Eventus WholeHealth

Revenue Cycle Manager

Eventus WholeHealth$75K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Healthcare Administration, Business, Finance, or a related field preferred; equivalent revenue cycle experience considered
  • Minimum 5 years of progressive healthcare revenue cycle experience, including 2 years in a supervisory or management role
  • Expert-level knowledge of Medicare provider enrollment and credentialing including PECOS and MAC requirements
  • Demonstrated experience in denial management, cash posting, and collections across multiple payers and states
  • NextGen Enterprise experience preferred
  • Proficient in advanced data analytics and reporting, including Excel and KPI dashboard creation
  • Strong knowledge of denial management, payer contracts, and AR aging analysis.

Responsibilities

  • Own and enforce third-party RCM vendor service-level agreements and manage performance gaps
  • Direct Medicare provider enrollment and credentialing activities, ensuring timely submissions and updates
  • Manage denial prevention efforts and analyze trends to drive root-cause resolution
  • Oversee cash posting and collections processes for accurate payment applications
  • Prepare monthly revenue cycle performance reports for leadership, including detailed analyses
  • Conduct hands-on data analysis to identify aging drivers and revenue leakage
  • Monitor AR aging and develop collection strategies.

Benefits

  • Comprehensive health, dental, and vision insurance
  • Retirement savings plan with employer matching
  • Paid time off and holiday leave
  • Opportunities for professional development and training
  • Flexible work arrangements.
Full Job Description
The Revenue Cycle Manager is responsible for the day-to-day performance of Eventus WholeHealth's revenue cycle across its multi-state physician group, including Medicare provider enrollment and credentialing, denial management, cash posting and collections, and third-party RCM vendor oversight. This role owns the measurement and enforcement of vendor service-level agreements (SLAs), produces monthly performance reporting for finance and operations leadership, and applies hands-on data analysis to identify root causes of aging, denials, and underpayment. The manager partners closely with the Senior Director of Revenue Cycle Management to drive net collections, reduce days sales outstanding (DSO), and improve the integrity and completeness of the end-to-end revenue cycle. Qualifications: Education, Licensure and Certifications, Related Work Experience: * Bachelor's degree in Healthcare Administration, Business, Finance, or a related field preferred; equivalent revenue cycle experience considered * Minimum 5 years of progressive healthcare revenue cycle experience, including at least 2 years in a supervisory or management capacity * Expert-level knowledge of Medicare provider enrollment and credentialing (PECOS, CMS- 855 forms, PTAN maintenance, revalidations, reassignments, and MAC jurisdiction requirements) * Demonstrated experience in denial management, cash posting, and collections across multiple payers and states * NextGen Enterprise experience preferred Other specialized skills and knowledge necessary to perform this job. (e.g., basic accounting principles, computer skills and software, specific healthcare processes, interpersonal, communication, etc. * Expert command of Medicare enrollment and credentialing workflows across MAC jurisdictions (e.g., Palmetto GBA, WPS, CGS), including PECOS, revalidations, reassignments, and practice-location changes * Advanced data analytics and reporting, including Excel (pivot tables, SUMIFS, lookups) and building recurring KPI dashboards and board-level reports * Strong knowledge of denial management, payer contracts, net realizable value, and AR aging analysis (velocity- and level-based) *Proficiency with RCM and practice-management systems (e.g., NextGen Enterprise, ChartPath) and GL integration; ability to calculate and audit vendor SLAs Proficiency with RCM and practice-management systems (e.g., NextGen Enterprise, ChartPath) and GL integration; ability to calculate and audit vendor SLAs Essential Job Duties/Responsibilities: * Own the measurement, monitoring, and enforcement of third-party RCM vendor service-level agreements, including DSO, AR >90 days, and cash-collection targets; escalate performance gaps and manage cure timelines * Direct Medicare provider enrollment and credentialing activities, ensuring accurate and timely PECOS submissions, revalidations, reassignments, PTAN maintenance, and new practice-location and entity enrollments * Manage denial prevention and appeals, analyzing denial trends by payer, reason code, and service line to drive root-cause resolution and reduce preventable write-offs * Oversee cash posting and collections, ensuring payments, adjustments, and contractual allowances are applied accurately and timely and that unresolved balances are actively worked * Prepare monthly revenue cycle performance reports for finance and operations leadership, including KPI cards, trend and year-over-year analysis, and management narrative * Perform hands-on data analysis across large claim and remittance datasets to identify aging drivers, underpayments, and enrollment-related revenue leakage * Reconcile cash-to-AR activity and support month-end close, partnering with accounting on revenue recognition and accrual cutoffs * Monitor AR aging using net realizable value frameworks and support the development of collection and reserve strategies * Develop, document, and continuously improve revenue cycle policies, workflows, and internal controls to ensure compliance and operational efficiency *Other related duties as assigned Compliance Requirements Adherence to Laws, Rules, Regulations, Standards, Guidelines, Policies and Procedures: * Ensure compliance with all federal, state, and local laws, regulations, standards, guidelines, and Eventus WholeHealth policies and procedures pertaining to the job. * Remain informed of any changes to federal, state, and local laws, regulations, standards,guidelines, and Eventus WholeHealth policies and procedures that impact the job and the company. * Promptly report any non-compliant conduct and/or practices to Eventus WholeHealth's Chief Compliance and Risk Officer. Ethical Conduct: * Ensure adherence to Eventus WholeHealth's Code of Ethics and Business Conduct *Perform the job duties with integrity and professionalism. * Promptly report any unethical conduct and/or practices to Eventus WholeHealth's Chief Compliance and Risk Officer. Patient Privacy and Confidentiality: * Strictly protect patient information in accordance with all federal and state privacy laws and Eventus WholeHealth policies and procedures. * Promptly report any violations of federal and state privacy laws and Eventus WholeHealth policies and procedures to Eventus WholeHealth's Chief Compliance and Risk Officer Documentation and Record Keeping: * Maintain accurate and complete documentation when performing the job duties. * Ensure that all Eventus WholeHealth information, data, documentation, and records are always safeguarded and maintained confidentially. Training and Education: *Participate in all assigned training. *Complete all assigned training by the deadline for completion Risk Management and Incident Reporting: *Engage in regular risk assessments to identify potential risks and work proactively with a supervisor and Eventus WholeHealth's Chief Compliance and Risk Officer to mitigate any identified risks. * Promptly report any incidents (as defined in the "Incident Report Policy") to the Chief Compliance and Risk Officer

About Eventus WholeHealth

Eventus WholeHealth provides physician services, medical directorship, mental health services, podiatry, wound care, chronic care management, telehealth services, geriatric healthcare, longterm care, and value based care services.

Eventus WholeHealth Careers

Joining Eventus WholeHealth offers an unparalleled opportunity to become part of a leading team dedicated to transforming healthcare services. Eventus WholeHealth is recognized for its commitment to innovation, leadership, and professional excellence, creating a dynamic environment for career growth and development.

Explore Job Opportunities

Eventus WholeHealth is actively seeking skilled professionals eager to contribute to a team that values diversity, leadership, and professional growth. With a variety of job opportunities available, candidates can find positions that match their skills and career aspirations. Explore open positions in healthcare, administration, and support roles to find the right fit within the Eventus WholeHealth team.

Experience the Culture and Benefits

Eventus WholeHealth is committed to fostering a workplace culture that promotes diversity and inclusion. Employees enjoy a comprehensive range of benefits designed to support their professional and personal lives. From health and wellness programs to diversity training and career development initiatives, Eventus WholeHealth invests in each team member's success and well-being.

Internship and Employment Opportunities

For those starting their career, Eventus WholeHealth offers internship programs that provide hands-on experience and networking opportunities in the healthcare industry. These internships are a stepping stone to full-time employment, offering insights into the company's operations and culture while building essential skills.

Professional Growth and Development

At Eventus WholeHealth, the focus is on continuous professional development. Employees are encouraged to engage in leadership training, attend workshops, and participate in networking events that enhance their career trajectory. The company supports obtaining certifications and further education that contribute to both personal and professional growth.

Hiring Process

The hiring process at Eventus WholeHealth is designed to be transparent and engaging. Candidates are encouraged to submit a detailed resume and prepare for an interview that assesses skills, cultural fit, and leadership potential. The team values clear communication and provides feedback throughout the interview process to ensure candidates understand their status and the next steps.

Join the Eventus WholeHealth Team

Discover the career opportunities waiting at Eventus WholeHealth. With a commitment to innovation and a focus on building a diverse and skilled team, Eventus WholeHealth is the ideal place to advance your career. Search for available jobs, submit your resume, and prepare to embark on a rewarding journey of professional development and personal growth.

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