Senior Revenue Cycle Project Manager

The Senior Revenue Cycle Project Manager is an experienced professional responsible for leading high-priority revenue cycle management projects for a clinical laboratory company. This role manages complex initiatives that support strategic RCM objectives, including system and vendor implementations, collection improvement efforts, workflow optimization, payer-related initiatives, reporting enhancements, and cross-functional process improvement projects. The Project Manager partners closely with Revenue Cycle leadership, Operations, IT, Finance, Compliance, vendors, and other stakeholders to ensure projects are delivered on time, within scope, and with measurable operational and financial impact.

ESSENTIAL FUNCTIONS:

• Lead and manage key revenue cycle projects from initiation through completion, including project planning, stakeholder alignment, execution, issue resolution, implementation, and post-project evaluation.
• Manage system implementations, upgrades, integrations, and optimization projects that support billing, collections, denial management, payment posting, eligibility, prior authorization, client billing, payer workflow, reporting, and other RCM functions.
• Coordinate vendor implementation projects, including requirements gathering, contracting support, implementation planning, testing, training, go-live readiness, and ongoing performance monitoring.
• Drive collection improvement projects designed to reduce aged accounts receivable, increase cash collections, improve payer follow-up effectiveness, and strengthen overall revenue cycle performance.
• Partner with RCM leaders and operational teams to identify workflow gaps, root causes, process inefficiencies, payer issues, and system limitations that impact clean claim submission, reimbursement timelines, denial rates, AR aging, and cash realization.
• Develop and maintain detailed project plans, timelines, milestones, resource plans, risk logs, issue trackers, status reports, and executive updates.
• Facilitate cross-functional meetings, document decisions and action items, assign accountability, and ensure stakeholders remain aligned on project objectives, deliverables, and deadlines.
• Use data and performance metrics to assess project opportunities, define success measures, monitor progress, and evaluate post-implementation outcomes.
• Support development of standardized workflows, policies, procedures, training materials, dashboards, and communication plans related to RCM project initiatives.
• Serve as a liaison between Revenue Cycle, IT, Operations, Finance, Compliance, Commercial, Client Services, and external vendors to ensure project requirements are understood and effectively executed.
• Identify project risks, dependencies, barriers, and change management needs; escalate issues appropriately and recommend practical solutions.
• Ensure RCM projects are completed in accordance with organizational policies, payer requirements, regulatory standards, data privacy expectations, and internal control requirements.
• Provide regular project updates to Revenue Cycle leadership and senior stakeholders, including progress against milestones, risks, key decisions, financial or operational impact, and recommended next steps.
• Support additional strategic RCM initiatives as assigned, including payer, client, automation, reporting, operational excellence, and revenue optimization projects.

NON-ESSENTIAL FUNCTIONS:

• Work with other departments within PathGroup and subsidiaries.
• Nothing in the job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
• Other duties as assigned.

EDUCATION & LICENSURE:

• High School Diploma or GED is required.

Qualifications:

• 8+ years of healthcare billing, revenue cycle, or customer service experience.

• Demonstrated experience managing complex projects involving multiple stakeholders, competing priorities, tight timelines, and measurable business outcomes.
• Strong working knowledge of healthcare revenue cycle functions, including billing, collections, AR follow-up, denial management, payer workflows, payment posting, eligibility, authorization, coding-related workflows, claims submission, and reimbursement processes.
• Experience supporting system implementations, vendor implementations, workflow redesign, operational improvement projects, or technology-enabled transformation initiatives.
• Ability to analyze revenue cycle data, identify trends and root causes, translate findings into action plans, and communicate insights to operational and executive audiences.
• Excellent written and verbal communication skills, including the ability to prepare clear project documentation, executive summaries, status updates, and stakeholder communications.
• Strong organizational skills with the ability to manage multiple projects simultaneously while maintaining attention to detail and accountability for deadlines.
• Proficiency with Microsoft Office applications, including Excel, PowerPoint, Word, Outlook, and project management tools..

PHYSICAL , MENTAL DEMANDS, AND WORKING CONDITIONS:

Job Requirements

Physical Requirements
(positions classified with this job-code may require many or all of the following physical requirements)

Mobility: (Ability to assist in the movement of objects)
• Sitting
• Bending
• Lifting
• Pushing
• Pulling
• Walking
• Stooping
• Standing
• Turning

Dexterity: (Ability to manipulate objects)
• Reaching
• Grasping
• Handling

Visual: (Ability to recognize, register, and respond)
• Color recognition
• Depth perception
• Reading / Close-up work
• Graphing
• Calibration

Communication: (Ability to understand, respond and translate into action)
• Communication

Environmental Conditions
(positions classified with this job-code may require work in or near the following environmental conditions)

Noise:
• Normal office environment

Vibration:

(None)

Atmospheric Conditions:

(None)

Hazards:

(None)

Work Activities

Getting Information - Observing, receiving, and otherwise obtaining information from all relevant sources.

Interacting With Computers - Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.

Processing Information - Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.

Inspecting Material - Inspecting materials to identify the cause of errors or other problems or defects.

Thinking Creatively - Developing, designing, or creating new applications, ideas, relationships, systems, or products, including artistic contributions.

Updating and Using Relevant Knowledge - Keeping up-to-date technically and applying new knowledge to your job.

Monitor Processes, Materials, or Surroundings - Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems.

Making Decisions and Solving Problems - Analyzing information and evaluating results to choose the best solution and solve problems.

Analyzing Data or Information - Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts.

Performing Administrative Activities - Performing day-to-day administrative tasks such as maintaining information files and processing paperwork.

Evaluating Information to Determine Compliance with Standards - Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.

Communicating with Supervisors, Peers, or Subordinates - Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.

Communicating with Persons Outside Organization - Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.

Documenting/Recording Information - Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.

Organizing, Planning, and Prioritizing Work - Developing specific goals and plans to prioritize, organize, and accomplish your work.

Knowledge

Clerical - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.

Personnel and Human Resources - Knowledge of principles and procedures for personnel recruitment, selection, training, compensation and benefits, labor relations and negotiation, and personnel information systems.

Computers and Electronics - Knowledge of computer hardware and software applications.

English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

Administration and Management - Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.

Mathematics - Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.

Economics and Accounting - Knowledge of economic and accounting principles and practices.

Skills

Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Reading Comprehension - Understanding written sentences and paragraphs in work related documents.

Monitoring - Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.

Speaking - Talking to others to convey information effectively.

Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making.

Time Management - Managing one's own time and the time of others.

Social Perceptiveness - Being aware of others' reactions and understanding why they react as they do.

Writing - Communicating effectively in writing as appropriate for the needs of the audience.

Abilities

Oral Comprehension - The ability to listen to and understand information and ideas presented through spoken words and sentences.

Written Expression - The ability to communicate information and ideas in writing so others will understand.

Near Vision - The ability to see details at close range (within a few feet of the observer).

Oral Expression - The ability to communicate information and ideas in speaking so others will understand.

Written Comprehension - The ability to read and understand information and ideas presented in writing.

Speech Clarity - The ability to speak clearly so others can understand you.

Speech Recognition - The ability to identify and understand the speech of another person.

Mathematical Reasoning - The ability to choose the right mathematical methods or formulas to solve a problem.

Problem Sensitivity - The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.

Information Ordering - The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).

This job description is not intended to be completely comprehensive. It is merely an overview of the position