UVA Health is seeking an experienced and strategic revenue cycle leader to join our Professional Billing organization as our
Manager, Revenue Cycle. This role offers a unique opportunity to lead a specialized team focused on insurance denials, underpayments, payer policy analysis, and revenue recovery while helping drive a proactive denial-prevention strategy across the organization.
If you enjoy solving complex reimbursement challenges, partnering with operational and physician leaders, interpreting payer policies, and leading teams through process improvement, this is an opportunity to make a measurable impact on the financial health of a nationally recognized academic health system.
This position offers:
- Primarily remote work environment
- Flexible scheduling
- Opportunity to lead a highly specialized team
- Significant visibility and influence across the organization
- Direct engagement with payer organizations and contract interpretation
- The ability to build and improve emerging processes and programs
- A leadership role that combines strategy, analytics, operations, and people leadership
About the RoleThis manager will lead a small team responsible for identifying, researching, and resolving complex reimbursement issues within Professional Billing. The role serves as the primary escalation point for difficult denial, underpayment, and payer policy issues that extend beyond routine claim follow-up activities.
Success in this role requires a combination of leadership, analytical thinking, payer expertise, relationship building, and a commitment to accountability and continuous improvement.
Key Responsibilities- Lead and develop a team focused on denial management and underpayment resolution.
- Monitor and oversee underpayment and low-pay work queues.
- Research and resolve complex reimbursement and payer escalation issues.
- Analyze payer policies, reimbursement methodologies, and coding guidelines.
- Review payer contracts and identify operational impacts.
- Collaborate with Epic teams to ensure payer requirements and reimbursement changes are accurately reflected within system workflows.
- Partner with physician groups, operational leaders, and stakeholders across the health system.
- Represent the department in payer meetings and serve as an escalation resource.
- Drive accountability and follow-through on complex reimbursement initiatives.
- Support denial prevention efforts through proactive policy review and operational improvements.
- Identify opportunities to improve workflows, processes, and financial performance.
Essential Qualifications- Bachelor's degree or equivalent combination of education and experience.
- Management and/or supervisory experience in healthcare or a similar customer-focused environment.
- Professional billing experience.
- Experience with insurance claims, denials, reimbursement, or revenue cycle operations.
- Demonstrated leadership and team development abilities.
Preferred Qualifications- Certified Professional Coder (CPC) credential.
- AHIMA certification or equivalent coding certification.
- Professional Billing (PB) denial management experience.
- Epic experience.
- Experience researching payer policies and reimbursement guidelines.
- Experience reviewing payer contracts.
- Strong understanding of coding guidelines and claim adjudication processes.
- Revenue Cycle leadership experience.
- Prior collections experience.
What Makes Someone Successful in This Role?The ideal candidate is:
- Self-motivated and highly accountable.
- Analytical and naturally curious.
- Comfortable working through ambiguity and complex payer issues.
- Skilled in root-cause analysis and problem solving.
- Patient and effective when leading experienced teams.
- Able to build strong relationships across departments and stakeholder groups.
- Focused on both identifying problems and driving resolution.
- Passionate about continuous process improvement and operational excellence.
What You'll Love About This OpportunityThis is not a transactional denial management role.
You'll have the opportunity to:
- Influence organizational strategy.
- Help build and mature an evolving specialty team.
- Create sustainable processes and documentation.
- Improve payer performance and reimbursement outcomes.
- Support proactive denial prevention initiatives.
- Develop strong relationships with clinical, operational, and revenue cycle leaders across the health system.
For candidates looking to move beyond routine claims work and into a leadership role with broad organizational impact, this position provides the opportunity to shape the future of Professional Billing operations at UVA Health.
Join UVA Health and help transform complex reimbursement challenges into opportunities for operational excellence and financial success.MINIMUM REQUIREMENTS
Education: Bachelor's Degree required or obtain within 4 years of hire date. Significant (4+ years) experience
beyond the required experience indicated below may be accepted in lieu of the Bachelor's degree..
Experience: 3-5 years of management and/or supervisory experience in healthcare or similar customer oriented business. Prior collections' experience preferred
Licensure: CPC or AHIMA Coding certification strongly preferred.
PHYSICAL DEMANDS
This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs.
The pay range for this role is $84,364.80 - $144,025.00 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.
Benefits- Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
- Generous Paid Time Off
- Retirement Savings
- Long-term and Short-term Disability
- Health Saving Plans, and Flexible Spending Accounts
- Certification and Education Support
