About Us

At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.

Position Summary

The Manager of ERA Operations is responsible for overseeing the end-to-end management of Electronic Remittance Advice processing, including the timely downloading, reconciliation, and posting of ERAs into the organization's Health Information Billing System. A key component of this role is the leadership and management of an overseas operations team, ensuring work is completed accurately, efficiently, and in alignment with organizational standards. This manager will drive performance optimization across all team members while maintaining compliance and supporting seamless revenue cycle operations.

Key Responsibilities

Overseas Team Management

Directly manage and oversee a remote overseas ERA operations team, ensuring daily accountability and productivity
Establish clear performance expectations, workflows, and quality standards for all offshore team members
Monitor individual and team performance metrics, providing regular feedback, coaching, and development
Optimize workload distribution across team members to maximize efficiency and minimize processing backlogs
Conduct regular team meetings, one-on-ones, and performance reviews to maintain engagement and alignment
Identify skill gaps and coordinate training to ensure team proficiency in ERA processes and billing systems
Serve as the primary escalation point for overseas team issues, disputes, and operational challenges
Coordinate across time zones to maintain seamless communication and continuity of operations

ERA Operations

Manage and oversee daily ERA download and posting operations across all payers.
Ensure accurate and timely posting of payments, adjustments, and denials into the billing system
Monitor ERA file transmissions and resolve failed, missing, or rejected files promptly
Establish and enforce standard operating procedures for ERA workflows
Partner with IT and clearinghouse vendors to troubleshoot EDI/835 transaction issues
Analyze posting trends, error rates, and payer discrepancies to drive continuous process improvements
Collaborate with billing, coding, and denial management teams to ensure seamless revenue cycle flow
Develop and present performance metrics and operational reports to senior leadership
Maintain compliance with payer contracts, HIPAA regulations, and internal audit standards

Qualifications

Required

5+ years of experience in healthcare revenue cycle, with a focus on ERA/payment posting operations
2+ years in a leadership or management capacity, preferably managing remote or overseas teams
Demonstrated ability to manage, develop, and optimize the performance of distributed teams
Proficiency with Health Information Billing Software (e.g., Epic, Meditech, Athenahealth, AdvancedMD)
Strong knowledge of EDI 835 transaction sets and clearinghouse platforms
Familiarity with payer portals, ERA enrollment, and ERA reconciliation processes
Experience managing cross-timezone operations and remote team communication tools

Preferred

Bachelor's degree in Healthcare Administration, Business, or related field
Experience managing offshore or Business Process Outsourcing (BPO) teams
Experience with large-scale or multi-facility billing environments
Knowledge of denial management and appeals workflows

Skills & Competencies

Strong leadership skills with the ability to manage and motivate remote, cross-cultural teams
Excellent analytical and problem-solving abilities with a focus on accuracy and quality control
Proven ability to optimize team workflows and improve operational efficiency
Effective communication skills across all levels, including overseas staff and senior leadership
Ability to manage competing priorities and deadlines in a fast-paced, high-volume environment