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We are seeking an experienced Revenue Cycle Manager to lead our Claims and Accounts Receivable team. This role is responsible for overseeing the end-to-end claims management process, maximizing collections, reducing denials, and improving cash flow performance. The Revenue Cycle Manager will supervise a team of six professionals and work closely with operations, finance, and payer representatives to ensure timely reimbursement and resolution of outstanding accounts.
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
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
Nice to have
Healthcare services, physician practice, ambulatory surgery center, behavioral health, or multi-site healthcare environment experience
Proven track record improving collections, reducing denials, and shortening A/R cycles
Experience developing KPIs, dashboards, and revenue cycle reporting metrics
Experience with healthcare billing systems and EMR platforms
What we offer
Medical, vision, dental, and life and disability insurance