Senior Manager, Revenue Recognition

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

📋 Description

• Take charge of stop and held revenue inventory across all locations and joint ventures.

• Manage held-order work queues in the billing system on a daily basis.

• Analyze hold volume and collaborate with intake, operations, and branch leadership to identify root causes.

• Supervise sales order confirmation and quality review prior to revenue recognition and claim release.

• Set quality review standards, audit sampling methodologies, and error scoring metrics.

• Track initial claim pass rates, clearinghouse acceptance, payor adjudication, rejections, and front-end denials.

• Convert payor policy, coverage, and billing modifications into confirmation requirements, system rules, and staff training.

• Oversee reauthorization for rental and recurring orders.

• Create and disseminate KPIs for held revenue, confirmation turnaround, quality review, claim pass rates, and reauthorization timeliness.

• Report results, trends, and action plans to senior leadership.

• Collaborate with Finance on month-end closings, revenue forecasting, and analysis of held or unbilled revenue.

• Work with accounts receivable leadership on changes in front-end processes, rules, and training.

• Lead department supervisors and staff, which includes hiring, training, coaching, development, performance evaluation, and disciplinary actions.

• Establish staffing models along with productivity and quality standards.

• Ensure compliance with Medicare, Medicaid, commercial payors, HIPAA, and The Joint Commission guidelines.

• Lead or represent the department in cross-functional initiatives, system changes, process standardization, and onboarding.

• Direct departmental operations during outages, system issues, staffing shortages, and other operational challenges.

⛳️ Requirements

• A Bachelor's degree in business, healthcare administration, finance, or a related field, or an equivalent combination of education and experience.

• A minimum of five years of progressive healthcare revenue cycle experience, including at least three years in a leadership role overseeing supervisors or multi-functional teams.

• Practical knowledge of Medicare, Medicaid, and commercial payor documentation, authorization, and billing regulations.

• Proven track record of enhancing revenue cycle performance metrics through process, system, and personnel improvements.

• Proficiency in Microsoft Office, especially advanced Excel.

• Capability to analyze large datasets and present insights and recommendations to senior leadership.

• Occasional evening and weekend availability may be required.

• Minimal travel is necessary; however, occasional out-of-town and overnight travel may be anticipated.

• Ability to meet the specified physical demands, including frequently lifting/moving up to 10 pounds and occasionally up to 25 pounds.

• Preferred: Three years in a leadership role within a durable medical equipment (DME/HME) revenue cycle.

• Preferred: Familiarity with Brightree, including work queues, validation rules, and reporting.

• Preferred: Experience in a multi-location or joint venture setting.

• Preferred: At least one year of experience with DASCO.

🏝️ Benefits

• Full-time employment.

• Monday through Friday schedule, typically from 8:00 a.m. to 5:00 p.m.

• Equal employment opportunities and protections against discrimination.

• Opportunities for hiring, training, coaching, development, and career advancement within the department.