Operations Manager – Healthcare Revenue Cycle

Location : ONSITE – Phoenix, AZ ( This position is not remote or hybrid )

Department : Healthcare Operations

Reports To : Operations Director

Compensation : $75, + (based on experience) + Quarterly Bonus Eligibility

Shift Options : Monday – Friday, 7 : 00 AM – 4 : 00 PM or 8 : 00 AM – 5 : 00 PM

POSITION SUMMARY :

GetixHealth is seeking an experienced and motivated Operations Manager to lead a team within our OOSMA Healthcare Operations department. This role is critical to ensuring the successful resolution of unpaid Medicaid claims and managing daily team performance while delivering quality service to our healthcare clients. The ideal candidate will bring leadership experience in revenue cycle operations, with a strong understanding of Medicaid / HMO processes and payer-specific guidelines.

KEY RESPONSIBILITIES :

• Supervise daily operations of staff handling Medicaid and HMO account follow-ups, denials, and unpaid claims.
• Assign and oversee team responsibilities, ensuring timely and accurate completion of tasks.
• Maintain quality standards and meet unit objectives through consistent coaching, training, and performance monitoring.
• Provide ongoing training on software systems, processes, and payer-specific guidelines.
• Analyze open accounts to determine and initiate appropriate follow-up actions.
• Develop and implement strategies to optimize account resolution and reduce days in accounts receivable.
• Prepare and present operational, performance, and productivity reports to executive leadership and clients.
• Serve as the escalation point for complex issues and ensure timely resolution of client concerns.
• Enforce company policies and participate in performance management, including disciplinary actions when necessary.
• Stay informed and compliant with all Federal, State, and Local regulations, including HIPAA and PHI standards.
• Continuously assess workflow and recommend process improvements to enhance efficiency.
• Support company initiatives, including security protocols and incident reporting.
• Foster a culture of accountability, teamwork, and continuous improvement.

EDUCATION AND EXPERIENCE :

Associate's Degree or equivalent relevant experience required.

2+ years of supervisory experience in healthcare operations or revenue cycle management (3–4 years preferred).

Solid understanding of Medicaid, Medicare, and commercial health insurance payers and claims processes.

SKILLS & COMPETENCIES :

High level of integrity and ability to maintain confidentiality of sensitive information.

Strong leadership, coaching, and organizational skills.

Ability to work in a fast-paced, multi-tasked environment with changing priorities.

Proficiency in Microsoft Office (Excel, Word, Outlook).

Excellent verbal and written communication skills.

Team-oriented mindset with the ability to foster a positive and productive work environment.

WORK ENVIRONMENT & PHYSICAL REQUIREMENTS :

Office-based role requiring long periods of sitting and regular use of standard office equipment (PC, phone, keyboard, etc.).

Occasional lifting (up to 25 lbs) may be required.

Frequent bending and stooping.

ABOUT GETIXHEALTH :

Founded in , GetixHealth has grown into a leading provider of healthcare revenue cycle management services, with offices across the United States and India. We work with healthcare organizations to optimize their financial performance, offering solutions that enhance efficiency and profitability. Our team of 1, dedicated professionals delivers exceptional patient care, compliance, and cutting-edge technology to help clients succeed. With a relentless commitment to patient satisfaction, we ensure that every step of the revenue cycle is streamlined and patient centered.

BENEFITS & INCENTIVES :

GetixHealth is an Equal Opportunity and E-Verify Employer.

Note : This job description is not intended to be an exhaustive list of responsibilities or qualifications and may be subject to change based on business needs.