Revenue Cycle Manager

The Revenue Cycle Manager oversees all aspects of the revenue cycle process to ensure accurate, timely, and compliant billing, coding, collections, and reimbursement operations. This leader ensures organizational revenue integrity, optimizes workflow efficiency, and manages a team responsible for the end‑to‑end revenue cycle. The ideal candidate is analytical, proactive, and skilled at collaborating across clinical, operational, and administrative teams.

• Supervise and support several revenue cycle teams (customer service, payment posting, and A//R Follow up).
• Develop staff through ongoing coaching, training, and performance evaluations.
• Monitor team workload, productivity, and quality to ensure operational targets are met.

• Oversee areas of revenue cycle, including customer service, charge capture, billing, follow‑up, and payment posting.
• Ensure timely and accurate submission of claims and resolution of outstanding receivables.
• Manage denials and appeals processes, identifying trends and implementing corrective actions.
• Monitor charge reconciliation processes and collaborate with clinical departments to resolve documentation issues.

• Ensure compliance with federal and state regulations, payer guidelines, and organizational policies.
• Maintain a high level of knowledge regarding regulatory changes, coding updates, and payer requirements.
• Conduct routine audits to ensure accuracy and compliance across the revenue cycle.

• Analyze key performance indicators (KPIs), including AR aging, denial rates, cash collections, and clean claim rates.
• Provide regular reporting, trend analysis, and recommendations to leadership.
• Implement process improvements to enhance financial performance and operational efficiency.
• Work closely with providers, clinical leaders, and administrative teams to improve documentation, charge accuracy, and workflow.
• Serve as the primary contact for revenue cycle questions and operational guidance across the organization.
• Partner with IT and EHR teams to optimize system functionality and reporting tools.

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (or equivalent experience).
• Minimum 3–5 years of progressive experience in revenue cycle management within a healthcare setting, preferably a physician group.
• Strong knowledge of medical billing, coding, payer regulations, and reimbursement methodologies.
• Experience with electronic health record (EHR) and practice management systems (e.g., Epic, Athena, Cerner).
• Excellent leadership, analytical, and communication skills.

• Certified Revenue Cycle Representative (CRCR), Certified Revenue Cycle Professional (CRCP), CPC, CCS, or similar credentials.
• Experience in a multi‑specialty or high‑volume ambulatory environment.
• Prior experience improving revenue performance through workflow and process redesign.