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.

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.

Skills and Experience needed for success in this role:

• 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.

Where:
The EverCommerce team is distributed globally, with teams in the U.S., Canada, the U.K., Jordan, New Zealand, and Australia. With a widely distributed team, we are used to working remotely across different time zones. This role can be based anywhere in the United States – if you’re close to one of our offices, we can set you up in-office or you can work 100% remotely. Please note that you must be eligible to work without sponsorship to qualify for this position, and this role may require travel to our Corporate Headquarters in Denver, Colorado, or to other office locations around North America.

Compensation: The target base compensation for this position is $60,000 to $70,000 USD per year. Final offer amounts are determined by multiple factors including location, local market variances, and candidate experience and expertise, and may vary from the amounts listed above.