Revenue Cycle Management (RCM) Manager – Contract

Title: RCM Manager

Pay: $60-$70/hr DOE

Location: 1 day a week, El Segundo, CA

Position Overview

We are seeking an experienced Revenue Cycle Management (RCM) Manager to lead and optimize the end-to-end revenue cycle operations for a rapidly growing in-home healthcare and community-based services organization. This contract position will play a critical role in managing claims processing, denials, reimbursement performance, payer relationships, and revenue cycle analytics while leading both domestic and offshore teams.

The ideal candidate will bring deep experience within the home healthcare, home care, or home and community-based services (HCBS) industry, along with a proven track record of improving collections, reducing denials, managing payer relationships, and driving operational excellence across geographically dispersed teams.

Key Responsibilities

• Lead all aspects of Revenue Cycle Management (RCM), including claim submission, clearinghouse management, denial resolution, and reimbursement optimization.
• Oversee and mentor a team of RCM analysts as well as offshore revenue cycle and billing teams, ensuring performance, accountability, and workflow efficiency.
• Manage relationships with clearinghouses, payers, and internal stakeholders to resolve billing issues and accelerate cash collections.
• Monitor, analyze, and report on key revenue cycle metrics, including denial rates, collections, aging, and reimbursement trends.
• Develop dashboards and reporting tools using Excel, Power BI, and other business intelligence platforms.
• Partner with Finance, Operations, and Clinical teams to identify process improvement opportunities and reduce claim denials.
• Ensure accuracy of contract rates, reimbursement schedules, wage updates, and payer configurations.
• Maintain compliance with Federal, State, County, Medicare, Medicaid, and payer regulations.
• Support system implementations, acquisitions, and integration projects related to billing and revenue cycle functions.
• Oversee payer enrollment processes and management of payer portals.
• Drive continuous improvement initiatives to enhance operational scalability and revenue performance.

Required Qualifications

• Bachelor’s degree in Finance, Accounting, Healthcare Administration, or related field.
• 8+ years of progressive Revenue Cycle Management experience.
• 5+ years of experience within home healthcare, home care, HCBS, or related healthcare services organizations.
• Strong understanding of medical billing, claims processing, and reimbursement methodologies.
• Knowledge of CPT, HCPCS, and ICD-10 coding principles.
• Experience managing multi-site healthcare operations.
• Demonstrated success leading offshore and international teams, including workflow management and performance oversight across global resources.
• Experience billing for home care services such as Personal Assistance, Social Recreation, Family Management Services (FMS), or related programs.
• Strong knowledge of healthcare regulations, compliance requirements, HIPAA, and payer guidelines.
• Advanced Excel skills, including complex modeling and VBA automation.
• Experience with Power BI, SQL, and revenue cycle reporting tools.

Ideal Candidate Profile

• Proven leader with extensive in-home healthcare revenue cycle management experience.
• Strong analytical and problem-solving capabilities.
• Comfortable managing teams across multiple locations and time zones, including overseas/offshore staff.
• Process-improvement oriented with a focus on increasing collections and minimizing denials.
• Effective communicator able to collaborate across Finance, Operations, Clinical, and Executive leadership teams.

Employment Type

Contract Position