Revenue Cycle Manager Onsite

Revenue Cycle Manager – Onsite Wound Care Division | North Miami, FL Location: North Miami, Florida Employment Type: Full-Time Schedule: Monday–Friday | Onsite About The Role We are seeking an experienced and highly motivated Revenue Cycle Manager to lead the revenue cycle and back-office billing operations for our growing wound care division. This is a hands-on leadership position for an experienced RCM professional who understands the full revenue cycle—from charge capture and coding through claim submission, payment posting, denials, A/R, appeals, and collections. The ideal candidate has experience managing high-volume medical billing operations, multiple entities, multiple payers, and complex reimbursement workflows. Wound care, specialty care, physician practice, DME, or other complex medical billing experience is strongly preferred. This individual will play a key role in building and establishing our new North Miami revenue cycle operation, including developing workflows, managing staff, monitoring performance, identifying revenue leakage, and implementing processes that improve cash collections and reduce denials. Key Responsibilities Revenue Cycle Management Own the day-to-day revenue cycle operations for the wound care division.Oversee the complete billing lifecycle, including:Charge captureCharge entryCoding reviewClaim submissionClaim statusPayment postingDenial managementAppealsA/R follow-upPatient and payer balancesMonitor A/R aging and establish strategies to reduce outstanding balances.Identify trends in denials, underpayments, rejections, and billing errors.Develop and implement processes to improve collections, clean-claim rates, and overall revenue performance.Ensure claims are submitted accurately and within payer filing deadlines.Review reimbursement issues and identify opportunities to improve revenue capture. Leadership & Team Management Lead, train, and manage the revenue cycle/billing team.Establish daily, weekly, and monthly productivity and quality expectations.Monitor individual and team performance.Conduct regular A/R and billing reviews with staff.Develop standard operating procedures and workflow processes.Hold team members accountable for productivity, accuracy, and follow-through.Assist with recruiting and onboarding additional RCM staff as the Miami operation grows.Create a culture focused on accountability, accuracy, teamwork, and cash performance. Payer & Billing Management Manage billing operations across multiple entities and provider structures.Maintain a strong understanding of Medicare, Medicaid, and commercial payer requirements.Troubleshoot payer-specific billing and reimbursement issues.Monitor payer portals and claim status.Research underpayments and reimbursement discrepancies.Coordinate appeals and escalated payer issues.Ensure billing practices remain compliant with applicable payer and regulatory requirements. Wound Care Billing Oversee billing for wound care services and related procedures.Review claims for appropriate coding, documentation, modifiers, units, and payer requirements.Understand reimbursement requirements for wound care procedures and products.Work closely with clinical leadership to identify documentation issues that may affect reimbursement.Monitor billing related to wound care products, procedures, and applicable reimbursement methodologies.Identify opportunities for improved charge capture and revenue optimization. Systems & Reporting Utilize Waystar and other RCM/billing platforms to monitor claims, rejections, denials, and payer activity.Develop and maintain Excel-based reports and dashboards.Analyze:A/R agingDays in A/RCollectionsDenial ratesClean-claim ratesRejection ratesPayment trendsPayer performanceProductivityRevenue by entity/providerCreate recurring management reports for leadership.Use data to identify operational problems and recommend solutions. Credentialing & Provider Management Monitor provider enrollment and credentialing information.Ensure provider demographics, payer enrollments, billing information, and effective dates are accurate.Identify credentialing issues that may delay or prevent reimbursement.Coordinate with credentialing teams to resolve enrollment and payer issues. Process Improvement Evaluate existing billing workflows and identify inefficiencies.Build standardized processes for the new Miami operation.Develop and maintain billing SOPs.Implement quality-control processes to reduce billing errors.Establish escalation procedures for high-dollar and high-risk claims.Continuously identify opportunities to improve revenue, efficiency, and cash flow. Required Qualifications 5+ years of medical Revenue Cycle Management experience.2+ years of management or supervisory experience.Proven experience managing high-volume medical billing operations.Strong working knowledge of the complete medical revenue cycle.Experience with Waystar or a comparable claims/clearinghouse platform.Advanced Excel skills, including:Pivot tablesVLOOKUP/XLOOKUPSUMIFS/COUNTIFSData analysisReportingDashboardsExperience managing billing across multiple entities, providers, or locations.Strong understanding of Medicare, Medicaid, and commercial payer billing requirements.Demonstrated experience with denial management and A/R recovery.Strong understanding of medical coding, claim requirements, modifiers, and reimbursement methodologies.Excellent analytical and problem-solving skills.Strong leadership and communication skills.Exceptional attention to detail.Ability to work full-time onsite in North Miami, Florida. Strongly Preferred Wound care billing experience.Experience with specialty physician billing.Experience with Medicare wound care reimbursement.Experience with skin substitute/product billing.Experience with high-dollar claims and complex reimbursement.Credentialing and payer enrollment experience.Experience building or restructuring an RCM department.Experience opening or scaling a new billing operation.Experience managing offshore or remote billing teams.Experience with multiple billing systems and clearinghouses. What Success Looks Like Within the first 90 days, the Revenue Cycle Manager will be expected to: Establish standardized billing workflows.Implement team productivity and quality metrics.Create consistent A/R and denial-management processes.Identify major sources of revenue leakage.Establish recurring RCM reporting for leadership.Improve claim accuracy and clean-claim performance.Reduce preventable denials and aged A/R.Ensure billing operations are scalable as the Miami office grows. Full Benefits Package We offer a competitive and comprehensive benefits package designed to support your well-being and long-term success. Health & Wellness Medical, Dental, and Vision insurance Paid Time Off Generous PTO accrualPaid holidaysAdditional paid sick time Financial & Career Growth 401(k) with an outstanding 8% employer matchCompetitive salaryOpportunities for advancement as the company continues to growLeadership development and ongoing trainingSupportive, team-focused environment Why Join Us? We are an outstanding, fast-growing healthcare organization where your work has a direct impact on the success of the business. This is an opportunity to join our team at an important stage of growth and help build our North Miami revenue cycle operation from the ground up. You will work directly with leadership and have the opportunity to make meaningful improvements to our billing processes, team performance, collections, and overall revenue cycle. We value accountability, innovation, teamwork, and professional growth and provide our team members with the opportunity to build a long-term career as the organization continues to expand. Schedule Monday–Friday Full-Time 100% Onsite – North Miami, FL