Revenue Cycle Manager

Description

As the Revenue Cycle Manager, you will oversee the end-to-end revenue cycle to ensure accurate and timely billing, collections, and reimbursement. You will lead day-to-day operations, strengthen compliance, and use performance metrics to improve cash flow and the patient financial experience.

Requirements

What You’ll Do

· Manage the full revenue cycle process, including pre-registration, billing, collections, and accounts receivable.

· Develop, implement, and maintain policies and procedures to improve revenue cycle efficiency, accuracy, and internal controls.

· Monitor key performance indicators (KPIs) and analyze trends to identify risks, root causes, and opportunities for improvement.

· Partner with clinical and administrative teams to support accurate documentation and coding that aligns with payer and regulatory requirements.

· Coordinate with payers to resolve claim issues, denials, and payment variances to support timely reimbursement.

· Lead, coach, and develop the revenue cycle team through training, performance management, and ongoing process support.

· Perform periodic audits of billing and accounts receivable to ensure compliance with organizational policies and applicable regulations.

· Prepare and present revenue cycle performance reports and recommendations to leadership.

· Stay current on healthcare regulations, payer rules, and industry best practices to maintain compliance and optimize reimbursement.

What You’ll Bring

· Bachelor’s degree in business, healthcare administration, finance, or a related field (or equivalent experience).

· 3+ years of progressive revenue cycle management experience in a healthcare setting, including billing, coding, and collections.

· Working knowledge of healthcare regulations, payer contracts, and reimbursement methodologies.

· Strong analytical and problem-solving skills, with the ability to interpret performance and financial data to drive decisions.

· Demonstrated leadership capabilities, with a track record of building collaborative, high-performing teams.

· Proficiency with revenue cycle management systems and electronic health records (EHRs).

· Excellent written and verbal communication skills, with the ability to work effectively with diverse stakeholders.

Preferred Qualifications

· Experience with Athena (or comparable practice management / EHR platforms).