Job Overview
Join our dynamic healthcare team as a Healthcare Revenue Cycle Manager with EPIC PB (Physician Billing) experience, where you will lead and optimize the revenue cycle processes to ensure maximum financial performance and operational efficiency. Your expertise in EPIC’s revenue cycle modules will be instrumental in streamlining billing, coding, collections, and accounts receivable management. This role offers an exciting opportunity to influence revenue integrity, improve cash flow, and enhance patient financial experience through innovative strategies and team leadership. If you thrive in a fast-paced environment and are passionate about healthcare finance, this position is your chance to make a meaningful impact.
Duties
- Oversee end-to-end revenue cycle operations, including billing, coding, claims submission, payments, and collections within the EPIC platform
- Lead process improvement initiatives to enhance claim accuracy, reduce denials, and accelerate reimbursement cycles
- Collaborate with clinical departments and IT teams to optimize EPIC workflows for revenue cycle functions
- Monitor key performance indicators (KPIs) such as days in accounts receivable, denial rates, and collection effectiveness to identify areas for improvement
- Provide training and ongoing support to staff on EPIC revenue cycle modules and best practices
- Ensure compliance with healthcare regulations and payer requirements by maintaining accurate documentation and audit readiness
- Develop reports and dashboards to communicate financial performance and operational metrics to executive leadership
- Manage, allocate, and optimize onshore and offshore resources based on workload and client priorities
- Design and deliver remote training programs for new and existing staff
- Establish and manage QA frameworks to ensure accuracy and compliance of work performed
- Develop and deliver client-facing and internal performance reports
Requirements
- Proven experience managing healthcare revenue cycle operations in a fast-paced environment with a strong focus on EPIC systems
- Extensive knowledge of EPIC’s Revenue Cycle Management (RCM) modules including Cadence, Resolute Billing, Resolute Claims, and Prelude
- Strong understanding of medical billing, coding standards (such as ICD-10, CPT), insurance claims processing, and payer policies
- Demonstrated leadership skills with the ability to motivate teams and implement process improvements effectively
- 5+ years of hands-on Epic PB experience (Resolute PB/HB required)
- Proven experience in:
- Managing teams/resources (including offshore models)
- Training staff remotely in a structured environment
- Implementing and managing QA programs
- Strong understanding of:
- Insurance follow-up and appeals
- Denial management strategies
- Payer guidelines and reimbursement methodologies
- Excellent analytical skills with proficiency in data analysis tools and reporting software
- Exceptional communication skills to collaborate across departments and explain complex concepts clearly
- Bachelor’s degree in Healthcare Administration, Business Administration or related field; relevant certifications such as Certified Revenue Cycle Executive (CRCE) are a plus
Join us to lead innovative revenue cycle strategies that drive financial health while delivering exceptional patient care. We’re committed to fostering a collaborative environment where your expertise makes a tangible difference every day.
Pay: $55,922.69 - $64,207.97 per year
Work Location: Remote
