Revenue Cycle Manager

Description

We are seeking a Revenue Cycle Manager to join the finance leadership team to provide hands-on operational leadership for our billing and revenue cycle function across Medicaid and commercial payers. This is a newly created role designed to formalize, standardize, and scale revenue cycle operations as the organization continues to grow.

The Revenue Cycle Manager will oversee day-to-day billing execution, manage a team of billers, and partner closely with the CFO to improve workflows, visibility, and performance. This role is intentionally designed as a working manager position—balancing hands-on billing with leadership, reporting, and process improvement responsibilities.

Key Responsibilities

Revenue Cycle Operations (Hands-On Leadership)

• Oversee daily billing operations across Medicaid and commercial payers
• Actively participate in billing activities to understand workflows and payer behavior
• Ensure timely claim submission, rejection resolution, denial follow-up, and payer communication
• Maintain organized work queues and prioritize activities
• Serve as the primary escalation point for billing-related issues
• Stay current on MCO and commercial payer billing changes

Team Leadership & Management

• Manage, coach, and support billing staff
• Set expectations for productivity, quality, and turnaround times
• Promote consistent practices and cross-training

Process Standardization & Improvement

• Partner with the CFO to document and improve workflows
• Develop and maintain SOPs for billing activities
• Identify recurring issues and implement improvements

Reporting & Visibility

• Produce regular operational reporting
• Track billing lag, denial trends, and AR aging
• Provide leadership with actionable insights
• In partnership with CFO, develop KPIs such as clean claim rate, first past payment rate, denial rate, denial turnaround, claims processed, staff error rate

Cross-Functional Collaboration

• Coordinate with clinical and operational teams
• Establish clear communication and escalation pathways
• Support timely operational adjustments
• Other responsibilities as needed

Hands-On Billing Expectation

This is a hands-on leadership role. During the initial onboarding period, the Revenue Cycle Manager will actively bill alongside the team to develop a firsthand understanding of existing processes, systems, and payer requirements.

As workflows become standardized and visibility improves, the role will transition to a primarily managerial and improvement-focused position. Ongoing billing responsibilities are expected to represent approximately 20–30% of the role.

What We’re Looking For

• Hands-on revenue cycle leader
• Builder and customer service mindset
• Collaborative partner with executive leadership
• Self‑learner who proactively keeps up with billing changes, payer updates, and operational impacts

Why This Role

This role offers the opportunity to shape a scalable, well-run revenue cycle function with direct executive partnership and meaningful ownership.

Qualifications

• 4 years of experience in healthcare billing or revenue cycle operations
• Hands-on experience with Medicaid and commercial payers. Behavioral health preferred but not required.
• Prior experience managing or leading billing staff
• Strong understanding of claims workflows, rejections, and denials
• Strong Excel and reporting skills