Revenue Cycle Manager

About the role

The Revenue Cycle Manager at Eventus WholeHealth is responsible for overseeing the revenue cycle across the organization's multi-state physician group. This includes Medicare provider enrollment and credentialing, denial management, cash posting and collections, and third-party RCM vendor oversight.

Responsibilities

• Own the measurement, monitoring, and enforcement of third-party RCM vendor service-level agreements, including DSO, AR >90 days, and cash-collection targets; escalate performance gaps and manage cure timelines
• Manage Medicare provider enrollment and credentialing activities, ensuring accurate and timely PECOS submissions, revalidations, reassignments, PTAN maintenance, and new practice-location and entity enrollments
• Oversee denial prevention and appeals, analyzing denial trends by payer, reason code, and service line to drive root-cause resolution and reduce preventable write-offs
• Prepare monthly revenue cycle performance reports for finance and operations leadership, including KPI cards, trend and year-over-year analysis, and management narrative
• Perform hands-on data analysis across large claim and remittance datasets to identify aging drivers, underpayments, and enrollment-related revenue leakage
• Reconcile cash-to-AR activity and support month-end close, partnering with accounting on revenue recognition and accrual cutoffs
• Maintain accurate and complete documentation when performing the job duties. Ensure that all Eventus WholeHealth information, data, documentation, and records are always safeguarded and maintained confidentially

Requirements

• Education, Licensure and Certifications: Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field preferred; equivalent revenue cycle experience considered
• Minimum 5 years of progressive healthcare revenue cycle experience, including at least 2 years in a supervisory or management capacity
• Expert-level knowledge of Medicare provider enrollment and credentialing (PECOS, CMS- 855 forms, PTAN maintenance, revalidations, reassignments, and MAC jurisdiction requirements)
• Demonstrated experience in denial management, cash posting, and collections across multiple payers and states
• NextGen Enterprise experience preferred
• Other specialized skills and knowledge necessary to perform this job: (e.g., basic accounting principles, computer skills and software, specific healthcare processes, interpersonal, communication, etc.)
• Advanced data analytics and reporting, including Excel (pivot tables, SUMIFS, lookups) and building recurring KPI dashboards and board-level reports
• Proficiency with RCM and practice-management systems (e.g., NextGen Enterprise, ChartPath) and GL integration; ability to calculate and audit vendor SLAs

Qualifications

• Expert command of Medicare enrollment and credentialing workflows across MAC jurisdictions (e.g., Palmetto GBA, WPS, CGS), including PECOS, revalidations, reassignments, and practice-location changes
• Strong knowledge of denial management, payer contracts, net realizable value, and AR aging analysis (velocity- and level-based)
• Proficiency with RCM and practice-management systems (e.g., NextGen Enterprise, ChartPath) and GL integration; ability to calculate and audit vendor SLAs

Skills

• Expert command of Medicare enrollment and credentialing workflows across MAC jurisdictions (e.g., Palmetto GBA, WPS, CGS), including PECOS, revalidations, reassignments, and practice-location changes
• Strong knowledge of denial management, payer contracts, net realizable value, and AR aging analysis (velocity- and level-based)
• Proficiency with RCM and practice-management systems (e.g., NextGen Enterprise, ChartPath) and GL integration; ability to calculate and audit vendor SLAs

Benefits

Eventus WholeHealth offers a competitive benefits package including:

• Flexible scheduling
• Paid time off and holidays
• Medical, dental, and vision insurance
• Employer-paid life insurance
• Short-term and long-term disability coverage
• Voluntary life and AD&D coverage
• Employer 401(k) contributions

Pay

Competitive compensation based on experience and qualifications.

Schedule

Full-time position with flexible scheduling to accommodate the needs of the organization and its clients.

Why Eventus WholeHealth?

• AI-Enabled Innovation: Work with cutting-edge technology that enhances care delivery and operational efficiency
• Interdisciplinary Collaboration: Work closely with Advanced Practice Clinicians, Physicians, Behavioral Health professionals, and facility partners
• Mission-Driven Impact: Help redefine long-term care and improve lives every day
• Meaningful Impact: Your work directly enhances patient care, clinician experience, and facility partnership success