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Manager, Revenue Cycle Operations

Orchard Place
Des Moines, IA Full Time
POSTED ON 11/13/2025 CLOSED ON 1/12/2026

What are the responsibilities and job description for the Manager, Revenue Cycle Operations position at Orchard Place?

At Orchard Place, we are dedicated to our mission of providing a safe environment for children and their families to heal, find hope, be empowered, and build resilience to overcome mental health adversity. We believe in the power of community, innovation, and compassion to drive positive change. As we continue to expand our impact, we are seeking a Manager, Revenue Cycle Operations to oversee and enhance the daily operations of our accounts receivable and billing teams.

The Manager, Revenue Cycle Operations is responsible for leading, optimizing, and ensuring the accuracy of Orchard Place’s billing and accounts receivable functions. This role plays a key part in maintaining compliance with payer, legal, and regulatory requirements while driving operational efficiency and financial performance. The Manager will oversee the day-to-day activities of the revenue cycle team, with a strong emphasis on Medicaid billing (particularly within Iowa), and collaborate across departments to streamline processes and support organizational goals. Reporting directly to the Chief Financial Officer, this position serves as a strategic partner in enhancing the organization’s financial health and revenue integrity.

Essential Duties and Responsibilities

Leadership &Culture
  • Embrace and embody the Sanctuary model values and practices in all interactions with clients, families, and staff.
  • Support and promote diversity, equity, and inclusion by respecting and valuing individual differences.
  • Supervise, mentor, and develop team members within the accounts receivable and billing departments, providing training, guidance, and performance evaluations
Revenue Cycle Operations
  • Oversee all aspects of the billing and collections processes, ensuring timeliness, accuracy, and compliance with payer and regulatory standards.
  • Ensure Medicaid billing compliance, with particular expertise in Iowa Medicaid and other state and federal payer programs.
  • Monitor and refine workflows to accelerate the revenue cycle, minimize denials, and maximize collections.
  • Collaborate with cross-functional teams to ensure accurate charge capture, proper documentation, and efficient billing workflows.
Compliance & Quality Assurance
  • Maintain up-to-date knowledge of billing, coding, and reimbursement regulations, ensuring all practices align with applicable laws and organizational policies.
  • Safeguard patient information and ensure compliance with HIPAA and other data privacy standards.
Financial Reporting & Analysis
  • Prepare and present regular revenue cycle performance reports to the CFO and senior leadership, highlighting trends, risks, and opportunities for improvement.
  • Assist with month-end closing activities, including account reconciliations, journal entries, and verification of financial data accuracy.
  • Analyze revenue cycle metrics to identify root causes of inefficiencies and implement data-driven solutions.
Strategic & Cross-Functional Collaboration
  • Serve as a financial resource and advisor to other departments regarding billing, reimbursement, and financial policy.
  • Participate in organizational committees and contribute to initiatives aimed at improving operational and financial performance.

Qualifications

  • Education: Bachelor’s degree in Business Administration, Finance, or a related field and/or equivalent work experience.
  • Experience: Minimum of 5 years of billing experience, including 2 years in a supervisory role. Expertise in Iowa Medicaid billing is mandatory; general accounting experience is a plus.
  • Technical Skills: Proficiency in billing and financial software, advanced Excel skills, and knowledge of coding and regulatory standards. Experience with Medicaid contracts and non-profit billing systems is highly desirable. Familiarity with Avatar PM or similar financial systems is preferred.
  • Communication: Strong written and verbal communication skills, with the ability to maintain confidentiality and interact effectively with internal and external stakeholders.
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Salary.com Estimation for Manager, Revenue Cycle Operations in Des Moines, IA
$94,453 to $129,193
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