Revenue Cycle Manager

About the Role

We are seeking a Revenue Cycle Manager to oversee and improve our revenue cycle operations across a growing healthcare platform. This role will be responsible for managing the full revenue cycle process, including billing, claims management, collections, denials, payment posting, reporting, and coordination with internal operations teams and external billing partners.

Responsibilities

• Manage day-to-day revenue cycle operations, including billing, claims submission, collections, denials, appeals, and payment posting.
• Monitor revenue cycle performance metrics, including AR days, denial rates, clean claim rates, collections, underpayments, and cash trends.
• Work closely with operations, admissions, utilization review, clinical, and finance teams to ensure accurate and timely billing.
• Review and improve processes related to authorizations, eligibility verification, charge capture, documentation, coding, and claim submission.
• Identify root causes of denials and underpayments and implement corrective action plans.
• Support payer contract review, reimbursement analysis, and escalation of payer issues.
• Cook up with external billing vendors or internal billing teams to ensure accountability and timely follow-up.
• Prepare recurring revenue cycle reports for leadership.
• Help standardize revenue cycle processes across multiple programs, entities, and locations.
• Support system improvements, workflow enhancements, and integration of acquired or new programs.

Requirements

• 5+ years of healthcare revenue cycle experience.
• Prior experience managing or supervising billing, collections, AR follow-up, or denials teams.
• Strong understanding of commercial insurance billing and payer processes.
• Experience with behavioral healthcare, mental health, substance use treatment, RTC, PHP, IOP, and/or outpatient services is preferred.
• Experience with Kipu is preferred.
• Familiarity with billing platforms, clearinghouses, EHRs, and payer portals.
• Strong analytical skills and comfort working with revenue cycle KPIs and reporting.
• Excellent communication skills and ability to work cross-functionally with clinical, operational, and finance teams.
• Highly organized, detail-oriented, and comfortable managing competing priorities.

Qualifications

• Compensation will be based on experience and qualifications.