Revenue Cycle Manager

Key Responsibilities

• Lead and manage front-end revenue cycle functions, including: Patient registration and demographic accuracy
  • Insurance verification and eligibility
  • Prior authorizations and referrals
• Ensure compliance with payer, regulatory, and billing requirements (Medicare, Medicaid, commercial payers).
• Monitor front-end KPIs such as registration accuracy rates, denial trends related to front-end errors, and authorization turnaround times.
• Develop and implement standard operating procedures and workflow improvements to improve revenue capture and reduce downstream billing issues.
• Collaborate closely with billing, coding, collections, client services, and clinical teams to resolve systemic revenue cycle issues.
• Train, coach, and evaluate front-end staff to ensure productivity, accuracy, and compliance standards are met.
• Analyze reports and trends to identify risks, revenue leakage, and opportunities for process optimization.
• Support revenue cycle audits and payer reviews related to front-end processes.

Qualifications

• Required: 5+ years of experience in revenue cycle operations, with a strong focus on front-end functions.
• 2+ years in a supervisory or management role within healthcare billing or revenue cycle.
• Extensive knowledge of insurance verification, authorizations, payer rules, and denial prevention.
• Experience working with healthcare billing systems and EHR/PM platforms (EPIC experience a plus).
• Preferred: Laboratory and/or diagnostic, billing experience.
• CPC, CPB, CRCR, or similar revenue cycle certification.
• Strong analytical, leadership, and cross-functional communication skills.
• Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field (or equivalent experience).

Benefits

• Medical, dental, and vision insurance
• 401(k) with company match
• Paid time off and paid holidays
• Professional development opportunities
• Competitive healthcare-focused culture with growth potential