California Licensed Claim Operations Manager

VirtualVocations3 months ago
Miami, FL, United States
On-site
Full-time
Junior Level (1-3 years)

Job Description

A company is looking for a Claim Operations Manager, Revenue Cycle Ops.

Key Responsibilities

  • Manage a team responsible for health plan accounts receivable activities
  • Monitor work queues and ensure consistent productivity and quality
  • Collaborate cross-functionally to resolve operational blockers and support billing process stability

Required Qualifications

  • Experience leading or mentoring team members in a fast-paced billing environment
  • 2+ years of management experience and at least 6 years of revenue cycle experience
  • Experience with RCM Billing Tools and payer relationships
  • Coding experience, preferably with a Certified Professional Coder (CPC) certificate
  • Familiarity with BI tools, such as Snowflake and Tableau

Required Skills

Revenue Cycle Management (RCM)
RCM Billing Tools
Operational Excellence
Certified Professional Coder (CPC)
Health Plan Accounts Receivable Management
Team Leadership and Mentoring
Business Intelligence (BI) Tools: Snowflake, Tableau