Director of Revenue Cycle Management

The Revenue Cycle Manager is responsible for the day-to-day management, analysis, and continuous improvement of revenue cycle operations for a multi-provider primary care organization. This position oversees billing, claims management, payment posting, collections, accounts receivable, and denial management to support accurate reimbursement and strong cash flow.

The Revenue Cycle Manager serves as a hands-on leader who combines operational revenue cycle expertise with strong analytical and problem-solving skills. This individual must be highly proficient in Microsoft Excel and comfortable working with large data sets, identifying trends and root causes, developing meaningful reports, and translating financial and operational data into actionable recommendations.

The ideal candidate is both detail-oriented and strategically minded—able to manage daily revenue cycle performance while looking beyond individual transactions to identify opportunities to improve processes, reimbursement, productivity, and overall financial performance.

• Manage daily revenue cycle activities, including charge capture, claim submission, payment posting, accounts receivable, collections, and denial management.
• Monitor claim submission and reimbursement activity to ensure timely and accurate billing.
• Identify workflow gaps, reimbursement issues, and operational barriers impacting revenue or cash flow.
• Monitor outstanding A/R and ensure appropriate follow-up and escalation of aging balances.
• Review payer trends and recurring issues affecting reimbursement.
• Partner with billing staff to resolve complex claims, denials, payment discrepancies, and payer issues.
• Ensure established revenue cycle procedures and internal controls are consistently followed.
• Analyze revenue cycle data to identify trends, variances, risks, and opportunities for improvement.
• Develop and maintain Excel-based reports, dashboards, trackers, and financial analyses supporting revenue cycle performance.
• Utilize advanced Excel functionality, including Pivot Tables, XLOOKUP/VLOOKUP, formulas, conditional logic, data validation, charts, and large-data-set analysis.
• Monitor key revenue cycle metrics including days in A/R, denial rates, clean claim rates, collection rates, aging, write-offs, and staff productivity.
• Perform root-cause analysis when performance falls below expectations and recommend corrective actions.
• Analyze payer, provider, location, and service-level performance to identify patterns affecting reimbursement.
• Validate the accuracy and integrity of revenue cycle reporting before presenting findings to leadership.
• Prepare concise monthly reporting that explains not only what the data shows, but why performance is changing and what actions should be taken.
• Identify opportunities to improve collections, reduce denials, accelerate cash flow, and streamline workflows.

• Evaluate existing revenue cycle workflows and recommend practical improvements based on data and operational performance.
• Identify recurring revenue leakage, process inefficiencies, and reimbursement barriers.
• Develop solutions and action plans to address identified trends or performance concerns.
• Assist leadership with revenue cycle initiatives, system improvements, payer issues, and special projects.
• Collaborate with clinical operations, Finance, HR, providers, and other departments to address issues affecting billing and reimbursement.
• Support implementation and measurement of process improvement initiatives.

• Supervise, coach, and support revenue cycle staff to ensure productivity, accuracy, accountability, and timely follow-up.
• Establish clear expectations and monitor individual and team performance.
• Provide training and ongoing feedback regarding billing processes, payer requirements, denials, and revenue cycle best practices.
• Identify performance or workflow concerns and implement appropriate corrective action plans.
• Promote cross-training and effective workload distribution within the department.
• Foster a culture of accountability, collaboration, continuous improvement, and data-driven decision-making.

• Ensure billing and collection activities comply with applicable federal, state, payer, and organizational requirements.
• Monitor billing accuracy and identify potential compliance or documentation concerns for appropriate escalation.
• Conduct periodic audits of claims, payment posting, accounts receivable,…