Revenue Cycle Manager Position Summary: The Revenue Cycle Manager leads the daily operations of Billing, and Collections, while managing accounts receivable across Medicare, Medicaid, commercial payers, and patient balances. The role oversees all back-end revenue cycle functions-including claims submission, payment posting, insurance follow-up, denial management, patient collections, and A/R recovery-to ensure accurate billing, timely reimbursement, regulatory compliance, and strong cash flow.
Key Responsibilities
• Develop and implement policies and procedures to ensure accurate and timely billing processes.
• Supervise collection efforts and provide leadership to Business Office Managers and staff.
• Monitor reimbursement trends, prepare analytical reports with trend assessments, and present findings to senior management.
• Stay informed on legislative, regulatory, and payer policy changes; anticipate impacts and communicate updates to relevant teams.
• Ensure compliance with company and payer guidelines through routine audits and process reviews.
• Forecast monthly collections and report projections to senior leadership.
• Collaborate with credentialing teams to minimize revenue disruptions at new and existing sites.
• Recruit, develop, coach, and manage staff, including setting objectives, providing orientation, communicating expectations, and applying progressive discipline as needed.
• Develop cross-functional strategies to exceed cash collection targets, reduce days in accounts receivable (AR), and minimize denial and adjustment rates.
• Track and report key revenue cycle performance indicators (KPIs) to leadership and stakeholders.
• Establish systems and processes to ensure compliance with contract requirements, including claim submission, documentation, fee schedules, credentialing, and site enrollments.
• Provide oversight (in collaboration with financial leadership) on general ledger close activities related to revenue, AR, and billing.
• Maintain contract controls, policies, and procedures in alignment with state/federal laws, compliance plans, and HIPAA regulations.
• Monitor collections against established goals to maximize cash flow and continuously assess claim submission processes for improvements.
• Oversee analysis, recording, and trending of revenue adjustments, write-offs, and denials; provide management with recommendations to reduce future occurrences.
Required Knowledge, Skills, and Abilities
• Experience with R2, Office Ally and WellnFuse systems highly preferred
• Excellent communication, collaboration, and interpersonal skills to optimize departmental processes and outcomes.
• Superior customer service orientation.
• Advanced proficiency in Microsoft Office (Word, Excel, Outlook).
• Strong organizational, analytical, and decision-making abilities.
• High computer literacy in PC environments.
• Professional written and verbal communication skills, including grammar and composition.
• Proactive, forward-thinking approach with strong problem-solving skills.
• Proven ability to meet productivity standards and performance metrics.
• Accurate and efficient data entry capabilities.
• Commitment to team goals and collaborative success.
Education, Experience, and Requirements
• Minimum of 10+ years of relevant experience in medical billing and revenue cycle management, preferably in specialty infusion therapy or complex outpatient services.
• Demonstrated experience delegating tasks and leading teams effectively.
• Bachelor's degree in accounting, Finance, Healthcare Administration, or a related field preferred.
• Ability to meet U.S. employment eligibility requirements.
Schedule and Benefits Snapshot
Our regular hours are generally Monday through Friday, 8 a.m. to 5 p.m., with most weekends and holidays off. In addition to a competitive hourly rate, we offer:
Competitive hourly rate
401(k) Matching
Health, Vision, and Dental Insurance
Over 20 days of paid time off annually
One paid community service day each year to give back in a way that matters to you, either with your clinic, with the corporate team, or through a community cause you personally care about