Revenue Cycle & Claims Operations Manager
Budget / Salary$115,000–140,000
TypeFull-time job
LocationUnited States
Posted2 hours ago
At Jukebox Health, our mission is to empower everyone to live safer, healthier, more independent lives at home. We partner with health plans to make homes safer and more accessible for older adults and high-needs populations. We achieve this by combining technology with networks of clinicians, suppliers, and installers to deliver personalized home modifications and environmental supports nationwide. Founded by experienced entrepreneurs, Jukebox Health is a fast growing healthcare services company backed by top venture capital firms like Valtruis and The Home Depot.
Jukebox Health is seeking a hands-on Manager of Revenue Cycle & Claims Operations to build and own our end-to-end claims and billing function.
This person will be responsible for converting completed services and program requirements into accurate, timely claims; managing claim submission, rejections, denials, payer follow-up, payment posting, and reconciliation; and improving the internal processes and systems that support clean claims and predictable collections.
The ideal candidate is both a strong revenue-cycle operator and a process builder. This is not a role for someone who expects to inherit a mature EHR, established billing team, and fully standardized workflows. The successful candidate will be comfortable working across Finance, Operations, Partner Success, clinical teams, and external payers to obtain missing information, resolve issues, and own the outcome from claim readiness through cash collection.
Key Responsibilities
Own end-to-end claims and revenue-cycle operations, including claim readiness, submission, rejections, denials, appeals, payer follow-up, payment posting, reconciliation, aging, and collections reporting across Medicaid managed-care, commercial, and other payer programs.
Build and optimize payer- and program-specific billing workflows, including claim configuration, test claims, provider and rendering setup, coding/modifier requirements, credentialing and linkage readiness, and scalable processes across internal systems, clearinghouses, and payer portals.
Drive cross-functional execution and accountability by partnering with Operations, Partner Success, Clinical, Product, Data, and Finance to resolve missing data, improve handoffs, eliminate recurring workflow issues, and build a scalable RCM function capable of supporting more than $1M in monthly claims.
Qualifications
Required
7+ years of experience in medical billing, claims operations, or revenue-cycle management
3+ years of experience owning or leading a meaningful portion of a revenue-cycle function
Strong hands-on experience with claim submission, rejections, denials, appeals, payer follow-up, payment posting, and A/R management
Experience working with Medicaid managed-care plans and complex payer requirements
Demonstrated ability to configure and launch new payer or program billing workflows
Experience with billing and rendering-provider structures, NPIs, modifiers, diagnosis codes, procedure codes, authorizations, and timely-filing requirements
Ability to work effectively without a single fully integrated EHR or mature claims infrastructure
Strong analytical, organizational, and project-management skills
Ability to work cross-functionally and hold internal and external stakeholders accountable
Comfort operating both strategically and tactically in a fast-growing environment
Strong ownership mindset and focus on measurable collection outcomes
Preferred
Experience in occupational therapy, home health, behavioral health, HCBS, value-based care, or other nontraditional provider models
Experience with provider credentialing, payer enrollment, CAQH, roster management, and provider linkage
Experience bringing revenue-cycle operations in-house or transitioning between billing vendors
Experience implementing or optimizing claims-management, practice-management, clearinghouse, or RCM technology
Familiarity with Salesforce, Waystar, Availity, PaySpan, or similar systems
Experience working in a healthcare startup or rapidly scaling organization
CPC, CPB, CRCR, or comparable certification is a plus but not required
How We Invest In You
Generous company-funding of our health, vision, and dental plans
HSA plan with company seeding
FSA plan
Short and Long-Term Disability
Life and Personal Accident Insurance
Hospital Insurance
401k immediately upon hire
Generous candidate referral program
Yearly wellness stipend
Time Away
Unlimited PTO + 10 paid holidays
Remote First Team
$1000 stipend towards work from home costs
Frequent team off-sites and get-togethers around the country
Collaborative team environment
Monthly Townhalls
High trust environment
A laptop and company swag upon hire
Compensation Range: $115,000 - $140,000/year + company equity
Originally posted on Himalayas
Jukebox Health is seeking a hands-on Manager of Revenue Cycle & Claims Operations to build and own our end-to-end claims and billing function.
This person will be responsible for converting completed services and program requirements into accurate, timely claims; managing claim submission, rejections, denials, payer follow-up, payment posting, and reconciliation; and improving the internal processes and systems that support clean claims and predictable collections.
The ideal candidate is both a strong revenue-cycle operator and a process builder. This is not a role for someone who expects to inherit a mature EHR, established billing team, and fully standardized workflows. The successful candidate will be comfortable working across Finance, Operations, Partner Success, clinical teams, and external payers to obtain missing information, resolve issues, and own the outcome from claim readiness through cash collection.
Key Responsibilities
Own end-to-end claims and revenue-cycle operations, including claim readiness, submission, rejections, denials, appeals, payer follow-up, payment posting, reconciliation, aging, and collections reporting across Medicaid managed-care, commercial, and other payer programs.
Build and optimize payer- and program-specific billing workflows, including claim configuration, test claims, provider and rendering setup, coding/modifier requirements, credentialing and linkage readiness, and scalable processes across internal systems, clearinghouses, and payer portals.
Drive cross-functional execution and accountability by partnering with Operations, Partner Success, Clinical, Product, Data, and Finance to resolve missing data, improve handoffs, eliminate recurring workflow issues, and build a scalable RCM function capable of supporting more than $1M in monthly claims.
Qualifications
Required
7+ years of experience in medical billing, claims operations, or revenue-cycle management
3+ years of experience owning or leading a meaningful portion of a revenue-cycle function
Strong hands-on experience with claim submission, rejections, denials, appeals, payer follow-up, payment posting, and A/R management
Experience working with Medicaid managed-care plans and complex payer requirements
Demonstrated ability to configure and launch new payer or program billing workflows
Experience with billing and rendering-provider structures, NPIs, modifiers, diagnosis codes, procedure codes, authorizations, and timely-filing requirements
Ability to work effectively without a single fully integrated EHR or mature claims infrastructure
Strong analytical, organizational, and project-management skills
Ability to work cross-functionally and hold internal and external stakeholders accountable
Comfort operating both strategically and tactically in a fast-growing environment
Strong ownership mindset and focus on measurable collection outcomes
Preferred
Experience in occupational therapy, home health, behavioral health, HCBS, value-based care, or other nontraditional provider models
Experience with provider credentialing, payer enrollment, CAQH, roster management, and provider linkage
Experience bringing revenue-cycle operations in-house or transitioning between billing vendors
Experience implementing or optimizing claims-management, practice-management, clearinghouse, or RCM technology
Familiarity with Salesforce, Waystar, Availity, PaySpan, or similar systems
Experience working in a healthcare startup or rapidly scaling organization
CPC, CPB, CRCR, or comparable certification is a plus but not required
How We Invest In You
Generous company-funding of our health, vision, and dental plans
HSA plan with company seeding
FSA plan
Short and Long-Term Disability
Life and Personal Accident Insurance
Hospital Insurance
401k immediately upon hire
Generous candidate referral program
Yearly wellness stipend
Time Away
Unlimited PTO + 10 paid holidays
Remote First Team
$1000 stipend towards work from home costs
Frequent team off-sites and get-togethers around the country
Collaborative team environment
Monthly Townhalls
High trust environment
A laptop and company swag upon hire
Compensation Range: $115,000 - $140,000/year + company equity
Originally posted on Himalayas
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