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 collection, and strengthen revenue governance across various states.

• Drive advancements in first-pass resolution, reduction of denials, and the cycle time from authorization to payment.

• Lead the strategy for accounts receivable, decreasing aged receivables and preventing revenue losses.

• Ensure adherence to state contract revenue obligations.

• Manage payer escalation procedures and facilitate ongoing performance evaluations.

• Identify trends in denials and systemic reimbursement challenges.

• Coordinate cross-departmental strategies to eliminate obstacles to payment.

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

• Enhance forecast accuracy through diligent monitoring and variance analysis.

• Establish uniform revenue governance and reporting standards.

• Collaborate with Finance on initiatives aimed at margin enhancement.

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

• Address process breakdowns that hinder reimbursement.

• Conduct revenue performance assessments and develop corrective action plans.

• Create and maintain a standardized revenue cycle playbook.

• Mentor and develop Claims Leaders with clear performance expectations and accountability measures.

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

• Foster operational discipline, continuous enhancement, and standardized practices.

• Support structured training and skill development initiatives within the claims department.

⛳️ Requirements

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

• Proven track record of enhancing accounts receivable performance and implementing denial reduction strategies.

• Experience in leading multi-tiered teams within a complex, multi-state environment.

• Strong financial insight and forecasting capabilities.

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

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

• Proficiency with business intelligence and reporting tools, such as Power BI (preferred).

🏝️ Benefits

• Flexible time off.

• Competitive salaries and benefits.

• Opportunities for professional growth.

• A welcoming and inclusive workplace culture.

• Reasonable accommodations for applicants with disabilities.