Revenue Cycle Analytics - Payer Operations Job at Stedi (NYC)

Vice President of Revenue Cycle Operations

The Vice President of Revenue Cycle Operations at Boston Children’s Hospital wil...

Location

United States , Boston

Salary:

237619.00 - 380182.00 USD / Year

Boston Children's Hospital

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required
advanced degree (MBA, MHA, or related discipline) preferred
12+ years of progressive leadership experience in revenue cycle operations, preferably in an extensive academic or pediatric health system
Demonstrated success in leading complex, multi-functional teams and large-scale revenue cycle transformation initiatives
Proven experience managing hospital and professional revenue cycle functions, including coding, AR, revenue integrity, and financial clearance
Expertise in Epic and modern revenue cycle technologies, analytics, and automation strategies
Strong financial acumen with understanding of healthcare reimbursement, DRGs, denials management, and payer dynamics
Knowledge of compliance and full revenue cycle operations in complex healthcare environments
Skilled in using data and automation to drive performance and efficiency improvements
Ability to lead and develop high-performing teams, drive change, and deliver measurable results

Job Responsibility

Develop and execute a multi-year transformation roadmap to position BCH as a top-performing revenue cycle organization
Align strategies across departments to enhance enterprise capabilities in coding, accounts receivable, revenue integrity, and financial clearance
Serve as a key advisor and second-in-command to the SVP, Revenue Cycle, providing executive-level oversight across initiatives and teams
Provide day-to-day leadership and accountability for: Pre-Service Financial Clearance, Coding (Inpatient & Outpatient), Revenue Integrity, Hospital Accounts Receivable
Ensure achievement of departmental KPIs, including targets for uncollectible rates, AR days, clean claim rates, and denial prevention
Drive initiatives to reduce uncollectible accounts toward a goal of 2.0% of NPSR (FY27 target)
Lead strategies to decrease AR days from 80+ to ~70 while improving cash flow and reducing cost to collect
Protect and optimize BCH’s $3B+ annual revenue through strong controls, visibility, and accountability
Mentor and develop Director and Senior Director-level leaders to ensure operational excellence and leadership continuity
Build bench strength within mid-level management to support organizational growth and succession planning

What we offer

flexible schedules
affordable health, vision and dental insurance
child care and student loan subsidies
generous levels of time off
403(b) Retirement Savings plan
Pension
Tuition and certain License and Certification Reimbursement
cell phone plan discounts
discounted rates on T-passes

Fulltime

Revenue Cycle & Reporting Manager

The Revenue Cycle & Reporting Manager is responsible for overseeing the full rev...

Location

United States , San Mateo

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or GED required
Bachelor's degree in Accounting, Finance, Healthcare Administration, Business, or related field preferred
Minimum 5 years of experience in healthcare billing, collections, or revenue cycle management
Strong knowledge of medical or dental billing processes, coding, claims management, and reimbursement methodologies
Experience managing accounts receivable, denial resolution, and payer relations
Demonstrated experience preparing operational and financial reports
Proficiency with healthcare practice management and billing systems preferred
Strong analytical, problem-solving, and organizational skills
Ability to interpret data and communicate actionable recommendations
Knowledge of HIPAA regulations and healthcare compliance requirements

Job Responsibility

Oversee daily billing operations, claim submission, payment posting, denial management, collections, and refunds
Ensure billing accuracy and compliance prior to claim submission
Investigate and resolve complex billing issues, claim denials, and payer discrepancies
Maintain fee schedules, contractual adjustments, and write-off controls
Monitor timely filing requirements and implement corrective actions when needed
Ensure compliance with payer guidelines and regulatory requirements
Manage insurance and patient accounts receivable across aging categories
Monitor collection performance and identify trends impacting reimbursement
Coordinate patient payment arrangements, financial assistance programs, and collection activities
Track and report outstanding balances, collection efforts, and revenue risks

What we offer

Medical
Vision
Dental
Life and disability insurance
401(k) or deferred compensation plan
Paid time off for vacation, personal needs, and sick time
Paid holidays
Choice Time Off (CTO)

Fulltime

Revenue Cycle Manager

Our great healthcare client in the Nashville area is seeking an experienced Reve...

Location

United States , Nashville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

5+ years of progressive experience in revenue cycle operations, including leadership or supervisory responsibilities
Strong working knowledge of end-to-end revenue cycle processes in a healthcare setting
Experience improving KPIs tied to collections, denials, and cash flow
Ability to quickly assess workflows and implement process improvements
Strong analytical and reporting skills with attention to detail
Comfortable working onsite and collaborating across multiple teams
Bachelor’s degree required (Healthcare Administration, Business, Finance, or related field preferred)
Experience with major EMR / Practice Management systems such as Epic, Cerner, Athenahealth, NextGen, or Meditech
Familiarity with clearinghouses (Change Healthcare, Availity, Waystar, etc.)
Advanced Excel skills

Job Responsibility

Oversee the full revenue cycle process, including patient access, charge capture, coding, billing, and collections
Manage and improve claims submission processes, ensuring timely and accurate filing
Monitor and reduce denial rates, including root cause analysis and corrective action plans
Review and analyze key KPIs such as Days in AR, Net Collection Rate, First Pass Resolution Rate, Clean Claim Rate, Denial Rate / Write-offs
Lead A/R follow-up efforts, including aged receivables and insurance reimbursement issues
Oversee revenue recognition processes and ensure alignment with billing and collections activity
Partner with coding teams to ensure accurate use of CPT, ICD-10, and HCPCS codes
Drive improvements in charge lag and billing lag metrics
Ensure compliance with payer requirements, contracts, and regulatory standards
Prepare and present daily/weekly/monthly revenue cycle reports and dashboards to leadership

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Revenue Cycle Director

Location

United States , Salina

Salary:

Not provided

Central Care Cancer Center

Expiration Date

Until further notice

Requirements

Bachelor's Degree from four-year college or technical school
Minimum 3-5 year's related experience and/or training
Medical billing and contract experience required
Oversee collection processes
Conducts performance evaluations
Excellent management and supervisory skills
Excellent analytical and organizational skills
Excellent written and verbal communication skills
High degree of sound independent judgment, initiative, and high standard of ethics

Job Responsibility

Drive operating efficiency and program development initiatives to enhance revenue generation capabilities
Develop and implement strategies to enhance revenue generation and minimize revenue loss across all clinic locations
Ensure compliance with all applicable billing, coding, and regulatory standards related to oncology services
Oversee billing systems and claims processes, to ensure accurate and timely reimbursements
Streamline the patient financial experience and identify opportunities to improve patient collections
Collaborate with financial team to explain variances and determine mitigating actions
Partner with executives and directors to identify and implement process improvements that enhance revenue generation and operational efficiency
Serve as a liaison between receptionists and financial counselors, to improve communication and workflow efficiency
Maintain in-depth knowledge of oncology-specific billing, coding, and reimbursement policies, including in-office infusions and oral medications
Stay current on healthcare regulations, payer policies, and revenue cycle best practices, ensuring compliance and adaptability

Fulltime

Revenue Cycle Management Specialist

We are looking for a Revenue Cycle Management Specialist to support revenue cycl...

Location

United States , Minnetonka

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience working in healthcare revenue cycle operations with a strong understanding of end-to-end billing workflows
Practical knowledge of medical billing procedures, claim submission standards, and reimbursement processes
Ability to review and process medical claims with a high level of accuracy and attention to detail
Familiarity with core revenue cycle functions, including follow-up, payment posting support, and issue resolution
Strong analytical and problem-solving skills for identifying billing errors and resolving claim-related concerns
Effective communication skills with the ability to work across teams in a detail-oriented healthcare environment
Experience working with payers specific to the State of Minnesota
Experience working within behavioral health

Job Responsibility

Manage day-to-day billing activities by reviewing charges, preparing claims, and ensuring submissions are completed accurately and on schedule
Investigate claim issues and resolve billing discrepancies by working through denials, rejections, and payment variances
Monitor accounts throughout the revenue cycle to support prompt reimbursement and reduce outstanding balances
Review medical claims for completeness and compliance before transmission to payers and other relevant parties
Maintain detailed records of billing actions, claim status updates, and follow-up efforts within established workflows
Collaborate with internal teams to address documentation gaps, correct account issues, and improve claim outcomes
Apply revenue cycle best practices to strengthen billing accuracy, streamline processes, and support financial performance
Assist with department wide reporting and analysis
Present regular analysis to senior leadership, acknowledging trends and area of opportunity
Document process and procedures

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Revenue Cycle Manager

We are seeking an experienced Revenue Cycle Manager to lead our Claims and Accou...

Location

United States , Miami

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Bachelor's degree in Accounting, Finance, Healthcare Administration, Business Administration, or related field preferred
5+ years of progressive revenue cycle experience, including claims management and accounts receivable oversight
Prior supervisory or management experience leading revenue cycle teams
Strong understanding of commercial insurance, Medicare, Medicaid, and managed care reimbursement
Experience with denial management, appeals, collections, and revenue cycle reporting
Advanced Excel and reporting skills
Strong analytical, organizational, and communication skills

Job Responsibility

Manage and develop a team of six Revenue Cycle Specialists focused on claims processing, denial management, and accounts receivable follow-up
Oversee daily billing and claims activities to ensure timely and accurate submission of claims to commercial, government, and managed care payers
Monitor and reduce aged accounts receivable balances while improving cash collections and reimbursement rates
Lead denial management efforts, identify root causes, and implement corrective action plans to minimize future denials
Review and analyze key revenue cycle metrics including Days in A/R, denial rates, collection rates, clean claim rates, and cash collections
Establish productivity standards and performance goals for the revenue cycle team
Collaborate with clinical, operational, and finance departments to resolve billing and reimbursement issues
Ensure compliance with payer regulations, contractual requirements, and company policies
Prepare and present revenue cycle performance reports and recommendations to senior leadership
Identify process improvement opportunities and implement best practices to enhance operational efficiency and financial performance

What we offer

Medical, vision, dental, and life and disability insurance
401(k) plan
Free online training

Fulltime

Revenue Cycle Management Specialist

We are looking for a Revenue Cycle Management Specialist to join a healthcare or...

Location

United States , Chicago

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of experience in healthcare revenue cycle, medical billing, or claims management
Hands-on knowledge of Medicare and Medicaid billing practices, including claim review, submission, and follow-up
Familiarity with CMS regulations, reimbursement methodologies, and healthcare audit expectations
Experience resolving denied or underpaid medical claims and improving billing accuracy
Understanding of revenue cycle processes across charge capture, claims processing, and payment reconciliation
Background working in an FQHC or similar healthcare setting is strongly preferred
Strong analytical skills with the ability to identify process gaps and support compliance-focused billing operations

Job Responsibility

Manage day-to-day revenue cycle activities, including charge review, claim submission, payment posting, denial follow-up, and account resolution
Prepare and submit accurate medical claims for Medicare, Medicaid, and other applicable payers while ensuring timely reimbursement
Investigate billing discrepancies and denied claims, identify root causes, and take corrective action to reduce payment delays
Conduct audits of billing and reimbursement activity to confirm alignment with CMS guidelines and internal compliance standards
Monitor revenue cycle performance trends and recommend process improvements that support cleaner claims and stronger collections
Collaborate with clinical, administrative, and finance teams to resolve account issues and maintain accurate documentation for billing purposes
Support billing operations within an FQHC environment, including payer-specific requirements related to Medicare and Medicaid programs
Maintain current knowledge of reimbursement regulations, risk adjustment considerations, and evolving government payer requirements

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Director of Revenue Cycle

Our client is seeking an experienced and strategic Director of Revenue Cycle to ...

Location

United States , Bennington

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Associate’s degree in Business Administration or a related field preferred
additional education may substitute for experience
10+ years of experience in healthcare accounts receivable or revenue cycle operations, with at least 5 years in a management role
Prior experience with electronic billing software required
Meditech experience preferred
Strong knowledge of healthcare billing, reimbursement, denial management, and accounts receivable processes
Demonstrated leadership, communication, analytical, and problem-solving skills
Proven ability to lead teams, improve processes, and drive revenue cycle performance

Job Responsibility

Provide leadership and oversight for revenue cycle operations, including charge entry, billing, cash posting, remittance, accounts receivable, and denial management
Supervise, coach, train, and evaluate revenue cycle staff to support professional development and ensure achievement of departmental benchmarks
Monitor accounts receivable performance and produce monthly AR reports, provider-based practice revenue reports, and other ad hoc reporting as needed
Oversee the technical denials process, including appeals, payer follow-up, and communication with carriers to improve reimbursement outcomes
Maintain and update Meditech Charge Master, Claims, Procedures, and Statements dictionaries to ensure billing accuracy and compliance
Stay current on payer regulations, reimbursement changes, and insurance updates to identify revenue opportunities and resolve patient billing issues effectively
Review insurance contracts, assess reimbursement trends, and recommend workflow or procedural changes to improve collections and operational efficiency
Partner with practice management, finance, and operational leaders to resolve issues, support strategic initiatives, and improve revenue cycle performance
Serve as a department ambassador for training, system enhancements, process improvement efforts, and implementation projects
Ensure compliance with organizational policies and applicable billing regulations and standards

What we offer

Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance
Eligible to enroll in company 401(k) plan

Fulltime

Select Country

Revenue Cycle Analytics - Payer Operations

Job Description

Job Responsibility

Requirements

Looking for more opportunities?