Revenue Cycle Manager

Please note applications and communication will be handled through Viva Eve Website. Company OverviewAt Viva Eve, we're redefining women's healthcare by combining compassion, expertise, and innovation. Our mission is to create an experience where every woman feels cared for, informed, and empowered. We live by our core values every day:Take care of each otherExceed patients' expectationsQuality in everything we doSmall details are hugePay it forwardIf you share our passion for exceptional patient care, we'd love to meet you.Position SummaryThe Revenue Cycle Manager oversees front-end revenue cycle operations, including charge capture, encounter reconciliation for high-dollar services, Athena (EMR) billing workflows, external billing vendor coordination, and leadership of internal patient collections. This role sets standards, monitors performance, measures and escalates upstream defects originating in the departments that own eligibility verification, prior authorization, and registration, and drives cross-functional process improvement to support accurate, timely, compliant billing and a positive patient financial experience.Location: This role begins with 4 weeks of onsite training at our Forest Hills location. Afterward, there is an opportunity to work remotely from the New York Metro Area, with onsite presence of up to 5 days per month as needed.Reporting RelationshipsReports To: VP of Revenue Cycle Operations Direct Reports:Charge Capture Specialist (1.0 FTE)Patient Financial Counselors (3.0 FTE)Leadership & Performance ManagementLeads the Charge Capture Specialist and Patient Financial Counselors — setting expectations, assigning priorities, coaching, and running training and quality-audit routines that strengthen accuracy and accountability. Partners with scheduling, registration, patient access, and clinical leaders to reinforce documentation handoffs and resolve issues affecting patients and reimbursement. Success is measured through indicators such as training completion, audit accuracy, charge-entry and claim-release turnaround time, denial rates, worklist aging, patient billing complaints, team retention, and vendor SLA adherence.Core ResponsibilitiesSet and monitor charge capture and claim submission standards (charge entry, accuracy, days to bill) to reduce denials and rework.Use Athena reporting and worklists to identify trends, root causes, and opportunities to improve claim quality and speed to bill.Establish performance expectations, training, and quality audits for charge capture, encounter reconciliation, and patient finance staff.Measure, report, and escalate front-end defects originating in eligibility verification, prior authorization, out-of-network determination, and registration, giving each owning department dollar-quantified root-cause evidence on a defined cadence.Hold the external billing vendor accountable to agreed service levels and KPIs, with clear escalation paths and timely issue resolution.Maintain compliant, consistent patient billing and collections practices, including financial counseling and payment plan governance.Prepare actionable revenue cycle dashboards for leadership and recommend process or policy changes.Author, maintain, and version-control SOPs, workflows, and job aids for charge capture, encounter reconciliation, and patient financial counseling, and ensure staff are trained to and audited against them.Charge Capture & Encounter ReconciliationOversee front-end charge capture to ensure accurate, complete documentation of patient encounters.Monitor and escalate — rather than perform — eligibility verification and prior authorization, which are owned by other departments; report related denials, with dollars at risk, on a defined cadence.Own encounter reconciliation for high-dollar services (UFE and interventional procedures, OB deliveries, in-office procedures, ultrasound), ensuring every service performed results in a complete, accurate, timely charge.Partner with clinical, scheduling, and registration teams to reinforce documentation requirements and correct workflow handoffs.Athena (EMR) Billing WorkflowsServe as the subject matter expert for Athena billing, coding, and claims workflows.Monitor system performance, identify inefficiencies, and implement process improvements.Train and support staff on best practices for Athena usage to maximize efficiency and compliance.External Billing Vendor OversightAct as liaison to the external billing vendor, ensuring clear communication and adherence to contractual obligations and performance metrics.Review vendor reports and KPIs, monitor claim resolution rates, and escalate issues for timely root-cause correction.Internal Patient CollectionsOversee the internal patient collections team — setting expectations, coaching, and monitoring results.Develop and maintain policies for payment plans, financial counseling, and compassionate, compliant collections.Monitor collection performance and implement strategies to improve recovery while maintaining a positive patient experience.Compliance & ReportingEnsure compliance with federal, state, and payer requirements, including HIPAA.Prepare and present revenue cycle performance reporting to leadership, including trends, risks, and recommended actions.Stay current on regulatory and industry changes affecting billing, collections, and payer policies.QualificationsBachelor's degree in Healthcare Administration, Business, Finance, or a related field (Master's preferred).5+ years of progressive healthcare revenue cycle experience, including at least 2 years performing charge capture, charge review, and revenue cycle reporting directly, not solely supervising those functions.Strong knowledge of Athena (EMR) workflows and revenue cycle best practices, including demonstrated ability to independently build and maintain reports, worklists, and custom data extracts in Athena or a comparable EHR/practice management system — this role carries its own reporting without analyst support. Candidates with equivalent proficiency in another platform will be trained on Athena-specific report configuration.Strong knowledge of OB/GYN billing and out-of-network (OON) billing.Experience collaborating with external vendors and managing internal teams.Excellent leadership, communication, and problem-solving skills; ability to analyze data, identify trends, and implement process improvements.Experience in complex operating environments: multi-site or multi-specialty, mixed in-network/out-of-network payer arrangements, high-dollar procedural services, and delegated vendor relationships.Demonstrated experience designing revenue cycle processes where none existed, and drafting the SOPs, job aids, and training materials that make them repeatable.Experience in a lean department where the manager personally performs pre-bill audits, encounter reconciliation review, dashboard preparation, and vendor oversight.CompetenciesRevenue cycle and front-end operations expertise, with data-driven problem solving via Athena reporting/worklists.People leadership and performance management, including coaching, training reinforcement, and quality-audit discipline.Strong communication and cross-functional partnership across clinical, scheduling, registration, and billing workflows.Vendor oversight and accountability, including KPI/SLA management, escalation, and root-cause resolution.High attention to detail and commitment to regulatory and payer compliance, including HIPAA.Patient-centered approach to billing communications, financial counseling, and collections.Creativity and flexibility: able to build a workable process where none exists, adapt as payer rules, volumes, staffing, and system constraints change, and reach a compliant result by a practical route when the ideal one is unavailable.Working ConditionsWork is primarily performed remotely, with onsite presence for 4 week training period and then up to 5 days per month as needed, and involves frequent computer and phone use. The role requires managing multiple priorities, maintaining confidentiality of protected health information, and collaborating across departments and with an external billing vendor. Remote work requires a private, secure home workspace meeting the organization's PHI safeguarding requirements; the employee must review, acknowledge, and sign the remote workspace and information security policy, and remain in compliance on an ongoing basis.Standard business hours; occasional extended hours for month-end, escalations, or operational needs.Prolonged sitting; frequent computer keyboard, mouse, and telephone use.May require minimal lifting of office materials (up to 10 lbs.).Ability to work in a fast-paced environment and handle sensitive information in compliance with HIPAA and organizational policies.Compensation and BenefitsBase Salary Range: $105,000–$115,000 Bonus: 10% Benefits:Paid Time Off401(k) with matchMedical, Dental, and Vision InsuranceEmployee Assistance Programs