Revenue Cycle Manager

Four Winds, Inc.

$90K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in relevant field such as Accounting or Healthcare Administration
  • 7+ years of experience in medical billing, with a minimum of 2 years in a management role
  • Expertise in CPT/ICD-10 coding and insurance regulations
  • Strong skills in mathematics, problem-solving, and data analysis
  • Excellent communication and leadership skills for team management and collaboration

Responsibilities

  • Manage complete billing lifecycle from charge entry to payment reconciliation
  • Track and resolve claims denials to improve A/R metrics
  • Lead and mentor Patient Accounts Representatives across multiple locations
  • Collaborate with Managed Care to manage payer fee tables and authorization issues
  • Monitor KPIs and report trends to senior management
  • Ensure compliance with regulations and adapt policies as needed

Benefits

  • Employer-funded defined benefit pension plan
  • Employee-funded 401k plan
  • Comprehensive medical, dental, and vision insurance
  • No-cost life insurance for employees
  • Flexible spending plan
Full Job Description
We are seeking a Revenue Cycle Manager to lead the Four Winds' Patient Accounts team and be responsible for Accounts Receivable from charge generation to claim submission and collections. The role reports to the Controller and tasked with tracking KPIs such as Days in A/R, reducing claim denials, and ensuring compliance with regulatory and payer requirements to maximize net revenue.

The job is in-person onsite at our Westchester Campus in Katonah, NY.

Job highlights:

  • End-to-End RCM: Manage the complete billing lifecycle, ensuring accurate and timely charge entry, claim processing, and payment reconciliation. Complete month-end closing processes to generate general ledger revenue journal. Manage internal and external collection efforts.
  • Denial & A/R Management: Track denials, resolve unbilled claims, and execute strategies to keep A/R aging metrics within industry benchmarks.
  • Team Leadership: Manage, motivate and mentor Patient Accounts Representatives across 2 locations.
  • Cross-Functional Collaboration: Partner with Managed Care to maintain current payer fee tables and resolve authorization issues.
  • Data & Reporting: Monitor KPIs, identify revenue loss trends, monitor and report on bad debt write offs, and present detailed reports to senior management.
  • Compliance & Auditing: Enforce regulatory compliance, ensure medical coding accuracy, and adapt policies to changing payer and government mandates.


Benefits:

  • Defined benefit pension plan (employer funded)
  • 401k (employee funded)
  • Medical, dental and vision insurance
  • Life insurance at no cost to the employee
  • Flexible spending plan


Qualifications:

  • Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or a closely related field.
  • 7+ years of progressive experience in medical billing with at least 2 years of experience managing staff.
  • Deep understanding of CPT/ICD-10 coding, commercial insurance policies, Medicare/Medicaid regulations, and EHR/billing platforms (MyAvatar preferred).
  • Strong mathematical, problem-solving, and data analysis skills. Understanding of accounting fundamentals.
  • Excellent communication, conflict resolution, and leadership abilities for cross-functional collaboration and patient engagement.


Starting salary between $90,000 and $95,000

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