Revenue Cycle Insurance Manager

Job Title: Revenue Cycle Insurance Manager
Location: Sebring, FL (On-site)
Relocation Assistance: Available
Pay: $75,000 + Bonus

Senior leader responsible for hospital insurance A/R and denials performance. Drives collections results, leads high-performing teams, ensures compliance, and partners cross-functionally to sustain cash flow and improve payer outcomes.

• Lead and develop hospital insurance A/R and denials teams
• Set productivity, quality, and performance standards
• Conduct reviews, corrective actions, and succession planning
• Foster a results-driven, high-accountability culture

• Own A/R performance (aging, AR days, collections)
• Oversee denial prevention, appeals, and complex claims resolution

• Manage escalated payer disputes and underpayments
• Lead payer strategy and negotiations
• Present performance insights to executives

• Partner with Coding, CDI, UR, Case Management, Registration, Compliance, and IT
• Lead initiatives to reduce denials and improve first-pass resolution

• Monitor KPIs (AR aging, denial rates, appeal success, cash)
• Support budgeting and forecasting
• Ensure CMS and regulatory compliance; lead audits

• Oversee professional insurance A/R alignment with hospital strategy

• Bachelor’s degree (or equivalent experience)
• 3–5 years hospital revenue cycle leadership experience
• Expertise in hospital reimbursement and payer regulations
• Proven team leadership and executive communication skills