This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The Revenue Process Improvement Manager is responsible for leading cross-functional revenue process improvement initiatives across applicable functions, including but not limited to: Access, Clinical Operations, Pharmacy Operations, and Nursing functions. This role serves as the primary liaison between Revenue Cycle Management (RCM) and Operations, ensuring operational workflows consistently support clean billing, denial prevention, reduced bad debt, and timely collections.

This role focuses on upstream process design, adoption, and accountability, translation of payer rules, authorization requirements, and fostering RCM SOP’s into operational behaviors that drive predictable financial outcomes. This role is a key hybrid role bridging OPS and Revenue functions in order to promote overall financial and process improvement.

Schedule: Monday - Friday, 8:30am - 5pm

Responsibilities

• Leads enterprise revenue process improvement initiatives focused on reducing denials, bad debt, and A/R aging.
• Serves as the primary RCM liaison to operational leadership teams.
• Translates payer rules, authorization requirements, and billing standards into operational workflows.
• Owns root-cause analysis of operationally driven denials and revenue leakage.
• Partners with operational leaders to redesign processes that prevent repeat issues.
• Ensures denial fixes are embedded upstream and sustained.
• Develops and maintain standardized workflows, SOPs, and job aids supporting revenue integrity.
• Establishes clear handoff standards between Operations and RCM.
• Ensures workflows are auditable, repeatable, and scalable.
• Defines and monitor process-level KPIs tied to revenue outcomes.
• Leads recurring performance reviews with operational leaders.
• Tracks and report financial impact of improvement initiatives.
• Drives adoption of new workflows in a results-oriented, low-friction manner.
• Leads pilots and phased rollouts prior to enterprise scaling.
• Partners with Training and Leadership to embed changes into onboarding and ongoing education.
• Accountability in closing the loop (ensuring completion in effort made).
• Tracking, trending, monitoring of results (ensuring fruition in effort made).
• Partners with IT and Clinical Systems to improve charge capture, documentation workflows, and front-end accuracy.
• Serves as the RCM business owner for operational system enhancements impacting revenue.
• Prepares concise executive-level summaries of risks, progress, and financial impact.
• Escalates unresolved operational issues that pose material revenue risk.

Qualifications

• Bachelor’s degree or equivalent experience
• 5+ years of experience in Revenue Cycle, Healthcare Operations, or Process Improvement
• Specialty pharmacy, infusion, home health, or complex healthcare experience preferred
• Experience with payer authorization and reimbursement models preferred
• Lean, Six Sigma, or formal process improvement training preferred
• Demonstrated success reducing denials, write-offs, or revenue leakage
• Strong cross-functional leadership and communication skills
• Data-driven mindset with ability to translate metrics into action
• Ability to drive consistent and effective change
• To perform this role will require frequently sitting and typing on a keyboard with fingers, and occasionally standing, and walking. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs

Benefits

• Competitive Pay
• Health, Dental, Vision & Life Insurance
• Company-Paid Short & Long-Term Disability
• Flexible Schedules & Paid Time Off
• Tuition Reimbursement
• Employee Discount Program & DailyPay
• 401k
• Pet Insurance

Salary Range

USD $95,000.00 - $125,000.00 / Year