Manager, Revenue Cycle Optimization and Education

Highlights

The Manager, Revenue Cycle Optimization and Education shall be responsible for overseeing the quality and training functions for Patient Access denial prevention. This individual will design and implement audit programs, identify performance gaps, and develop targeted training solutions. The Manager will create and deliver structured onboarding curricula, annual refresher programs, and focused ad-hoc education that support long-term competency, compliance, and operational accuracy.

About the Role

This position may have additional duties assigned that are within scope of the role.

Education/Experience

• Required: Degree in Business Administration, Healthcare Administration, Finance, Education or other related fields supporting operational, analytical, or instructional responsibilities.

• PREFERRED: Bachelor’s degree.

• Minimum 10 years’ experience within healthcare revenue cycle, with at least 7 years dedicated to Patient Access operations across technical workflows such as registration, insurance verification, prior authorization, financial clearance, and front-end denial prevention.

• Advanced training or coursework in revenue cycle management, healthcare operations, instructional design, quality improvement, or payer compliance is strongly preferred.

Skills and Abilities

• Oversee all front-end technical denials associated with Patient Access workflows, including registration accuracy, eligibility verification, prior authorization, medical necessity validation, and service order completeness.

• Partners closely with Patient Access leadership and the Patient Access System Director to implement corrective actions, redesign workflows, and establish clear accountability mechanisms that support denial prevention.

• Conducts comprehensive root-cause analysis on technical denials and develops targeted, sustainable action plans to prevent recurrence.

• Designs, leads, and maintains the Patient Access Quality Review Program with a strong focus on reducing preventable denials and improving front-end accuracy.

• Performs routine and targeted audits of Patient Access functions, identifying compliance issues, accuracy gaps, and training needs that impact revenue integrity.

• Develops high-quality reports and dashboards for the Patient Access System Director and revenue cycle leadership, providing actionable insights and performance trends.

• Creates and deploys targeted ad-hoc training based on real-time denial trends, audit findings, and operational needs.

• Develops and maintains annual refresher training for Patient Access and related departments, ensuring ongoing competency and alignment with organizational standards.

• Creates and deploys new-hire onboarding and competency-based training programs focused on denial prevention, workflow accuracy, and regulatory compliance.

• Collaborates with system education departments to ensure training content aligns with Baptist Health standards, payer requirements, and regulatory updates.

• Serves as a system-level subject matter expert in denial prevention, Patient Access accuracy, payer requirements, and training methodology.

• Participates in cross-functional committees, revenue cycle task forces, and performance improvement initiatives to advance systemwide operational excellence.