Revenue Cycle Manager Onsite

Revenue Cycle Manager – Onsite Wound Care Division | North Miami, FL

Location: North Miami, Florida
Employment Type: Full-Time
Schedule: Monday–Friday | Onsite

We are seeking an experienced and highly motivated Revenue Cycle Manager to lead the revenue cycle and back-office billing operations for our growing wound care division.

This is a hands-on leadership position for an experienced RCM professional who understands the full revenue cycle—from charge capture and coding through claim submission, payment posting, denials, A/R, appeals, and collections.

The ideal candidate has experience managing high-volume medical billing operations, multiple entities, multiple payers, and complex reimbursement workflows
. Wound care, specialty care, physician practice, DME, or other complex medical billing experience is strongly preferred.

This individual will play a key role in building and establishing our new North Miami revenue cycle operation
, including developing workflows, managing staff, monitoring performance, identifying revenue leakage, and implementing processes that improve cash collections and reduce denials.

• Own the day-to-day revenue cycle operations for the wound care division.

• Oversee the complete billing lifecycle, including:

  • Charge capture

  • Charge entry

  • Coding review

  • Claim submission

  • Claim status

  • Payment posting

  • Denial management

  • Appeals

  • A/R follow-up

  • Patient and payer balances

• Monitor A/R aging and establish strategies to reduce outstanding balances.

• Identify trends in denials, underpayments, rejections, and billing errors.

• Develop and implement processes to improve collections, clean-claim rates, and overall revenue performance.

• Ensure claims are submitted accurately and within payer filing deadlines.

• Review reimbursement issues and identify opportunities to improve revenue capture.

• Lead, train, and manage the revenue cycle/billing team.

• Establish daily, weekly, and monthly productivity and quality expectations.

• Monitor individual and team performance.

• Conduct regular A/R and billing reviews with staff.

• Develop standard operating procedures and workflow processes.

• Hold team members accountable for productivity, accuracy, and follow-through.

• Assist with recruiting and onboarding additional RCM staff as the Miami operation grows.

• Create a culture focused on accountability, accuracy, teamwork, and cash performance.

• Manage billing operations across multiple entities and provider structures.

• Maintain a strong understanding of Medicare, Medicaid, and commercial payer requirements.

• Troubleshoot payer-specific billing and reimbursement issues.

• Monitor payer portals and claim status.

• Research underpayments and reimbursement discrepancies.

• Coordinate appeals and escalated payer issues.

• Ensure billing practices remain compliant with applicable payer and regulatory requirements.

• Oversee billing for wound care services and related procedures.

• Review claims for appropriate coding, documentation, modifiers, units, and payer requirements.

• Understand reimbursement requirements for wound care procedures and products.

• Work closely with clinical leadership to identify documentation issues that may affect reimbursement.

• Monitor billing related to wound care products, procedures, and applicable reimbursement methodologies.

• Identify opportunities for improved charge capture and revenue optimization.

• Utilize Waystar and other RCM/billing platforms to monitor claims, rejections, denials, and payer activity.

• Develop and maintain Excel-based reports and dashboards.

• Analyze:

  • A/R aging

  • Days in A/R

  • Collections

  • Denial rates

  • Clean-claim rates

  • Rejection rates

  • Payment trends

  • Payer performance

  • Productivity

  • Revenue by entity/provider

• Create recurring management reports for leadership.

• Use data to identify operational problems and recommend solutions.

• Monitor provider enrollment and credentialing information.

• Ensure provider demographics, payer enrollments, billing information, and effective dates are accurate.

• Identify credentialing issues that may delay or prevent reimbursement.

• Coordinate with credentialing teams to resolve enrollment and payer issues.

• Evaluate existing billing workflows and identify inefficiencies.

• Build standardized processes for the new Miami operation.

• Develop and maintain billing SOPs.

• Implement quality-control processes to reduce billing errors.

• Establish escalation procedures for…