Revenue Cycle Manager – EMS Medical Services Billing & Collections
About Us
Capstone Transportation is a leadership company that happens to provide medical transportation services. We are actively seeking future leaders who are driven to grow, inspire others, and make a lasting impact. This position is ideal for individuals who are passionate about healthcare operations and enjoy improving financial performance while supporting exceptional patient care.
Since 2015, Capstone Transportation and its affiliated operations have provided communities with compassionate non-emergency and emergency medical transportation services. We foster an entrepreneurial culture of ownership coupled with a field-driven structure that empowers local leaders and their teams to provide superior solutions to the unique transportation needs of the communities they serve. As our organization continues to grow across multiple states, we remain committed to innovation, operational excellence, safety, and exceptional service.
Working closely with healthcare facilities, insurers, patients, and community partners, our mission is to ensure every patient receives safe, reliable, and compassionate transportation services while maintaining the highest standards of operational and financial performance. u
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Position Overview
With our continued growth, we are seeking a highly skilled and proactive Revenue Cycle Manager with extensive experience in EMS Medical Services Billing, Accounts Receivable Management, and Revenue Cycle Operations.
This individual will play a critical role in optimizing AR performance by leading billing, collections, denial management, and reimbursement processes across multiple operations. The Accounts Receivable Leader will partner with Business Office Managers, Operational Leaders, Accounts Receivable experts in other business lines, and Accounting Partners to drive process improvements, ensure regulatory compliance, maximize reimbursements, and improve cash collections.
This role is ideal for a strategic thinker with deep expertise in ambulance and medical transportation billing, Medicare and Medicaid reimbursement methodologies, payer relations, and revenue cycle management. The successful candidate will thrive in a collaborative environment and be passionate about developing people, improving processes, and producing measurable financial results.
This is a full-time, hybrid position with travel required to support field-based operations.
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Job Summary
The primary purpose of this position is to direct, train, and support Business Office Managers, Billing Specialists & Executive Directors in the accurate and efficient billing and collection of EMS and medical transportation claims in accordance with company policies, payer requirements, and industry regulations.
This leader will oversee accounts receivable performance, drive timely collections, improve reimbursement outcomes, strengthen revenue cycle processes, and ensure the accurate recording of revenue transactions across multiple operating locations.
The ideal candidate will actively demonstrate and promote Capstone Transportation's Core Values:
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Essential Duties & Responsibilities
Revenue Cycle & Billing Operations
- Oversee EMS and medical transportation billing operations across multiple locations.
- Monitor claim submission, payment posting, denials, and collections to ensure optimal reimbursement.
- Ensure billing workflows are compliant with Medicare, Medicaid, commercial insurance, managed care, and private-pay requirements.
- Review aging reports and collection performance to identify improvement opportunities.
- Partner with operations and billing teams to reduce outstanding AR and improve cash flow.
- Ensure best practice processes in place for private collections.
- Lead initiatives focused on clean claim submission and first-pass resolution rates.
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System Management
- Ensure billing and AR systems are accurately configured with current fee schedules, payer requirements, and workflows.
- Monitor system updates and regulatory changes and implement necessary adjustments.
- Maintain reporting functionality and data integrity.
- Work with vendors and internal stakeholders to resolve billing system issues and improve operational efficiency.
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Regulatory Awareness & Compliance
- Stay informed on EMS, ambulance transportation, and healthcare reimbursement regulations.
- Assess organizational readiness for regulatory and payer changes.
- Ensure compliance with Medicare, Medicaid, HIPAA, and commercial payer billing requirements.
- Act as a liaison between operations, compliance, and revenue cycle teams.
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Process Improvement
- Evaluate and improve denial management, appeals, collections, and reimbursement processes.
- Develop strategies to accelerate collections and reduce AR days outstanding.
- Identify opportunities to increase reimbursement accuracy and reduce claim rejections.
- Explore technology-driven and AI-enabled solutions to streamline workflows and improve productivity.
- Lead continuous improvement initiatives across revenue cycle operations.
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Reporting & Analytics
- Develop and refine AR performance metrics and KPIs.
- Analyze collection trends, denial patterns, and reimbursement data.
- Share actionable insights with operational and executive leadership.
- Utilize analytics to identify strategic opportunities for process improvement and revenue growth.
- Prepare regular reporting packages on AR performance and collection effectiveness.
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Payer & Contract Oversight
- Ensure payer contracts, fee schedules, and reimbursement methodologies are accurately maintained within billing systems.
- Support contract analysis and reimbursement validation efforts.
- Collaborate with leadership regarding payer opportunities and reimbursement challenges.
- Monitor payment accuracy against contracted rates.
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Internal Controls & Audit Functions
- Conduct audits to verify billing completeness, compliance, and reimbursement accuracy.
- Evaluate revenue cycle controls and implement corrective actions where needed.
- Ensure documentation standards support billing compliance and payment recovery.
- Maintain ownership of revenue cycle compliance initiatives and audit readiness.
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Leadership, Training & Development
- Provide ongoing coaching, education, and support to accounts receivable and billing teams.
- Develop training materials and facilitate educational sessions on billing and collection best practices.
- Mentor operational and business office leaders in revenue cycle management.
- Foster a culture of accountability, continuous learning, and operational excellence.
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Collaboration
- Serve as a trusted advisor to Executive Directors, Business Office Managers, and AR teams.
- Attend market, resource and operational meetings as requested.
- Support hiring, performance management, and development of AR and billing personnel.
- Communicate best practices across operations and promote consistency in revenue cycle performance.
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Qualifications
- Minimum 5 years of progressive experience in Accounts Receivable, Medical Billing, or Revenue Cycle Management required.
- Minimum 3 years of leadership experience overseeing billing, collections, or revenue cycle teams preferred.
- Strong experience with EMS, ambulance transportation, medical transportation, or healthcare services billing required.
- Extensive knowledge of Medicare, Medicaid, managed care, commercial insurance, and private-pay reimbursement.
- Proven ability to lead process improvement initiatives and achieve measurable collection results.
- Strong analytical, organizational, and communication skills.
- Experience with AR reporting tools, KPI dashboards, and revenue cycle analytics.
- Demonstrated ability to manage multiple priorities across several operating locations.
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Preferred Skills
- Experience with ambulance or EMS billing platforms.
- Strong understanding of ambulance fee schedules, transportation modifiers, and medical necessity documentation.
- Experience in a multi-location healthcare or transportation environment.
- Ability to mentor, train, and develop high-performing teams.
- Strong knowledge of healthcare compliance, billing regulations, and audit processes.
- Experience leading remote and field-based teams.
- Advanced Excel and reporting capabilities.
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Job Details
- Hybrid (remote with periodic on-site support and travel).
- Position is field-based and requires travel to assigned operations.
- Travel may include overnight and out-of-state visits.
- Subject to frequent interruptions and changing priorities.
- May require work beyond normal business hours, including occasional weekends and holidays, as necessary.
- Competitive compensation based on experience.
- Opportunity to join a growing organization dedicated to leadership development, operational excellence, and exceptional patient service.
