Total Life

Helping older adults live happier, more fulfilling lives. Together.

Revenue Cycle Management Manager

ManagerManagerFull TimeRemoteTeam 1-10Since 2020H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

35 days ago

Salary

$80K - $100K / year

5 yrs expEnglish

Job Description

• Manage end-to-end revenue cycle operations, including charge capture, coding, billing, claims submission, payment posting, denials management, and collections. • Perform accurate charge entry, claim submission, and payment posting to ensure timely revenue capture. • Ensure timely and accurate billing for professional and technical services across all supported specialties. • Monitor and improve key revenue cycle metrics, including days in A/R, denial rates, clean claim rates, and net collection percentage. • Lead, coach, and develop staff, including setting performance expectations and conducting regular reviews. • Establish workflows, standard operating procedures, and internal controls to ensure consistency and accountability. • Serve as the primary escalation point for complex billing, coding, and payer-related issues. • Ensure compliance with federal, state, and payer-specific regulations, including CMS guidelines and specialty-specific billing rules. • Partner with coding resources to ensure appropriate use of CPT, ICD-10, HCPCS, and modifiers across all specialties. • Prepare and present regular revenue cycle performance reports to executive leadership. • Identify revenue leakage, underpayments, and process gaps, and recommend corrective strategies.

Job Requirements

  • Minimum of 5–7 years of revenue cycle leadership experience in a healthcare organization or multi-specialty physician practice.
  • Deep knowledge of the U.S. healthcare industry, including professional fee billing, reimbursement, and third-party payer regulations.
  • Strong working knowledge of CPT, ICD-10, HCPCS, modifiers, and payer reimbursement methodologies.
  • Familiarity with electronic health record (EHR) and practice management systems.
  • Hands-on leadership style with a continuous improvement mindset and the ability to explain complex billing issues to non-financial stakeholders.
  • Strong analytical skills with high attention to detail and the ability to identify and resolve discrepancies.

Benefits

  • Leadership Impact: Opportunity to lead revenue cycle operations across diverse and high-impact medical specialties.
  • Executive Partnership: Direct partnership with executive leadership to influence strategy, processes, and financial performance at an enterprise level.
  • Competitive Package: Competitive compensation and benefits package.
  • Purpose-Driven Work: The ability to influence the financial health of a movement dedicated to the mental wellness of the 65+ population.
  • Premium Medical, Dental, and Vision insurance plans for you and your dependents.

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