Revenue Cycle Manager – Billing Operations

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

📋 Description

• Lead and oversee EMS Transportation billing and revenue cycle operations.

• Ensure timely and accurate claim submissions, payment postings, account follow-ups, denial management, correspondence, adjustments, refunds, and account resolutions.

• Manage and develop the billing team, including setting performance expectations, providing coaching, conducting evaluations, implementing corrective actions, and fostering professional growth.

• Create and maintain billing training programs, overseeing employee orientation and ongoing education.

• Monitor revenue cycle performance utilizing KPIs such as collections, accounts receivable, aging, denial rates, clean claim rates, payment variance, and productivity metrics.

• Coordinate insurance billing, accounts receivable management, payer correspondence, reconciliation, denial and rejection resolutions, and identification of underpayments.

• Supervise daily deposits, payment postings, adjustments, refunds, balancing, audits, and resolution of discrepancies.

• Collaborate with EMS operations, Revenue Cycle, Finance, payers, and other stakeholders to enhance financial performance and the patient financial experience.

• Stay informed of payer requirements and billing compliance for Medicare, Medicaid, commercial payers, and relevant EMS transportation guidelines.

• Analyze trends in denials, rejections, and underpayments, coordinating necessary corrective actions.

• Optimize billing workflows, system utilization, automation, and internal controls.

• Coordinate departmental staffing, scheduling, coverage, and staff levels.

• Prepare and present financial and operational reports to leadership.

• Support or lead initiatives related to billing systems, payer processes, technology implementations, and revenue cycle projects.

• Act as a subject matter expert on EMS Transportation billing and revenue cycle processes.

• Promote service excellence while maintaining robust financial controls and safeguards.

• Perform additional duties and responsibilities as assigned.

⛳️ Requirements

• High School Diploma or GED is required.

• Must obtain Certification as an Ambulance Coder within 6 months of the start date or possess an equivalent EMS billing certification approved by the organization.

• 3-5 years of experience in healthcare revenue cycle, medical billing, EMS billing, or a related healthcare financial environment.

• Proven experience in accounts receivable management, insurance billing, payer follow-up, denial management, and financial reconciliation.

• Familiarity with billing systems and financial reporting tools.

• Ability to lead and direct others effectively.

• Strong analytical skills are essential.

• Proficient in Microsoft Office applications.

• Prior experience in healthcare billing operations is preferred.

• Knowledge of registration, insurance, scheduling, and/or verification, as well as hospital billing, is advantageous.

• Previous experience in Air and Ground Medical Transportation billing and operations is preferred.

• At least 2 years of supervisory or management experience is preferred.

🏝️ Benefits

• Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions (when eligible).

• Medical, dental, vision, and prescription coverage, along with HSA/FSA options, life insurance, mental health resources, and discounts.

• Paid time off, parental leave, FMLA leave, short- and long-term disability, and backup care for children and elders.

• Tuition assistance, support for professional development, and continuing education opportunities.