Revenue Cycle & Insurance Verification Program Manager / Operations Lead

Position Overview

We are seeking an experienced Revenue Cycle & Insurance Verification Program Manager / Operations Lead to oversee and support healthcare insurance verification and revenue cycle operations. The ideal candidate will have direct, hands-on experience with insurance eligibility verification, third-party insurance entry, benefits coordination, and high-volume healthcare administrative workflows.

This role requires a candidate who can demonstrate strong knowledge of healthcare insurance processes, maintain data accuracy, resolve exceptions, and effectively manage operational workflows.

Key Responsibilities

• Oversee and support high-volume insurance eligibility and benefits verification activities.
• Manage processes for identifying, entering, validating, and updating third-party insurance information.
• Ensure accurate insurance sequencing and coordination of benefits (COB).
• Monitor insurance verification workflows to identify missing, incomplete, or inaccurate information.
• Research and resolve insurance verification rejections, discrepancies, exceptions, and processing issues.
• Ensure timely correction and completion of insurance-related transactions.
• Monitor productivity, quality, accuracy, and workflow turnaround times.
• Develop and maintain procedures and workflow controls to improve accuracy and efficiency.
• Provide guidance, training, and operational support to staff performing insurance verification and revenue cycle functions.
• Review work for compliance with established healthcare, payer, and organizational requirements.
• Coordinate with patient access, billing, coding, accounts receivable, clinical, and other revenue cycle teams.
• Analyze workflow issues and recommend process improvements to reduce errors, rework, and delays.
• Prepare operational reports and communicate performance, trends, and issues to leadership.
• Support implementation and maintenance of standardized processes across teams.
• Maintain strict confidentiality and security of patient and insurance information.

Required Qualifications

• Bachelor's degree in healthcare administration, business, health information management, or a related field preferred; equivalent healthcare revenue cycle experience may be considered.
• 5+ years of healthcare revenue cycle, insurance verification, patient access, or healthcare administrative operations experience.
• Demonstrated hands-on experience with:
• Insurance eligibility verification
• Third-party insurance identification and entry
• Insurance sequencing
• Coordination of benefits
• Insurance data validation and updates
• Rejection and exception resolution
• Experience working in a high-volume healthcare environment.
• Experience overseeing teams, workflows, or operational functions is strongly preferred.
• Strong analytical, organizational, problem-solving, and communication skills.
• Ability to work with sensitive patient and financial information while maintaining strict confidentiality.

Preferred Qualifications

• Experience with commercial EHR and healthcare insurance systems.
• Experience with Medicare, Medicaid, TRICARE, commercial insurance, or other third-party payer systems.
• Revenue cycle or healthcare administration certification.
• Experience managing distributed or geographically dispersed teams.
• Experience developing, implementing, or improving healthcare revenue cycle processes.

Ideal Candidate Profile

The strongest candidate will be someone who has progressed from hands-on insurance verification or revenue cycle operations into a supervisory, management, program management, or operations leadership role.

Candidates may come from backgrounds such as:

• Revenue Cycle Manager
• Revenue Cycle Operations Manager
• Insurance Verification Manager
• Insurance Verification Supervisor
• Patient Access Manager
• Eligibility & Benefits Manager
• Patient Financial Services Manager
• Healthcare Operations Manager
• Revenue Operations Lead
• Healthcare Program Manager

Apply today!