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Jukebox Health is seeking a hands-on Manager of Revenue Cycle & Claims Operations to build and own the company's end-to-end claims and billing function. The role involves converting completed services and program requirements into accurate, timely claims; managing claim submission, rejections, denials, payer follow-up, payment posting, and reconciliation; and improving internal processes and systems that support clean claims and predictable collections.
Key responsibilities include owning end-to-end claims and revenue-cycle operations across Medicaid managed-care, commercial, and other payer programs, including claim readiness, submission, rejections, denials, appeals, payer follow-up, payment posting, reconciliation, aging, and collections reporting. The manager will build and optimize payer- and program-specific billing workflows, including claim configuration, test claims, provider and rendering setup, coding/modifier requirements, credentialing and linkage readiness, and scalable processes across internal systems, clearinghouses, and payer portals. The role requires driving cross-functional execution and accountability by partnering with Operations, Partner Success, Clinical, Product, Data, and Finance teams to resolve missing data, improve handoffs, eliminate recurring workflow issues, and build a scalable RCM function capable of supporting more than $1M in monthly claims.
Required qualifications include 7+ years of experience in medical billing, claims operations, or revenue-cycle management; 3+ years of experience owning or leading a meaningful portion of a revenue-cycle function; strong hands-on experience with claim submission, rejections, denials, appeals, payer follow-up, payment posting, and A/R management; experience working with Medicaid managed-care plans and complex payer requirements; demonstrated ability to configure and launch new payer or program billing workflows; experience with billing and rendering-provider structures, NPIs, modifiers, diagnosis codes, procedure codes, authorizations, and timely-filing requirements; ability to work effectively without a single fully integrated EHR or mature claims infrastructure; strong analytical, organizational, and project-management skills; ability to work cross-functionally and hold internal and external stakeholders accountable; comfort operating both strategically and tactically in a fast-growing environment; and strong ownership mindset and focus on measurable collection outcomes.
Preferred qualifications include experience in occupational therapy, home health, behavioral health, HCBS, value-based care, or other nontraditional provider models; experience with provider credentialing, payer enrollment, CAQH, roster management, and provider linkage; experience bringing revenue-cycle operations in-house or transitioning between billing vendors; experience implementing or optimizing claims-management, practice-management, clearinghouse, or RCM technology; familiarity with Salesforce, Waystar, Availity, PaySpan, or similar systems; experience working in a healthcare startup or rapidly scaling organization; and CPC, CPB, CRCR, or comparable certification.
