Jobs · Management · South Carolina

Receivables and Revenue Operations Manager

State of South Carolina · Columbia, SC · 1 wk ago
ManagementFull-time

Job Responsibilities

Oversee the full medical billing lifecycle, including charge capture, claim submission, payment posting, denial management, and account resolution.

Manage the accounts receivable lifecycle, including collections, reconciliations, and follow-up activities.

Lead process improvement initiatives by evaluating workflows, identifying inefficiencies, and implementing standardized best practices.

Oversee billing-related configurations within the electronic health record (PnC) and integrated systems, including the claims clearinghouse (e.g., Waystar).

Requirements

Experience in accounts receivable and revenue cycle management.

Working knowledge of healthcare billing practices, insurance processes, and applicable regulations (e.g., HIPAA, CMS, FERPA).

Prior experience in insurance claims, processing and medical coding (CPT, ICD-10 and HCPCS coding) preferred.

Qualifications

Knowledge of Accounts Receivable and Billing processes, with the ability to prioritize and organize work to meet deadlines.

Analyse and interpret complex financial data and reports; plan, coordinate, review, and supervise the work of subordinates.

Establish and maintain effective working relationships; communicate clearly and effectively.

Understand and comply with policies and procedures; and adhere to the strictest confidentiality standards, including but not limited to HIPAA, FERPA, and other applicable regulations.

Skills

Knowledge/Skills/Abilities

Knowledge of Accounts Receivable and Billing processes, with the ability to prioritize and organize work to meet deadlines.

Analyse and interpret complex financial data and reports; plan, coordinate, review, and supervise the work of subordinates.

Establish and maintain effective working relationships; communicate clearly and effectively.

Understand and comply with policies and procedures; and adhere to the strictest confidentiality standards, including but not limited to HIPAA, FERPA, and other applicable regulations.

Benefits

Competitive salary + some of the BEST benefits you can find!

  • 15 paid vacation days
  • 15 paid sick days
  • 13 paid holidays (including an extended December holiday)
  • An engaging and collaborative environment.

Pay

Commensurate with experience.

Schedule

Full Time.

About the Role

The Receivables and Revenue Operations Manager for Student Affairs and Academic Support (SAAS ) is responsible for the development, implementation, and oversight of accounts receivable and medical/insurance billing processes across assigned units within the division. This role ensures effective revenue cycle operations, compliance with regulatory standards, and strong internal controls, while providing leadership, direction, and professional development for accounts receivable staff.

Preferred Qualifications

Minimum Qualifications (Classified and Unclassified positions)

  • Experience in accounts receivable and revenue cycle management.
  • Working knowledge of healthcare billing practices, insurance processes, and applicable regulations (e.g., HIPAA, CMS, FERPA).
  • Prior experience in insurance claims, processing and medical coding (CPT, ICD-10 and HCPCS coding) preferred.

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