Senior Manager Professional Billing and Revenue Cycle

Under the direction of the Professional Billing Revenue Cycle Director, the Senior Manager, Professional Billing Operations provides operational leadership and oversight of professional billing functions, supporting physician revenue cycle performance across the organization. This role directs Professional Billing Managers and oversees third-party billing vendor performance to ensure timely charge capture, billing, claims resolution, and reimbursement from all payers.

This role partners with the Director to develop and execute operational priorities, performance improvement initiatives, and revenue cycle strategies that optimize financial outcomes, enhance operational efficiency, and ensure compliance with regulatory and payer requirements. Serving as a key liaison among clinical operations leadership, physician practices, third-party billing vendors, and Revenue Cycle departments, the Senior Manager fosters collaboration, monitors key performance indicators, and drives continuous process improvement to support organizational revenue cycle goals.

• Leads and Supervises Workforce Performance: Directs Professional Billing Managers and oversees comprehensive workforce management activities, including staffing, performance management and evaluation, employee development, coaching, succession planning, and engagement; establishes clear departmental goals, priorities, and metrics to ensure operational excellence and alignment with organizational standards.

• Manages Vendor Performance: Partners with third-party billing vendors to optimize billing operations, resolve barriers to reimbursement, improve collections performance, and maximize revenue opportunities.

• Drives Process Improvement: Leads and supports physician revenue cycle process improvement and transformation initiatives to drive operational efficiency, standardization, and financial performance.

• Monitors Revenue Key Performance Indicators (KPIs): Monitor revenue cycle performance, productivity, and metrics to ensure timely billing, prompt issue resolution, and achievement of established service levels and financial targets.

• Serves as Departmental Liaison: Functions as the primary liaison among physician practices, operational leaders, Revenue Cycle departments, and third-party vendors to ensure effective communication, collaboration, and alignment of revenue cycle objectives.

• Optimizes Workflow and Technology: Identifies, implements, and oversees process improvements, technology enhancements, and workflow optimization initiatives to improve quality, efficiency, compliance, and reimbursement outcomes.

• Evaluates Automation & Scaling: Identifies and implements automation opportunities, productivity improvements, and operational best practices that reduce administrative burden, improve scalability, and enhance overall revenue cycle performance.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

• Bachelor’s Degree in Business, Healthcare Administration, or a related field and a minimum of 7 years of related professional experience, specifically including management of professional billing functions within an academic medical center; or an equivalent combination of education and experience.

• Experience in Physician Billing Organizations

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• System Proficiency: Technical proficiency in Epic and Epic Cubes, along with advanced skills in Windows-based business applications (Outlook, Word, PowerPoint, Excel).

• Regulatory & Billing Expertise: Comprehensive knowledge of patient billing policies, health insurance standards, and regulatory revenue cycle guidelines, including the ability to audit performance and train staff on these concepts.

• Data Analytics: Proficiency in collecting, organizing, and analyzing complex financial and operational data to produce actionable reports and strategic recommendations.

• Operational Optimization: Ability to improve revenue cycle performance, customer service baselines, and…