JOB SUMMARY

Regional Medical Imaging (RMI) is seeking a strategic and analytically driven Revenue Cycle Manager to lead financial oversight, forecasting, automation, and performance optimization across the revenue cycle.

As billing complexity continues to increase due to payer variability, imaging-specific reimbursement structures, and system integrations, this role will transform revenue operations from reactive processing to predictive, data-informed performance management.

This position partners closely with the Billing Team Lead, who oversees daily billing operations and staff supervision. The Revenue Cycle Manager focuses on financial analytics, KPI visibility, forecasting, automation, and long-term revenue integrity.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Other duties may be assigned.

Revenue Analytics & Forecasting

• Develop predictive revenue models based on payer mix, CPT trends, and reimbursement shifts
• Analyze and forecast the impact of payer fee schedule changes
• Review Contracts for best performance
• Monitor reimbursement trends and provide executive-level revenue insights
• Monitor post adjudication audit responsibility and estimates for best accuracy and feedback

Month-End Close Optimization

• Develop quality reconciliation and balance validation processes
• Shorten month-end close cycle through automation and reporting controls
• Ensure financial accuracy and compliance across revenue reporting

KPI & Performance Infrastructure

• Design and maintain real-time dashboards tracking:
• Net collections
• Days in AR
• Denial rates
• Clean claim rates
• Refund metrics
• Bill-to-cash TAT performance
• Translate data into actionable operational recommendations

Workflow & Automation Leadership

• Work with operational leadership to standardize and optimize refund, payment, and denial workflows
• Evaluate and implement automation opportunities, including AI where appropriate
• Improve efficiency and accuracy within the systems in place or full system solutions.

Staffing & Efficiency Analysis

• Evaluate productivity metrics and staffing alignment
• Partner with operational leadership on accountability and performance optimization

Compliance & Risk Mitigation

• Monitor documentation-to-bill integrity
• Oversee the internal audit program
• Partner with compliance on QPP/MIPS revenue implications
• Reduce audit exposure risk

Qualifications

Required:

• Bachelor's degree in Finance, Healthcare Administration, Business, or related field
• 5+ years of healthcare revenue cycle experience
• Strong financial modeling and advanced Excel/data analysis skills
• Deep understanding of AR management, payer reimbursement, and denial trends

Preferred:

• MBA or Master's degree
• Radiology or imaging billing experience
• Experience implementing KPI dashboards or automation tools

Core Competencies

• Strategic and systems-level thinker
• Data-driven decision maker
• Process optimization mindset
• Strong executive communication skills
• Collaborative leadership approach

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, walk, sit, and type information into the computer.