Revenue Cycle Manager, Healthcare Revenue Cycle & Denials Reduction
Overview
Own the full revenue cycle from verification to payment collection at scale within a healthcare provider. Lead billing, coding, credentialing, and reimbursement operations to improve cash flow and compliance. Work cross-functionally with clinicians and administration to reduce denials and optimize processes. This role emphasizes leadership, analytics, and hands-on execution in a growing organization.
What You'll Do10
- 1Design and optimize the end-to-end revenue cycle to improve cash flow and reduce denials
- 2Lead billing, coding, credentialing, and credentialing teams to ensure timely submission and accuracy
- 3Monitor and improve insurance verification, claims management, and reimbursement activities
- 4Establish and track performance metrics to drive accountability and continuous improvement
- 5Train and support staff to enhance efficiency and accuracy in billing and coding
- 6Collaborate with providers and staff to ensure proper documentation and timely note completion
- 7Oversee provider credentialing and recredentialing activities
- 8Ensure compliance with payer requirements, HIPAA and healthcare regulations
- 9Conduct audits to maintain billing accuracy and regulatory compliance
- 10Partner with executive leadership on revenue cycle strategy and planning and annual fees/chargemaster reviews
Requirements9
- 15+ years of revenue cycle management experience
- 2Strong knowledge of medical billing, coding, and reimbursement processes
- 3Experience with healthcare EMR/EHR systems
- 4Experience with eClinicalWorks (eCW) preferred
- 5Understanding of insurance verification, claims management, denials, and collections
- 6Experience overseeing credentialing processes preferred
- 7Strong leadership and team management skills
- 8Excellent analytical, communication, and problem-solving abilities
- 9Bachelor's degree in Healthcare Administration, Finance, Business, or related field preferred
Salary Insight
Salary not disclosed in listing
Location
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