master’s degree preferred
  • 5+ years of experience in operations management within a healthcare setting
  • Demonstrated experience with revenue cycle management, billing processes, and payroll administration

Responsibilities

  • Collaborate with Clinical and Client Services, Business Development, and others to ensure that Revenue Cycle Management operations are effectively integrated and aligned to support Pacify’s strategic imperatives
  • Oversee the end-to-end revenue cycle process, ensuring timely and accurate billing, collections, and claims management
  • Resolve pre-billing payer claim edits
  • Transmission of clean claims to payors
  • Follow-up and resolution of unpaid claims
  • Resolution of payment variances, including identification of trends for corrective action and future prevention
  • Denials Mitigation and Prevention Appealing denials, in collaboration with clinical and other colleagues as applicable
  • Identifying and trending root cause, and leading the implementation of denials prevention measures
  • Payment and adjustment posting and reconciliation
  • Ensuring that fee schedules and contracted reimbursement rates are updated timely in the contract management system
  • Communication of payer policy updates and changes to Pacify leaders as applicable
  • Revenue cycle related customer service
  • Timely credit balance resolution

Benefits

Equal Opportunity Employer

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