Revenue Cycle Management Manager

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

📋 Description

• Lead, coach, and cultivate the Claims Management Specialist team.

• Set team objectives, performance standards, and professional growth plans.

• Assess productivity, quality, and service metrics.

• Define the strategic vision and priorities for the team.

• Manage revenue cycle performance and focus on high-impact revenue recovery opportunities.

• Convert analytical insights into actionable business strategies and operational initiatives.

• Eliminate execution obstacles and act as the primary escalation point for complex reimbursement and payer concerns.

• Develop and implement revenue cycle strategies across designated client portfolios.

• Track client and organizational KPIs and execute corrective action plans as needed.

• Offer strategic advice to senior leadership.

• Supervise complex claims resolution, denial root-cause analysis, payer trend analysis, workflow analysis, and revenue recovery efforts.

• Collaborate with operational leaders and Service Managers to enhance client financial performance and health.

• Engage in client business reviews and operational performance discussions.

• Provide leadership in BPO revenue cycle performance.

• Create dashboards and performance reports for revenue cycle metrics.

• Drive continuous improvement initiatives and implement scalable workflow solutions.

• Work with Technology and Product teams on reporting and automation projects.

• Ensure adherence to payer guidelines, HIPAA, CMS regulations, and organizational policies.

• Assist in audit readiness and quality assurance efforts.

⛳️ Requirements

• Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field (or equivalent experience).

• Over 7 years of experience in Revenue Cycle Management.

• At least 3 years of leadership experience managing revenue cycle or accounts receivable teams.

• Extensive knowledge in claims management, denial management, accounts receivable, revenue cycle analytics, payer reimbursement methods, and healthcare operations.

• Strong analytical, reporting, and problem-solving abilities.

• Proven experience leading cross-functional initiatives and influencing various stakeholders.

• Background in working with outsourced (BPO) revenue cycle operations is preferred.

• Experience supporting multi-client healthcare organizations is also preferred.

• Familiarity with healthcare analytics platforms, BI reporting, and revenue cycle dashboards is preferred.

• Must be eligible to work without sponsorship.

🏝️ Benefits

• Flexibility to work in your preferred location and manner within your country of employment – whether in-office, remote, or hybrid.

• Ongoing investment in your professional development.

• Immediate access to a comprehensive health and wellness benefits package, including an annual wellness stipend from Day 1.

• 401k plan with up to a 4% match and immediate vesting.

• Flexible and generous (FTO) time-off policy.

• Employee Stock Purchase Program.