Revenue Cycle Product Manager

Community CareLink is seeking a Revenue Cycle Product Manager in Kansas City, MO (hybrid). The role offers a salary of USD 125,000 - 150,000 per year and a comprehensive benefits package including 401(k) with matching, health, dental, vision, life insurance, and paid time off. The position focuses on designing and operating end-to-end revenue cycle workflows in a fast-moving healthcare SaaS environment, with deep expertise in behavioral health or social services billing, credentialing, and payer rules.

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Compensation

Salary: USD 125,000 - 150,000 per year

Responsibilities

• Oversee credentialing and payer enrollment processes
• Verify insurance eligibility access and accuracy
• Define clinical documentation requirements for billing
• Manage charge capture and creation of claims (837)
• Coordinate claims submission and clearinghouse integration
• Handle ERA/835 processing and reconciliation
• Lead denials management and appeals workflows
• Translate complex billing and operational workflows into structured product requirements
• Define scalable, standardized workflows aligned with Medicaid, Medicare, and commercial payer rules
• Author high-quality product specifications, user stories, and acceptance criteria
• Influence product roadmap decisions related to revenue cycle functionality
• Engage directly with customers to understand real-world billing challenges
• Identify inefficiencies, denial drivers, and workflow breakdowns
• Define and enforce best-practice processes within the platform
• Act as internal and external subject matter expert on revenue cycle
• Partner with engineering to translate workflows into production-ready systems
• Clarify ambiguity and align business requirements with technical implementation
• Ensure solutions are scalable and maintainable
• Ensure workflows meet payer-specific and regulatory requirements
• Standardize credentialing and enrollment across customers
• Anticipate payer rule changes and proactively adapt workflows
• Identify risks, edge cases, and failure points across the revenue cycle
• Propose improvements tied to measurable business impact
• Take initiative beyond defined responsibilities and navigate ambiguity

Requirements

• 3+ years of Revenue Cycle Management experience, with behavioral health or social services strongly preferred
• Deep knowledge of Medicaid, Medicare, and commercial payer billing
• Experience with credentialing and payer enrollment processes
• Ability to translate operational workflows into system or product functionality
• Strong analytical thinking and process design capability
• Ability to operate independently and own work in ambiguous environments
• Clear, structured articulation of complex operational and product ideas

Technologies

• EHR
• 837 (claims creation)

Location and Work Setup

• Location: Kansas City, MO 64105 (Required)
• Work location: Hybrid remote in Kansas City, MO 64105

Key Competencies

• Ability to bridge operations, product, and engineering
• Ability to clearly document complex workflows

Preferred

• Experience working within an EHR or healthcare technology platform
• Product management experience
• Experience collaborating with community-based organizations or behavioral health providers
• Experience building or standardizing workflows across multiple organizations

Application questions

• Do you have experience working in a software development company? If so, please explain.