Job Overview
The Revenue Cycle Manager is responsible for overseeing and actively participating in all aspects of the revenue cycle process, including patient registration review, charge entry, claim submission, payment posting, denial management, accounts receivable follow-up, collections, and reimbursement optimization. This is a hands-on leadership role that requires direct involvement in daily revenue cycle operations while supervising staff, ensuring productivity, accuracy, compliance, and financial performance.
Your proactive approach will help streamline operations, reduce denials, and enhance overall financial performance.
Duties
- Manage and perform daily revenue cycle functions from claim creation through final payment resolution.
- Review, submit, and monitor insurance claims for accuracy and timely reimbursement.
- Investigate and resolve claim denials, rejections, underpayments, and payment variances.
- Conduct payer and patient account follow-up to secure timely payments.
- Post insurance and patient payments accurately and reconcile payment discrepancies.
- Monitor accounts receivable aging and implement collection strategies to reduce outstanding balances.
- Review explanation of benefits (EOBs), remittance advice, and payer correspondence.
- Ensure accurate charge capture, coding support, and billing compliance.
- Work directly with insurance carriers, patients, and providers to resolve billing issues.
- Supervise billing, payment posting, collections, and accounts receivable personnel.
- Assign workloads and monitor productivity and quality standards.
- Provide ongoing coaching, training, and performance management.
- Assist staff with complex claims, escalated accounts, and payer disputes.
- Develop workflows and procedures to improve efficiency and accountability.
- Conduct regular staff meetings and performance evaluations.
- Identify trends affecting cash flow and reimbursement.
- Develop corrective action plans to improve revenue cycle performance.
- Prepare reports for executive leadership regarding revenue cycle outcomes.
- Monitor key revenue cycle metrics
- Ensure compliance with payer regulations, billing guidelines, HIPAA requirements, and organizational policies.
- Maintain current knowledge of payer rules and reimbursement requirements.
- Identify process improvement opportunities to reduce denials and increase collections.
- Participate in system implementations, upgrades, and workflow optimization projects.
Requirements
- Proven experience managing revenue cycle operations within a healthcare setting or similar environment
- Strong understanding of medical billing practices, coding systems (such as CPT, ICD-10), and insurance payer requirements
- Excellent analytical skills with the ability to interpret financial data and KPIs effectively
- Demonstrated ability to lead teams, implement process improvements, and drive results in a fast-paced environment
- Knowledge of healthcare regulations including HIPAA compliance and payer policies
- Exceptional communication skills for collaborating across departments and with external payers
Join us in this dynamic role where your expertise will directly impact our organization’s financial health! We’re committed to supporting your professional growth through ongoing training opportunities while fostering a vibrant team culture dedicated to excellence.
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
Education:
- High school or equivalent (Preferred)
Work Location: In person
