Revenue Cycle Manager

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

📋 Description

• Take ownership of the complete revenue performance for a designated region, overseeing the process from enrollment to payment.

• Enhance reimbursement results, minimize denial risks, expedite cash flow, and fortify revenue governance across various states.

• Propel enhancements in first-pass resolution, reduce denials, and streamline the authorization-to-payment timeline.

• Direct the accounts receivable strategy to decrease aged receivables and avert revenue loss.

• Ensure adherence to state contract revenue stipulations.

• Manage payer escalation procedures and regular performance evaluations.

• Recognize denial patterns and systemic reimbursement vulnerabilities.

• Collaborate on cross-functional resolution strategies to eliminate payment obstacles.

• Create and oversee regional revenue forecasts that align with operational drivers.

• Enhance forecast precision through diligent monitoring and variance analysis.

• Establish and maintain standardized practices for revenue governance and reporting.

• Collaborate with Finance to drive margin expansion initiatives.

• Integrate Enrollment, Authorizations, Billing, Claims, and Accounts Receivable into a unified revenue workflow.

• Conduct regular revenue performance evaluations and develop corrective action plans.

• Create and sustain a standardized revenue cycle playbook.

• Mentor and guide Claims Leaders with clear performance expectations and accountability.

• Supervise claims production through Claims Leaders while retaining ownership of regional outcomes.

• Advocate for operational discipline, ongoing improvement, and uniform practices.

• Facilitate structured training and capability growth within the claims department.

⛳️ Requirements

• A minimum of 7 years of progressive experience in revenue cycle leadership.

• Proven success in enhancing accounts receivable performance and managing denial reduction initiatives.

• Experience guiding multi-tiered teams in a complex, multi-state setting.

• Strong financial insight and forecasting abilities.

• Background in government-funded or regulated reimbursement landscapes (preferred).

• Experience in scaling revenue operations within high-growth organizations (preferred).

• Proficient in business intelligence and reporting tools such as Power BI (preferred).

🏝️ Benefits

• Flexible time off.

• Competitive wages and benefits.

• Opportunities for professional growth.

• An inclusive and welcoming workplace culture.

• The freedom to succeed without micromanagement.