Revenue Cycle Manager

Company Description

Physicians Revenue Group, Inc. (PRG) is a trusted provider of medical billing services and revenue cycle management solutions in the United States. With over two decades of experience, PRG has successfully assisted healthcare providers in optimizing financial performance by streamlining billing processes, minimizing denial rates, and enhancing cash flow. The company’s team of certified professionals delivers customized solutions tailored to meet the unique needs of clients across various healthcare specialties. At PRG, we are committed to excellence, offering comprehensive services while staying informed of the latest healthcare industry trends and changes.

Job description

The Revenue Cycle Manager plays a pivotal role in managing end-to-end revenue cycle operations to ensure efficient, accurate, and timely financial performance for assigned clients. This individual serves as the primary liaison between clients and internal operations teams, focusing on optimizing revenue processes, identifying areas for improvement, and ensuring compliance with industry standards and client-specific requirements.

The Revenue Cycle Manager will build and maintain strategic relationships with clients, proactively supporting them in maximizing collections, reducing denials, and improving key performance indicators (KPIs) such as days in A/R, net collection rate, and clean claims rate. This role also involves active engagement in operational planning, coordination with internal departments, and continuous process improvement efforts to drive client satisfaction and retention.

Core Responsibilities

Revenue Cycle Operations & Client Management (40%)

• Serve as the key contact for day-to-day client communications and issue resolution related to RCM services.
• Conduct ongoing analysis of client revenue cycle performance and provide insights and recommendations for process improvements.
• Identify trends in denials, underpayments, and claim rejections, and work with internal teams to implement corrective actions.
• Develop and monitor KPIs with clients, aligning performance metrics with contractual goals.
• Lead implementation and optimization efforts for billing, collections, coding, and payment posting workflows.
• Ensure all RCM processes are executed according to SLA timelines and client expectations.

Client Engagement & Strategic Support (30%)

• Facilitate regular client meetings, including Quarterly Business Reviews, to review financial and operational outcomes.
• Present performance dashboards, workflow assessments, and strategic recommendations.
• Collaborate with client stakeholders to understand their evolving business needs and translate them into actionable RCM strategies.
• Participate in contract renewal discussions and ensure clear communication of service scopes and obligations.

Cross-functional Collaboration (20%)

• Partner with internal departments including Operations, Coding, A/R, Implementation, and Product to resolve issues, escalate concerns, and drive client initiatives.
• Act as a client advocate within the organization, ensuring that internal teams are aligned with client goals and expectations.
• Work closely with sales and client success teams to identify opportunities for upselling and expansion based on client needs.

Documentation & Reporting (10%)

• Maintain accurate and timely documentation in CRM systems to track client interactions, commitments, and issues.
• Prepare and deliver custom and standard reports to clients and internal leadership.
• Support billing and invoicing processes, including review and approval of invoices related to RCM services.

Qualifications

Education and Experience

• Bachelor's degree or higher in business administration or relevant field of study, or equivalent work experience.
• 6 years of experience in Revenue Cycle Management (required).
• 4 years in client-facing roles, such as client services, account management, or consulting.
• Experience working with physician groups, billing companies, or health systems is highly desirable

Required Skills & Attributes

• Strong knowledge of healthcare revenue cycle management across all phases: eligibility, charge capture, coding, billing, payment posting, and collections.
• Excellent interpersonal, written, and verbal communication skills.
• Strong analytical and problem-solving abilities; ability to interpret financial data and operational trends.
• Ability to manage multiple client relationships and priorities in a fast-paced environment.
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
• Familiarity with CRM systems and medical billing platforms (e.g., Athena, eClinicalWorks, Epic, or similar).

Job Type

Full Time

Pay: $60,000.00 - $90,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance