Billing and Revenue Cycle Manager

Billing & Revenue Cycle Manager

Reporting to the Controller, the Billing & Revenue Cycle Manager provides operational leadership and strategic direction for US Med-Equip's Billing & Revenue Cycle function. This role is responsible for overseeing billing operations, collections, customer credit management, billing system administration, and the continuous improvement of revenue cycle performance. Leading the Billing & Collections Supervisor and team, the Manager ensures accurate and timely billing, maximizes cash collections, reduces Days Sales Outstanding (DSO), strengthens internal controls, and drives operational excellence across the department.

The Billing & Revenue Cycle Manager partners closely with Pricing, Contract Administration, Sales, Customer Experience, Operations, Information Technology, and other cross-functional stakeholders to ensure approved pricing and executed contract terms are accurately reflected in the billing process while continuously improving billing operations, system capabilities, and customer experience. The Manager serves as a key business partner to the Controller by providing operational insights, supporting financial reporting, and identifying opportunities to improve revenue cycle performance.

Key Responsibilities

• Provide overall leadership for the Billing & Revenue Cycle function, establishing departmental goals, priorities, and performance expectations.
• Lead, coach, mentor, and develop the Billing & Collections Supervisor and team through effective hiring, onboarding, training, performance management, succession planning, and ongoing professional development.
• Oversee the complete billing lifecycle for rentals, services, and equipment sales, ensuring invoices are accurate, timely, and processed in accordance with company policies.
• Establish, monitor, analyze, and report key performance indicators (KPIs), including billing accuracy, Days Sales Outstanding (DSO), collection effectiveness, aging, dispute resolution, productivity, and customer service metrics, and develop action plans to improve performance.
• Drive continuous improvement initiatives that improve billing accuracy, operational efficiency, cash collections, and customer satisfaction.
• Analyze billing trends, collections performance, deductions, payment patterns, customer disputes, and aging reports to identify root causes and implement corrective actions.
• Develop, implement, and maintain departmental policies, standard operating procedures, and internal controls to support scalability, compliance, and operational excellence.
• Oversee customer account reconciliations, billing adjustments, credit memos, write-offs, refunds, and other account maintenance activities in accordance with company approval policies.
• Manage customer credit activities, including recommending credit limits, monitoring payment risk, administering credit holds, and partnering with Sales to support effective credit decisions.
• Serve as the primary business lead for billing systems, partnering with Information Technology, Finance, and other stakeholders on system enhancements, testing, automation initiatives, integrations, and continuous optimization of billing processes.
• Partner with Pricing, Contract Administration, Sales, Customer Experience, and Operations to ensure approved pricing and executed contract terms are accurately reflected in the billing process while promptly resolving billing issues.
• Collaborate with Accounting to support accurate revenue recognition, month-end close activities, account reconciliations, and financial reporting.
• Prepare executive dashboards and KPI reporting, providing leadership with insights into billing performance, collections, DSO, operational trends, risks, and opportunities.
• Develop departmental staffing plans, recommend operating budget and resource requirements, and partner with the Controller to ensure appropriate staffing, technology, and operational resources support the department's objectives.
• Foster a culture of accountability, collaboration, customer service, operational excellence, and continuous improvement throughout the department.
• Establish departmental performance goals, conduct regular performance evaluations, provide ongoing coaching and feedback, and foster employee engagement and professional development.
• Support internal and external audits by ensuring timely preparation of documentation, responding to audit requests, and maintaining compliance with company policies and internal controls.
• Perform other duties as assigned.

Benefits of Working at US Med-Equip

• Professional development and career growth
• Health, Dental, Vision & Life insurance
• Paid time off starting within the first year
• Employee assistance program
• Flexible spending account
• Health savings account
• Employee referral bonuses
• 401(k)

About US Med-Equip

Recognized as a Top Workplace, US Med-Equip partners with top hospitals across the nation to provide the highest quality movable medical equipment, beds and therapeutic surfaces. USME, an Inc. 5000 Fastest Growing company, supplies and services equipment rented, maintained, and managed using the latest technology to help healthcare providers focus on their patients’ healing.

Education/Experience

• Bachelor's degree in Accounting, Finance, Business Administration, or a related field required.
• 7–10 years of progressively responsible experience in high-volume billing, collections, accounts receivable, or revenue cycle operations.
• Minimum of 3 years of leadership experience managing supervisors and/or professional staff.
• Experience developing operational processes, departmental procedures, and internal controls.
• Experience leading ERP implementations, billing system conversions, or business process improvement initiatives.
• Experience with Acumatica, GoTransverse, or similar ERP and billing platforms preferred.
• Advanced Microsoft Excel, reporting, and analytical skills.

Qualifications

• Demonstrated ability to build collaborative relationships and effectively partner with cross-functional teams, including Sales, Operations, Customer Experience, Pricing, Contract Administration, and Information Technology, to achieve organizational objectives.
• Strong understanding of billing operations, collections, customer credit, accounts receivable, and revenue cycle management.
• Strong understanding of internal controls, financial reporting processes, and operational compliance within a billing and collections environment.
• Proven success improving billing accuracy, DSO, cash collections, and operational efficiency.
• Experience establishing KPIs, executive dashboards, and performance reporting.
• Strong analytical, financial, and problem-solving skills with the ability to interpret operational data and drive business decisions.
• Excellent project management, communication, collaboration, and organizational skills.
• High level of integrity, accountability, and sound business judgment.
• Experience leading organizational change, process improvement, and technology implementations.
• Healthcare, medical equipment rental, recurring billing, or multi-location service industry experience preferred.