Midi Health · 15 hours ago
Revenue Cycle Operations Manager
Midi Health is a company focused on healthcare solutions, and they are seeking an experienced Revenue Cycle Operations Manager to lead their billing operations. This role involves managing a team, overseeing revenue cycle processes, and ensuring compliance with best practices in medical billing and eligibility verification.
Health CareMedicalTherapeuticsWomen's
Responsibilities
Lead and manage a team of revenue cycle and/or eligibility specialists, including hiring, onboarding, performance evaluations, coaching, promotions, corrective actions, and professional development planning
Serve as the primary subject matter expert for insurance eligibility verification, payer network status, coverage rules, and billing requirements, ensuring team adherence to best practices and payer guidelines
Oversee day-to-day revenue cycle operations, including patient billing support, claim resolution, collections, A/R and denial management, administrative discharge, and eligibility workflows
Review performance data and trends to identify root causes, risks, and opportunities, translating insights into actionable improvement plans
Manage established process flows, SOPs, and training materials for billing and eligibility workflows to ensure consistency, accuracy, and scalability
Own and drive ad hoc operational projects to support business growth and process improvement
Assign, prioritize, and balance workload across the team to meet productivity targets and SLA commitments while maintaining quality standards
Support Senior Manager to partner with Product and Engineering teams to identify, prioritize, and implement system and workflow enhancements that improve billing accuracy, automation, and reporting
Ensure all billing and eligibility activities comply with regulatory requirements, payer rules, and telehealth-specific billing standards
Oversee insurance eligibility verification and network status validation processes, ensuring timely, accurate confirmation prior to services
Monitor and manage accounts receivable performance, including Athena holds and Athena enrollment worklists, implementing strategies to reduce aging balances and improve collections outcomes
Participate in audits and reporting related to third-party performance, eligibility accuracy, A/R, and collections, providing clear insights and recommendations to leadership
Stay current on payer policy changes, coding updates, and industry trends, ensuring timely communication, training, and process updates for the team
Serve as the escalation point for unresolved billing inquiries, complex eligibility issues, payer disputes, and patient financial concerns
Qualification
Required
Minimum of 6 years of experience in healthcare administration, revenue cycle management, or medical billing, with 3+ years in a people management role
Minimum of 1-2 years of remote work experience in a similar role
Demonstrated ability to manage staffing coverage, productivity goals, and daily team operations
Strong leadership and team management skills, with the ability to motivate and mentor team members
Excellent communication skills, both written and verbal
Tech savvy with strong analytical and problem-solving abilities with a bias for action
Proven conflict resolution skills, with the ability to remain calm under pressure and de-escalate tense situations
Ability to handle sensitive patient information with confidentiality and professionalism
Preferred
Experience in billing for women's health services and/or telehealth
AthenaHealth and Zendesk experience
Comfortable learning new proprietary technology tools
Associate's and/or Bachelor's Degree
Revenue cycle certifications are a plus, but not required
Proficiency in Google Office Tools and experience with reporting
Benefits
Comprehensive health benefits (medical, dental, vision)
Paid time off
Paid holidays
Company
Midi Health
Midi Health provides virtual care for women in midlife, offering clinician support for menopause, hormonal health, and related conditions.
Funding
Current Stage
Growth StageTotal Funding
$152MKey Investors
Advance Venture PartnersEmerson CollectiveGoogle Ventures
2025-10-02Series C· $50M
2024-04-24Series B· $63M
2023-09-27Series A· $25M
Recent News
Company data provided by crunchbase