Revenue Cycle Manager

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

📋 Description

• Supervise and enhance the entire revenue cycle, encompassing charge capture, coding, billing, accounts receivable follow-up, and collections.

• Ensure prompt and precise submission of claims for Medicare and commercial payers.

• Monitor and enhance revenue cycle metrics, such as AR days, denial rates, and net collection rate.

• Lead the denial management process through root cause analysis, corrective action planning, and process enhancement.

• Develop, train, and oversee internal team members and/or external billing partners.

• Create scalable workflows and systems to facilitate rapid organizational growth.

• Collaborate with clinical, operations, Records, and front office teams to enhance alignment, efficiency, documentation, claim readiness, and financial outcomes.

• Ensure adherence to federal, state, and payer requirements.

• Oversee processes for insurance and benefits verification.

• Manage prior authorizations effectively.

• Coordinate single case agreements with payers as necessary.

• Monitor and manage PCP referrals along with necessary approvals and documentation.

• Provide accurate and timely monthly reports.

• Contribute to financial strategy, operational performance, team development, and continuous improvement.

⛳️ Requirements

• A minimum of 5 years of experience in healthcare revenue cycle management, ideally in wound care, specialty care, or a similarly intricate reimbursement setting.

• In-depth knowledge of Medicare Part B billing, coding, reimbursement, and compliance.

• Demonstrated capability to enhance revenue cycle performance metrics and operational outcomes.

• Experience in leading teams and/or managing third-party billing vendors.

• Strong analytical and problem-solving abilities.

• Capacity to thrive in a fast-paced, high-growth environment.

• Excellent communication and cross-department collaboration skills.

• A builder’s mindset with a readiness to enhance systems, establish structure, and promote accountability.

🏝️ Benefits

• Performance-based Bonus Incentive Program.

• Health, dental, and vision benefits.

• Paid time off.

• Flexibility for remote work.

• Opportunities for growth within a rapidly scaling organization.