Billing Manager​/Revenue Cycle Management; RCM Manager

Description

The Billing Manager / RCM Manager is responsible for overseeing all aspects of the revenue cycle across multiple clinical specialties, ensuring accurate charge capture, compliant billing, timely collections, and optimized reimbursement. This role provides hands‑on leadership for billing, coding, and accounts receivable functions while partnering closely with clinical, operational, and financial leaders to drive performance and scalability.

The ideal candidate brings deep multi‑specialty revenue cycle expertise, strong leadership capabilities, and a data‑driven approach to improving financial outcomes in a complex healthcare environment.

• Manage end-to-end revenue cycle operations, including charge capture, coding, billing, claims submission, payment posting, denials management, and collections.
• Ensure timely and accurate billing for professional and technical services across all supported specialties.
• Monitor and improve key revenue cycle metrics, including days in A/R, denial rates, clean claim rates, and net collection percentage.

• Lead, coach, and develop staff, including setting performance expectations and conducting regular reviews.
• Establish workflows, standard operating procedures, and internal controls to ensure consistency and accountability.
• Serve as the escalation point for complex billing, coding, and payer‑related issues.

• Ensure compliance with federal, state, and payer‑specific regulations, including CMS guidelines and specialty‑specific billing rules.
• Partner with coding resources to ensure appropriate use of CPT, ICD‑10, HCPCS, and modifiers across all specialties.
• Coordinate audits (internal and external) and implement corrective action plans as needed.

• Oversee payer relationships related to billing and reimbursement.
• Analyze denial trends and lead root cause analysis to reduce preventable denials.
• Collaborate with contracting and credentialing teams to support accurate reimbursement.

• Prepare and present regular revenue cycle performance reports to the Chief Revenue Officer and executive leadership.
• Identify revenue leakage, underpayments, and process gaps, and recommend corrective strategies.
• Support budgeting, forecasting, and growth initiatives related to new services, providers, or locations.

• Work closely with clinical leadership, operations, scheduling, and front‑end teams to improve charge accuracy and documentation.
• Support provider education related to documentation and charge capture best practices.
• Participate in system implementations, upgrades, and optimization efforts related to EHR, practice management, or billing platforms.

• Opportunity to lead revenue cycle operations across diverse and high‑impact medical specialties.
• Direct partnership with executive leadership, including the Chief Revenue Officer.
• Ability to influence strategy, processes, and financial performance at an enterprise level.
• Competitive compensation and benefits package.

• Minimum of 5–7 years of revenue cycle leadership experience in a multi‑specialty physician practice or healthcare organization.
• Demonstrated experience managing billing and collections for complex specialties, preferably including oncology and procedural‑based practices.
• Strong working knowledge of CPT, ICD‑10, HCPCS, modifiers, and payer reimbursement methodologies.

• Certified Professional Coder (CPC), Certified Revenue Cycle Executive (CRCE), or similar certification.
• Experience with both professional and technical billing (including hospital‑based or infusion services).
• Prior experience partnering with executive leadership and reporting on revenue cycle performance.

• Strong analytical and problem‑solving skills with attention to detail.
• Excellent communication skills, including the ability to explain complex billing issues to non‑financial stakeholders.
• Hands‑on leadership style with a continuous improvement mindset.