Revenue Cycle Manager

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

📋 Description

• Lead, supervise, and nurture a remote Revenue Cycle Management (RCM) team that includes billers, coders, accounts receivable (AR) specialists, and denial staff across all 9 practice locations.

• Establish clear performance expectations, conduct regular one-on-one meetings, and provide timely, constructive feedback to team members.

• Oversee staffing levels, workload distribution, and team capacity to ensure efficient coverage of all billing functions.

• Recruit, onboard, and train new billing team members on practice systems, workflows, and performance standards.

• Cultivate a culture of accountability, continuous improvement, and professional development within the RCM team.

• Manage the entire revenue cycle from charge capture and claim submission to payment posting, denial management, and AR resolution.

• Ensure claims are submitted accurately and punctually across all 9 locations and for all payer types.

• Monitor and manage AR aging buckets, guaranteeing accounts are addressed within appropriate timelines and escalated when necessary.

• Supervise denial management and appeals processes, ensuring timely and expert resolution for high-dollar and complex accounts.

• Review and approve write-offs, adjustments, and elevated account resolutions within defined authority limits.

• Track, analyze, and report on vital RCM performance metrics, including clean claim rate, denial rate, days in AR, collection rate, and net collection percentage.

• Prepare and present monthly RCM performance reports to practice leadership and the CFO.

• Identify trends, variances, and performance gaps, and formulate action plans to address them.

• Build and maintain RCM dashboards and reporting tools that offer real-time insights into billing performance across all locations.

• Benchmark performance against dermatology industry standards and strive for continuous improvement towards best-in-class metrics.

• Ensure all billing and coding practices adhere to federal and state regulations, payer contracts, and CMS guidelines.

• Oversee HIPAA compliance in all RCM operations and maintain appropriate safeguards for protected health information.

• Manage relationships with payers and serve as the escalation point for complex payer disputes, contract issues, and credentialing matters.

• Stay updated on dermatology-specific coding updates, payer policy changes, and regulatory developments impacting the revenue cycle.

• Coordinate with compliance and legal counsel regarding audit responses, overpayment refunds, and payer investigations as needed.

• Assess and enhance RCM workflows, tools, and systems to boost efficiency, accuracy, and collections performance.

• Lead the implementation of process improvements, policy updates, and technology enhancements across the billing function.

• Develop and maintain billing policies, procedures, and training materials for the RCM team.

• Collaborate with practice management, clinical staff, and IT on front-end improvements that minimize denials and enhance charge capture.

• Identify automation opportunities and collaborate with vendors or internal teams to implement solutions.

• Partner with practice administrators and office managers across all 9 locations to resolve billing issues and enhance front-end workflows.

• Work with clinical leadership on documentation improvement, coding accuracy, and comprehensive charge capture.

• Provide RCM guidance and education to non-billing staff to mitigate preventable errors and enhance overall revenue performance.

⛳️ Requirements

• A minimum of 5 years of experience in medical billing and revenue cycle management, including at least 2 years in a supervisory or management capacity.

• Proven experience managing a billing team within a multi-location healthcare, specialty, or dermatology practice.

• In-depth knowledge of the complete revenue cycle, including charge entry, coding, claim submission, payment posting, denial management, and AR.

• Familiarity with dermatology CPT, ICD-10, and HCPCS coding across medical, surgical, and cosmetic service lines.

• Proficiency in practice management and billing software commonly used in specialty or dermatology environments.

• Exceptional analytical skills with the capacity to interpret RCM metrics, identify root causes, and drive measurable improvements.

• Strong leadership and communication abilities — adept at managing performance, delivering feedback, and effectively developing team members.

• Comfortable working in a fully remote leadership position with a distributed team.

🏝️ Benefits

• Competitive salary and performance-based bonuses.

• Comprehensive health, dental, and vision insurance.

• Flexible working hours and remote work options.

• Opportunities for professional development and continuous education.

• Supportive work environment fostering teamwork and collaboration.