What are the responsibilities and job description for the Senior Revenue Cycle Manager position at Manta Search?
Position Summary
The Revenue Cycle, Senior Manager – Denials, Systems & Quality leads a defined functional area within the Revenue Cycle Management (RCM) organization. This role provides day-to-day leadership, drives performance against key operational metrics, ensures compliance with payer and regulatory requirements, and partners with clinical, operational, and executive stakeholders.
The Manager oversees denial prevention and recovery efforts, revenue cycle data integrity, system configuration, and quality monitoring. This role serves as a subject matter expert in analytics and systems, leading cross-functional initiatives to improve first-pass acceptance rates and overall revenue cycle performance.
Key Competencies
- Revenue Cycle Leadership
- Denials Management
- Systems & Technology Optimization
- Data & Analytics
- Process Improvement
- Cross-Functional Collaboration
- Quality Assurance & Compliance
Core Responsibilities
Leadership & Team Management
- Lead, coach, and develop analysts and specialists focused on denials management and quality improvement
- Drive accountability, performance metrics, and professional development
- Serve as a trusted advisor to leadership on denial trends, system performance, and quality outcomes
Denials & Revenue Optimization
- Develop and implement strategies to reduce payer denials and improve first-pass acceptance rates
- Analyze denial trends, identify root causes, and implement corrective actions
- Lead recurring denials review meetings with operational and clinical stakeholders
- Maintain denial dashboards and deliver actionable insights
Systems & Technology Management
- Manage and optimize revenue cycle systems, including EHRs, billing platforms, clearinghouse connections, EDI/ERA workflows, and related integrations
- Partner with IT teams and vendors on system upgrades, enhancements, and issue resolution
- Serve as the system subject matter expert for revenue cycle applications
- Maintain centralized documentation of system edits, scrubs, and configuration rules
- Ensure system administration redundancy and business continuity
Quality & Performance Monitoring
- Establish and maintain quality standards for revenue cycle workflows
- Conduct audits, monitor accuracy and timeliness metrics, and implement improvement plans
- Maintain dashboards and KPIs related to productivity, quality, and compliance
- Lead continuous improvement initiatives to reduce errors and improve operational efficiency
Qualifications
Education
- Bachelor’s degree in Finance, Business Administration, Healthcare Administration, or a related field required
Experience
- Minimum of 5 years of healthcare revenue cycle management experience required
- At least 3 years of experience in denials management, analytics, or systems optimization preferred
- Minimum of 2 years in a managerial or supervisory role required
Technical & Professional Skills
- Strong knowledge of medical billing, reimbursement methodologies, and payer requirements
- Experience with revenue cycle system integration, configuration, and optimization
- Proficiency with EHR and RCM technologies (ModMed and eClinicalWorks preferred)
- Advanced analytical, problem-solving, and reporting skills
- CPC, CRCR, or related certification preferred
Work Environment
- Hybrid / Remote work environment - meeting in person monthly or quarterly.
Apply today to learn more!
Salary : $120,000 - $160,000