Healthcare Operations Manager - Billing & Revenue Cycle Management

Job Title: Healthcare Operations Manager - Billing & Revenue Cycle Management

Location: Vive Adolescent Care, St. George, UT

Reports To: Executive Director

Position Type: Full-Time

About Us:

Vive Adolescent Care is a premier provider of specialized residential treatment services for adolescents aged 13-17 navigating significant mental and behavioral health challenges. We are passionately committed to our mission of guiding teens and their families toward profound healing, resilience, and lasting positive change through comprehensive, evidence-based therapeutic care. Our core values emphasize compassion, clinical excellence, integrity, and family collaboration. We foster a supportive, dedicated, and dynamic work environment where our team works collaboratively, innovation in care is embraced, and operational excellence is fundamental to achieving the best possible outcomes for the young people we serve.

Job Summary:

We are seeking a dynamic and experienced Healthcare Operations Manager to lead our Billing and Revenue Cycle Management (RCM) and adjacent functions. This critical role involves overseeing multiple internal and external teams responsible for the entire revenue cycle, from patient registration and coding through billing, collections, and payment posting. The ideal candidate is not only a strategic leader but also possesses a strong willingness to be hands-on, diving into operational details, troubleshooting complex issues, and supporting teams directly when needed. You will be responsible for optimizing processes, ensuring regulatory compliance, maximizing revenue capture, and fostering a high-performing team environment.

Key Responsibilities:

• Revenue Cycle Management Oversight:
• Direct and manage all aspects of the revenue cycle operations, including patient access/registration, insurance verification, coding (if applicable or collaborating closely with coding team), charge capture, claims submission, payment posting, denial management, accounts receivable (A/R) follow-up, and patient collections.
• Develop, implement, and enforce policies and procedures to ensure efficiency, accuracy, and compliance with payer requirements and government regulations (e.g., HIPAA, Medicare, Medicaid).
• Monitor key performance indicators (KPIs) such as Days Sales Outstanding (DSO), Clean Claim Rate, Denial Rate, Bad Debt, Cash Collections, etc., analyze trends, and implement corrective actions.
• Stay current with industry changes, payer policies, and regulatory updates impacting billing and collections.
• Team Leadership & Management:
• Provide direct supervision, mentorship, and performance management for multiple teams within the RCM department (e.g., Billing Specialists, Payment Posters, Denial Analysts, Patient Account Representatives). This team includes a Vendor partner.
• Hire, train, develop, and retain qualified staff.
• Set clear team goals and individual performance expectations aligned with departmental and organizational objectives.
• Foster a positive, collaborative, and productive work environment across all managed teams.
• Manage workflow distribution and resource allocation to meet deadlines and productivity targets.
• Hands-On Operational Involvement:
• Actively participate in resolving complex billing, denial, or collection issues that require advanced expertise.
• Work alongside team members to understand challenges, identify bottlenecks, and develop practical solutions.
• Be prepared to assist with operational tasks during peak volumes, staff shortages, or critical situations to ensure business continuity.
• Utilize billing systems and analytical tools directly to investigate issues, generate reports, and support operational decisions.
• Process Improvement & Strategy:
• Continuously evaluate RCM workflows and identify opportunities for process improvement, automation, and efficiency gains.
• Collaborate with clinical departments, finance, IT, and compliance to ensure seamless integration and communication across the revenue cycle continuum.
• Lead or participate in projects related to system upgrades/implementations, payer contract analysis, and strategic initiatives impacting revenue.
• Develop and present reports on RCM performance to senior leadership.
  

Preferred Qualifications:

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field.
• Minimum of 5-7 years of progressive experience in healthcare revenue cycle management or healthcare billing operations.
• Minimum of 3 years of experience in a supervisory or management role, specifically overseeing multiple teams or functional areas within RCM.
• In-depth knowledge of healthcare billing regulations, coding systems (CPT, ICD-10, HCPCS), payer requirements (Medicare, Medicaid, Commercial), and compliance standards (HIPAA).
• Proven track record of improving RCM performance metrics.
• Strong leadership, coaching, and team-building skills.
• Excellent analytical, problem-solving, and decision-making abilities.
• Proficiency with Electronic Health Record (EHR) / Practice Management (PM) systems and billing software. Vive is currently using Alleva and CollaborateMD.
• Exceptional communication (written and verbal) and interpersonal skills.
• Demonstrated ability and willingness to perform hands-on work and lead by example.
• Strong organizational skills and ability to manage multiple priorities effectively.
  
  
  

Preferred Qualifications:

• Master's degree (MHA, MBA) preferred.
• Relevant certifications (e.g., Certified Healthcare Financial Professional - CHFP, Certified Revenue Cycle Representative - CRCR from HFMA).
• Experience in a specific healthcare setting relevant to the organization (e.g., hospital, multi-specialty physician group, academic medical center).
• Experience with process improvement methodologies (e.g., Lean, Six Sigma).
  
  
  

Work Environment:

• This position typically operates in a professional office environment.
• This position is on-site, with some work from home flexibility.
  
  
  

Compensation & Benefits:

• Competitive salary commensurate with experience.
• Comprehensive benefits package including health, dental, vision insurance, retirement plan [mention 401k match if applicable], paid time off, etc.
• Opportunities for professional development.