Revenue Cycle Manager

We don’t train our people to be nice… We simply hire nice people

We are looking for the brightest and the best to join our team!

Are you under challenged in your current position? Are you looking for a career in a high paced complex clinical environment?

Two major benefits offered by Cure 4 The Kids Foundation

• One of the most competitive compensation and comprehensive benefit packages in the field of healthcare
• A state-of-the-art clinical and administrative environment located at 215 and Town Center, Summerlin on the Roseman University Campus

Cure 4 The Kids Foundation was voted #10 on the list of the 50 Best Non-Profits to Work For in The U.S.

This is a role that requires a multi-disciplinary team approach to solving problems and patient challenges. "That's not my job" or "someone else can do it" is not in our team vocabulary because we are here to be of support to each other. The primary goal is to bring the best patient care and experience for our area's children.

SUMMARY: Provides strategic oversight and operational leadership for assigned teams within the revenue cycle, ensuring departmental effectiveness, process optimization, and support of organizational financial goals. This is a salaried, exempt position.

ESSENTIAL DUTIES AND RESPONSIBILITIES: 

• Provides day-to-day leadership and operational oversight for assigned revenue cycle teams, which may include Authorization, Referrals, Eligibility, Billing, Patient Financial Counselors (PFC), and Patient Account Representatives (PAR), ensuring accuracy, timeliness, and consistency in performance and service delivery.
• Allocates and manages team workloads, sets clear performance expectations, and ensures appropriate cross-coverage to maintain continuity of operations during absences or periods of high volume.
• Monitors insurance and patient account workflows to proactively identify inefficiencies, payer denial trends, or breakdowns in authorization, referral, and billing processes. Leads the implementation of corrective actions, process improvements, and system automations to optimize outcomes.
• Drives financial performance by influencing revenue cycle operations to improve cash flow, minimize bad debt adjustments, reduce denial rates, and ensure timely and accurate insurance receivables.
• Maintains up-to-date knowledge of payer requirements, federal and state billing regulations, and clinical service line nuances (including, but not limited to hematology, oncology, orthopedics, rheumatology, surgery, radiology, physical therapy, and behavioral health) to ensure regulatory compliance and billing accuracy.
• Creates mechanisms for escalation and resolution of claims impacted by authorization, eligibility, or billing-related issues. Facilitates collaboration between internal stakeholders to address service barriers and improve the patient and payer experience.
• Oversees and evaluates financial assistance programs, including Charity Care, ensuring that eligible families are properly informed, assessed, and supported in a timely and compassionate manner.
• Establishes and maintains strategic relationships with payers and facilities, proactively addressing recurring issues, reducing administrative delays, and advocating for the organization’s revenue cycle interests. 
• Participates in leadership meetings, payer roundtables, and external stakeholder engagements to align departmental activities with broader organizational strategy and industry best practices. Collaborates with the management team to formulate and execute departmental strategic initiatives. 
• Champions superior customer service within all managed teams, fostering a culture of professionalism, accountability, and empathy in interactions with patients, families, coworkers, and external stakeholders.
• Creates documents, and maintains standardized operating procedures, training protocols, and performance metrics to monitor team effectiveness and compliance across all managed areas.
• Reviews and discusses 30-60-90 Day Expectations and Training Progress Reviews for new hires, along with ongoing competencies for direct reports. 
• Supports, contributes to, and executes the Director of Revenue Cycle Management’s vision for the team.
• Performs other duties as assigned.

SUPERVISORY RESPONSIBILITIES: 

• Provides direct supervision to employees spanning at least 1 revenue cycle team, with responsibility for day-to-day leadership and team performance.

• Carries out supervisory responsibilities in accordance with the organization’s policies and applicable laws.

REQUIRED EDUCATION AND EXPERIENCE:

• Bachelor’s degree in healthcare or equivalent healthcare or revenue cycle experience.
• A minimum of four (4) years of managerial experience. 

• Physician office experience.

PREFERRED EDUCATION AND EXPERIENCE:

• Master’s in healthcare. 
• Experience in multi-specialty physician setting.
• Certified Professional Coder (CPC), Certified Professional Biller (CPB), Certified Physician Practice Manager (CPPM) or other equivalent certifications.
• Authorization and referral experience.

KNOWLEDGE, SKILLS, AND ABILITIES: 

• Thorough knowledge in CPT and ICD-10 coding, and medical terminology. 
• Thorough knowledge in commercial, managed care, HMO and other insurance plan benefits and coverage.
• Ability to creatively integrate competing demands of a multi-specialty setting into a productive working environment.
• Excellent communication skills, using appropriate grammar and professional conversation skills. 
• Working knowledge of Microsoft Teams, Word, Excel, and web-based database programs.

PHYSICAL DEMANDS AND WORK ENVIRONMENT: 

• Prolonged periods of sitting at a desk and working on a computer.
• Occasionally required to stand, walk, and move up to 15 pounds. 

LANGUAGE SKILLS: 

• Bilingual (English/Spanish) preferred but not required.