Job Functions1. Revenue Cycle Management2. Billing3. Coding4. QA5. AR6. Denials7. Payment Compliance
Job Requirements1. 5 to 10+ years of experience in Revenue Cycle Management, preferably within diagnostics, telehealth, or other healthcare services.2. Comfortable with how to apply AI tools and automation to optimize RCM workflows, such as predictive analytics for denials or natural language processing for coding accuracy.3. Demonstrated expertise in claims processing, payer enrollment, Medicare compliance, and HEDIS coding.4. Strong knowledge of state and federal healthcare regulatory requirements.5. Proven ability to lead crossfunctional initiatives and manage external vendors.6. Experience with RCM software and KPI development/monitoring.7. Excellent written and verbal communication skills, including clientfacing experience.8. Adept at creating training content and educating crossfunctional teams.9. Ability to analyze complex datasets and drive actionable insights.10. Experience supporting new healthcare product rollouts, especially in virtual care or telehealth settings.
Skills1. Strategic mindset2. Handson approach to problem solving3. Crossfunctional collaboration4. Proactive, communicative, and energized by the opportunity to influence both internal operations and clientfacing functions.
Everly Health's mission is to transform lives with modern, diagnostics-driven care, and we believe that the future of healthcare is meeting people where they are. Headquartered in Austin, Texas, Everly Health is the parent company to Everlywell, Everly Health Solutions, and Everly Diagnostics. We've set a new standard of people-focused, diagnostic-driven care that puts patients at the center of their own health journey.
Our infrastructure guides the full testing experience with the support of a national clinician network that's composed of hundreds of physicians, nurses, genetic counselors, PharmDs, and member care specialists. Our solutions make world-class virtual care more attainable with rigorous clinical protocols and best-in-class science to tackle some of the healthcare industry's biggest problems.As the Senior Manager of Revenue Cycle Management at Everly Health, you will play a mission-critical role in shaping and executing our revenue strategy across a broad portfolio of healthcare offerings, including virtual care and diagnostics.
You will:
What You’ll Do:
- Lead all functions of Revenue Cycle Management (RCM), including billing, coding, QA, AR, denials, and payment compliance.
- Design and execute strategic goals related to RCM that align with our company mission and promote operational efficiency.
- Ensure regulatory compliance with state and federal healthcare laws inclusive of virtual care regulations.
- Collaborate cross-functionally with Finance, Legal, Commercial Sales, and Account Management teams to forecast, budget, and optimize internal controls.
- Oversee payer enrollment processes, manage vendor relationships, and ensure accurate Medicare and commercial enrollment.
- Support client-facing teams with claims education and materials, enabling faster and smoother client set up and revenue recognition support..
- Lead HEDIS-related coding initiatives, technical reviews, and cross-functional reporting coordination.
- Educate internal teams on revenue cycle workflows, insurance processes, and evolving industry standards.
- Evaluate and implement RCM technologies and manage KPIs to ensure operational excellence.
- Play a pivotal role in enabling new telehealth products by collaborating with clinical, product, and network teams.
Who You Are:
- You are a seasoned RCM leader who thrives in high-growth, fast-paced environments and has a passion for driving efficiency and innovation in healthcare operations.
- You bring a strategic mindset and a hands-on approach to problem solving, while excelling at cross-functional collaboration.
- You are proactive, communicative, and energized by the opportunity to influence both internal operations and client-facing functions.
Skills & Abilities Required:
- 5 to 10+ years of experience in Revenue Cycle Management, preferably within diagnostics, telehealth, or other healthcare services.
- Comfortable with how to apply AI tools and automation to optimize RCM workflows, such as predictive analytics for denials or natural language processing for coding accuracy.
- Demonstrated expertise in claims processing, payer enrollment, Medicare compliance, and HEDIS coding.
- Strong knowledge of state and federal healthcare regulatory requirements.
- Proven ability to lead cross-functional initiatives and manage external vendors.
- Experience with RCM software and KPI development/monitoring.
- Excellent written and verbal communication skills, including client-facing experience.
- Adept at creating training content and educating cross-functional teams.
- Ability to analyze complex datasets and drive actionable insights.
- Experience supporting new healthcare product rollouts, especially in virtual care or telehealth settings.
- Strong project management skills with a focus on stakeholder engagement and process improvement.
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Life at Everly Health
Everlywell, PWNHealth, and Home Access Health Corp. are now Everly Health. We’ve formed Everly Health to improve the lives of millions with a fully integrated digital care platform for consumers and businesses. We continue to innovate in the space by delivering more care to more people on a seamless diagnostics-driven platform. We believe better healthcare is achieved when everyone has access to fully integrated digital care. That a person's life can transform if we meet people where they are and provide them with a pathway to affordable and actionable health insights. The way healthcare should be—centered around people.
Thrive Here & What We Value1. Empowering Patients | 2. Modern Diagnosticsdriven Care | 3. Meeting Individuals Where They Are | 4. Dedicated Clinician Network | 5. Evidencebased Practices</s> | 1. Patientfocused approach | 2. Holistic, diagnosticdriven care | 3. Empowering patients in their health journeys.</s> | 16. Striving to make lab testing affordable and accessible for everyone | 17. Passionate and missiondriven marketers | 18. Collaborative work environment</s> | 1. Remote Contract Position | 2. Opportunity to Make a Meaningful Impact in Healthcare | 3. TechDriven Environment | 4. Passionate About Patient Care | 5. Diverse Patient Populations</s> | 1. Focus on maintaining a lean operation while quickly filling open positions with top talent. | 2. Emphasis on costeffective, efficient hiring process. | 3. Small but dynamic recruitment team that values adaptability and resourcefulness.</s> | People-focused, diagnostic-driven care that puts patients at the center of their own health journey. | Collaborative team environment to tackle meaningful problems each and every day.</s> | Mission to transform lives with modern, diagnostics-driven care. | Headquartered in Austin, Texas, Everly Health is the parent company to Everlywell, Everly Health Solutions, Natalist, and Everly Diagnostics.</s> | Everly Health's mission is to transform lives with modern, diagnostics-driven care. | Headquartered in Austin, Texas, Everly Health is the parent company to Everlywell, Everly Health Solutions, and Everly Diagnostics. | We believe that the future of healthcare is meeting people where they are. | Our infrastructure guides the full testing experience with the support of a national clinician network that is composed of hundreds of physicians, nurses, genetic counselors, PharmDs, and member care specialists. | Our solutions make world-class virtual care more attainable with rigorous clinical protocols and best-in-class science to tackle some of the healthcare industry's biggest problems.</s> | National clinician network composed of hundreds of physicians, nurses, genetic counselors, PharmDs, and member care specialists | Support for a full testing experience with infrastructure that guides the client-facing representative</s> | Champion client needs within Everly Health to influence product development and service enhancements | Drive revenue growth through upselling and cross-selling opportunities within existing accounts | Develop strategies to enhance client value and strengthen partnerships, leading to increased client lifetime value and retention.</s> | 1. Peoplefocused approach to healthcare that puts patients at the center of their own health journey | 2. Commitment to helping individuals navigate the world of consumerinitiated genetic testing | 3. Rigorous clinical protocols and bestin-class science to tackle some of the healthcare industry's biggest problems | 4. National clinician network composed of physicians, nurses, genetic counselors, PharmDs, and member care specialists | 5. Support for a variety of indications including hereditary cancer risk, cardiogenetics, rare disease, early cancer screening (liquid biopsy), and pharmacogenetics.</s> | 1. Lean operation while quickly filling open positions with top talent | 2. Dynamic recruitment team | 3. Focus on maintaining a streamlined, costeffective, and efficient hiring process.</s> | Mission-driven company operating in a HIPAA-regulated space | Attention to detail and discretion are essential | Support C-suite leaders and sensitive environments with professionalism and empathy</s> | 1. Peoplefocused, diagnostic-driven care that puts patients at the center of their own health journey. | 2. Missioncritical role in shaping and executing our revenue strategy across a broad portfolio of healthcare offerings, including virtual care and diagnostics. | 3. Rigorous clinical protocols and bestin-class science to tackle some of the healthcare industry's biggest problems. | 4. National clinician network that's composed of hundreds of physicians, nurses, genetic counselors, PharmDs, and member care specialists. | 5. Support clientfacing teams with claims education and materials, enabling faster and smoother client set up and revenue recognition support. | 6. Collaborate crossfunctionally with Finance, Legal, Commercial Sales, and Account Management teams to forecast, budget, and optimize internal controls. | 7. Oversee payer enrollment processes, manage vendor relationships, and ensure accurate Medicare and commercial enrollment. | 8. Lead HEDISrelated coding initiatives, technical reviews, and cross-functional reporting coordination. | 9. Educate internal teams on revenue cycle workflows, insurance processes, and evolving industry standards. | 10. Evaluate and implement RCM technologies and manage KPIs to ensure operational excellence. | 11. Play a pivotal role in enabling new telehealth products by collaborating with clinical, product, and network teams.</s>
