EverHealth - Revenue Cycle Management (RCM) Manager ( Remote, US)

About this role

AtEverCommerce[Nasdaq: EVCM], we are on a mission to digitally transform the service economy with tailored, end-to-end SaaS solutions that simplify and empower the lives of our 725,000+ customers. As a leading service commerce platform, our modern digital and mobile applications create predictable, informed, and convenient experiences between customers and their service professionals in the areas of Home & Field Services, Health Services, and Wellness industries.

We are building an extraordinary company and looking for talented, energetic, and motivated people to join our team. You can learn more about our Company, Culture and Values here:

We are looking for aRevenue Cycle Management (RCM) Manager is responsible for leading the organization’s revenue cycle operations with a focus on accounts receivable optimization, denial management, claims resolution, and overall client financial performance. This role provides leadership to the Claims Management Specialist team and partners with Service Managers, BPO partners, and Operations to improve client health, maximize reimbursement, and drive operational excellence.

The RCM Manager provides strategic leadership for the Claims Management Specialist team by establishing priorities, driving performance, and ensuring the team delivers actionable insights that improve client financial outcomes. While Claims Management Specialists are responsible for investigating claims, identifying root causes, and recommending solutions, the RCM Manager is accountable for working with leadership on the strategic direction, removing operational barriers, aligning resources, and ensuring recommendations are executed to achieve measurable improvements in revenue cycle performance.
Key Responsibilities
Leadership & Team Management

• Lead, mentor, and develop the Claims Management Specialist team.

• Establish team goals, performance expectations, and professional development plans.

• Monitor productivity, quality, and service levels to ensure operational excellence.

• Foster a culture of accountability, collaboration, continuous learning, and data-driven decision making.

• Conduct performance reviews, coaching sessions, and career development planning.

Strategic Leadership & Accountability

• Establish the strategic vision and priorities for the Claims Management Specialist team in alignment with organizational and client objectives.

• Own revenue cycle performance by ensuring the team focuses on the highest-impact opportunities for revenue recovery and operational improvement.

• Translate analytical findings into actionable business strategies and operational initiatives.

• Prioritize work based on client health, financial impact, payer trends, and organizational goals.

• Remove barriers that prevent successful execution of team recommendations.

• Hold the team accountable for delivering measurable improvements in key revenue cycle metrics while empowering specialists to determine the most effective analytical approach and claim resolution strategies.

• Serve as the primary escalation point for complex reimbursement issues, systemic payer challenges, and cross-functional operational concerns.

• Balance day-to-day operational priorities with long-term strategic initiatives to improve scalability, efficiency, and client outcomes.

Revenue Cycle Strategy & Performance

• Develop and execute strategies to improve revenue cycle performance across assigned client portfolios.

• Monitor organizational and client-level performance against established KPIs.

• Identify trends impacting reimbursement and implement corrective action plans.

• Provide strategic recommendations to senior leadership regarding revenue cycle optimization.

• Drive initiatives that improve cash flow, reduce aging accounts receivable, and increase reimbursement.

Claims Management Oversight
Provide oversight and direction for the Claims Management Specialist team responsible for:

• Complex claims resolution

• Root cause analysis of denied and unpaid claims

• Payer trend analysis

• Practice workflow analysis

• Revenue recovery opportunities

• Escalation of systemic reimbursement issues

Ensure recommendations developed by the team result in measurable operational improvements.
Denial Management & Revenue Integrity

• Oversee organizational denial management strategy.

• Review denial trends and identify systemic opportunities for improvement.

• Partner with operational leaders to implement denial prevention initiatives.

• Ensure timely escalation of payer issues and reimbursement challenges.

• Monitor effectiveness of corrective action plans.

Client Health & Operational Partnership

• Partner with Service Managers to improve client financial performance and overall client health.

• Participate in client business reviews and operational performance meetings.

• Support initiatives that improve client retention and revenue optimization.

• Provide executive-level reporting and recommendations on revenue cycle performance.

BPO Oversight & Operational Excellence

• Provide leadership for BPO performance related to revenue cycle functions.

• Ensure consistent claim resolution practices across internal and outsourced teams.

Analytics & Reporting
Develop and monitor dashboards and performance reporting for key revenue cycle metrics, including:

• Accounts Receivable >90 Days

• Days Revenue Outstanding (DRO)

• Denial Rate

• Clean Claim Rate

• Net Collection Rate

• Cash Collections

• Aging A/R

• Appeal Success Rate

• Payer Performance Trends

• Client Health (RAG Status)

Use analytics to prioritize improvement initiatives and communicate performance to leadership.
Process Improvement & Innovation

• Lead continuous improvement initiatives across revenue cycle operations.

• Identify workflow inefficiencies and implement scalable solutions.

• Collaborate with Technology and Product teams to enhance reporting and automation.

• Standardize best practices across clients and…