Business Operations Manager RCM

About this position

About AdvantixxRCM AdvantixxRCM is a healthcare revenue cycle management company providing comprehensive medical billing, accounts receivable management, denial management, credentialing, payer enrollment, and revenue cycle solutions to healthcare providers.

We are seeking an experienced Operations Manager to lead the day-to-day operations of our growing RCM organization. This is a hands‑on leadership position responsible for managing employees, workflows, client performance, productivity, quality, and operational results.

• Manage the day-to-day operations of AdvantixxRCM.
• Supervise medical billing, A/R, denials, payment posting, credentialing, eligibility, authorization, and administrative teams.
• Establish daily, weekly, and monthly operational priorities.
• Assign workloads and ensure appropriate staffing coverage.
• Monitor employee productivity, accuracy, attendance, and performance.
• Conduct team meetings, coaching sessions, and performance reviews.
• Identify staffing needs and participate in recruiting, interviewing, hiring, and onboarding.
• Develop supervisors and team leads as the organization grows.
• Address performance deficiencies and coordinate corrective action when necessary.
• Create an accountable, professional, results‑driven work environment.
• Escalate significant operational, compliance, financial, or client matters to executive leadership.

• Oversee the complete revenue cycle from charge entry and claim submission through final payment and account resolution.
• Monitor claim submission and clearinghouse activity.
• Monitor clean-claim and first-pass acceptance rates.
• Oversee insurance A/R follow-up.
• Monitor aging reports and develop strategies for reducing outstanding A/R.
• Oversee denial management, corrected claims, reconsiderations, and appeals.
• Monitor payment posting and reconciliation.
• Ensure claims are submitted and followed up within payer timely-filing requirements.
• Identify underpayments and reimbursement discrepancies.
• Monitor recurring payer issues and develop corrective strategies.
• Coordinate credentialing and payer enrollment activities.
• Work collaboratively with coding, eligibility, authorization, and billing teams.
• Identify revenue leakage and opportunities to improve collections.

• Serve as an operational point of contact for assigned AdvantixxRCM clients.
• Oversee implementation and onboarding of new healthcare practices.
• Ensure contractual services and client expectations are met.
• Conduct client performance meetings when required.
• Review client A/R, collections, denials, and billing performance.
• Prepare and present operational reports.
• Respond to client concerns professionally and promptly.
• Coordinate resolution of escalated billing and reimbursement issues.
• Maintain strong client relationships and support client retention.
• Identify opportunities to improve or expand services.

The Operations Manager will monitor key RCM performance indicators, including:
Clean claim rate First-pass acceptance/resolution rate Denial rate

Days in A/RA/R agingA/R over 90 days

Net collection rate Claim submission turnaround

Payment posting turnaround

Denial resolution

Appeal recovery

Employee productivity

Quality/accuracy

Client performance

Client satisfaction and retention

The Operations Manager is expected to use data to identify problems and implement measurable corrective actions.

• Develop and maintain Standard Operating Procedures (SOPs).
• Standardize workflows across departments and clients.
• Identify inefficient processes and implement improvements.
• Establish quality‑control procedures.
• Develop operational dashboards and reporting systems.
• Analyze denial and A/R trends to identify root causes.
• Implement corrective and preventive action plans.
• Assist leadership with automation and technology initiatives.
• Ensure employees are appropriately trained on new processes.

• Maintain compliance with HIPAA and applicable privacy/security requirements.
• Ensure appropriate handling and protection of PHI.
• Promote compliant billing practices.
• Coordinate internal quality and billing audits.
• Ensure staff follow payer, client, and company requirements.
• Monitor employee access to EHRs, payer portals, clearinghouses, and other systems.
• Immediately escalte suspected billing irregularities, compliance concerns, privacy incidents, or material operational risks.

• Minimum 5 years of healthcare revenue cycle, medical…