Manager, Revenue Cycle Management

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the performance of the revenue cycle for a designated portfolio comprising approximately five to nine ambulatory surgery centers.

• Supervise accounts receivable, aging reports, cash collections, denial management, reimbursement accuracy, and write-offs.

• Detect financial performance discrepancies and implement strategies aimed at enhancing collections, minimizing aging, and improving revenue realization.

• Review payment posting and reimbursement accuracy, identifying underpayments, discrepancies, and opportunities for recovery.

• Enhance patient collections and resolve outstanding balances.

• Facilitate prompt resolution of denied, underpaid, and zero-paid claims while addressing root causes.

• Ensure accurate and timely billing by resolving delays in documentation, coding, authorization, and charge submissions.

• Develop and implement corrective action plans while standardizing workflows across centers.

• Identify and deploy automation, AI-driven tools, advanced analytics, and technological enhancements.

• Validate the accuracy, compliance, and proper handling of protected health information in automated and AI-generated outputs.

• Collaborate with center leadership, billing vendors, service partners, Managed Care, and enterprise teams.

• Lead regular revenue cycle performance reviews and ensure adherence to action plans.

• Provide performance reports, financial forecasts, and escalate emerging risks to enterprise leadership.

• Analyze trends, identify financial vulnerabilities, prioritize recovery opportunities, and recommend corrective measures.

• Maintain documentation regarding performance issues, action plans, and progress in resolution.

• Ensure compliance with billing regulations, HIPAA standards, and organizational policies.

⛳️ Requirements

• Progressive experience in healthcare revenue cycle management, encompassing billing, accounts receivable, collections, denials, and reimbursement.

• Proven accountability for revenue cycle performance, corrective actions, and operational improvements beyond mere reporting and analysis.

• Experience managing revenue cycle performance across multiple facilities, business units, or client accounts.

• Strong comprehension of the complete healthcare revenue cycle, including registration, authorization, coding, claims submission, payment posting, and collections.

• Expertise in accounts receivable management, denial prevention, appeals, reimbursement analysis, and resolving payment variances.

• Demonstrated ability to identify performance gaps, formulate corrective action plans, and achieve measurable improvements.

• Experience in interpreting revenue cycle performance data, recognizing financial risks, and communicating actionable recommendations.

• Capability to influence stakeholders and promote accountability among cross-functional teams and external service partners.

• Strong skills in communication, collaboration, problem-solving, and financial analysis.

• Working knowledge of HIPAA regulations, healthcare billing compliance, and the protection of patient information.

• Demonstrated experience utilizing AI, automation, analytics, or workflow tools to enhance revenue cycle processes and financial outcomes.

• Proven ability to identify inefficient processes and implement effective, scalable improvements.

• Intellectual curiosity and sound judgment in evaluating new technologies, validating AI-generated outputs, and safeguarding sensitive healthcare information.

• A minimum of five years of experience in healthcare revenue cycle management is preferred.

• Experience supporting ambulatory surgery centers or multispecialty outpatient healthcare organizations is preferred.

• Experience overseeing revenue cycle performance across five or more facilities or client accounts is preferred.

• Familiarity with outsourced or hybrid revenue cycle management models is preferred.

• Authorization to work in the United States is required.

• Current eligibility to work in the United States and disclosure of any required future visa sponsorship.

🏝️ Benefits

• Remote work arrangement.

• Equal Opportunity/Affirmative Action Employer.

• Reasonable accommodations available during the application or hiring process.

• Participation in E-Verify and work authorization verification.