EverHealth - RCM Manager, Front End (Remote, US)
About The Position
At EverCommerce [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: https://careers.evercommerce.com/us/en We are looking for a RCM Manager, Front End to focus on our EverHealth. The RCM Manager, Front End leads all pre-adjudication and point-of-service revenue cycle operations to ensure clean claims, regulatory compliance, and minimal preventable denials. This role is accountable for benefits verification, authorization, coding, charge entry, and rejection management, establishing the foundation for timely reimbursement and downstream revenue cycle success. The Front-End RCM Manager partners closely with clinical, back-end RCM, and client-facing teams to drive accuracy, efficiency, and continuous improvement across front-end workflows.
Requirements
- Bachelor’s degree in Business Administration, Healthcare, or related field preferred.
- 5+ years of healthcare or revenue cycle management experience, including demonstrated leadership responsibility.
- Demonstrated experience with KPI development, financial analysis, and performance improvement initiatives.
- Extensive knowledge of medical billing, coding (ICD-10, CPT, HCPCS), and end-to-end revenue cycle workflows.
- Strong understanding of payer rules, denial management, appeals, and reimbursement methodologies.
- Proven ability to partner with client-facing teams and communicate effectively with internal and external stakeholders.
- Professional demeanor with strong written, verbal, and interpersonal communication skills.
Responsibilities
- Lead all front-end revenue cycle operations including benefits verification, authorization, coding, charge entry, and rejection/edit resolution.
- Set front-end strategy, KPIs, performance standards, and operating cadence to support clean claim submission and payer compliance.
- Design, implement, and maintain workflows, SOPs, and escalation paths across all front-end functions and tiers.
- Allocate work and manage capacity to meet daily throughput expectations and service-level turnaround times.
- Drive root-cause analysis for rejections, edits, and coding errors; implement corrective actions, training, and upstream fixes.
- Partner with the Back-End RCM Manager to close the loop on denial prevention, trend analysis, and cash acceleration initiatives.
- Monitor payer policies, medical necessity rules, and regulatory changes; update processes, playbooks, and guidance accordingly.
- Ensure compliance with HIPAA, payer requirements, medical necessity, and documentation standards.
- Lead audit readiness and support internal and external audits related to front-end RCM functions.
- Drive continuous improvement initiatives through data analysis, reporting, and performance management.
- Communicate risks, progress, and outcomes to leadership and cross-functional stakeholders.
- Manage staffing models, cross-coverage, and productivity across front-end teams.
- Perform other related duties as assigned.
Benefits
- Flexibility to work where/how you want within your country of employment – in-office, remote, or hybrid
- Continued investment in your professional development
- Day 1 access to a robust health and wellness benefits package, including an annual wellness stipend.
- 401k with up to a 4% match and immediate vesting
- Flexible and generous (FTO) time-off
- Employee Stock Purchase Program
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What This Job Offers
Job Type
Full-time
Career Level
Manager
