What are the responsibilities and job description for the Revenue Cycle Manager - Healthcare position at WACBD - Washington Center for Bleeding Disorders?
As a recognized Hemophilia Treatment Center and a Center of Excellence, the Washington Institute for Coagulation d/b/a Washington Center for Bleeding Disorders (WACBD), is committed to the wellbeing of patients with an inherited bleeding disorder across the State of Washington, neighboring states, and Alaska.
Our staff is an ensemble of dedicated healthcare professionals and support personnel that are striving to ease the burden that bleeding disorders have placed upon our patients.
Benefits include generous annual PTO, 401(k) match, 100% health insurance premiums paid for staff members, and on-site parking or transit pass at hire.
Position Summary
We are seeking a strategic and collaborative Revenue Cycle Manager to lead all revenue cycle operations for our Hemophilia Treatment Center and integrated Specialty Pharmacy. In this high-impact role, you will optimize financial performance while championing patient access to life-changing therapies. You will drive efficient, compliant, and patient-centered processes that support our mission and ensure organizational sustainability in a complex reimbursement landscape.
Key Responsibilities
Revenue Cycle Leadership & Operations
Required
85,000 - 135,000 USD per year(Home Clinic Address)
Our staff is an ensemble of dedicated healthcare professionals and support personnel that are striving to ease the burden that bleeding disorders have placed upon our patients.
Benefits include generous annual PTO, 401(k) match, 100% health insurance premiums paid for staff members, and on-site parking or transit pass at hire.
Position Summary
We are seeking a strategic and collaborative Revenue Cycle Manager to lead all revenue cycle operations for our Hemophilia Treatment Center and integrated Specialty Pharmacy. In this high-impact role, you will optimize financial performance while championing patient access to life-changing therapies. You will drive efficient, compliant, and patient-centered processes that support our mission and ensure organizational sustainability in a complex reimbursement landscape.
Key Responsibilities
Revenue Cycle Leadership & Operations
- Oversee the full revenue cycle, including patient registration, insurance verification, prior authorization, coding, billing, collections, and payment posting.
- Lead proactive initiatives to ensure continuous and optimal insurance coverage across the patient population, minimizing gaps that could interrupt access to life-saving therapies.
- Collaborate with clinical, pharmacy, and patient services teams on regular eligibility verification, insurance re-assessments, plan transitions, appeals, and enrollment in manufacturer assistance programs, foundation support, and other financial resources.
- Analyze population-level coverage trends, payer mix, and at-risk patients to develop targeted interventions that improve overall reimbursement and reduce financial barriers to care.
- Champion patient-centered financial navigation, providing guidance on benefits, cost-sharing responsibilities, and coverage retention strategies to support long-term treatment adherence and health outcomes.
- Develop, implement, and maintain revenue cycle policies, workflows, and compliance standards aligned with federal and state regulations.
- Develop and monitor key performance indicators (KPIs) such as days in A/R, denial rates, clean claim rates, reimbursement trends, and pharmacy-specific revenue metrics.
- Direct billing workflows for factor and specialty medications, including high-cost therapies and 340B program considerations.
- Ensure compliance with specialty pharmacy billing rules, clinical documentation requirements, and payer contract terms.
- Support accurate documentation and audit readiness for payer reviews and compliance programs.
- Prepare regular revenue cycle reports for leadership, identifying trends, risks, and opportunities for improvement.
- Proactively analyze payer reimbursement patterns, provide comprehensive data and strategic recommendations and support contract negotiations with payers and pharmacy benefit managers
- Forecast revenue impacts based on regulatory changes, payer policy updates, and internal operational shifts.
- Supervise and mentor the revenue cycle team, including billing specialists, authorization staff, and support personnel.
- Foster strong cross-department communication with pharmacy, clinical, finance, and administrative teams.
- Lead training initiatives on billing compliance, documentation requirements, and payer updates.
- Champion continuous process improvement initiatives within the revenue cycle to enhance efficiency, reduce costs, and maximize clean claim rates and collections.
- Ensure revenue cycle processes are patient-centric, minimizing financial barriers and providing clear communication to patients regarding their financial responsibilities and options.
Required
- Bachelor’s degree in business, healthcare administration, finance, or related field; equivalent experience considered.
- 5 years of revenue cycle experience in healthcare, with at least 2 years in a supervisory or management role.
- Strong understanding of specialty pharmacy billing, high‑cost medication reimbursement, and payer authorization processes.
- Knowledge of outpatient medical billing, including coding standards (ICD-10, CPT, HCPCS) and reimbursement methodologies.
- Experience managing claims for commercial plans, Medicaid, Medicare, and specialty pharmacy benefit programs.
- Proficiency with electronic health records (EHRs), pharmacy management systems, and billing platforms. Experience with NextGen EHR, NewLeaf, and R2 billing platform highly preferred.
- Strong problem-solving skills, analytical mindset, and attention to detail.
- Experience working in a hemophilia treatment center (HTC), specialty pharmacy, or chronic disease management program.
- Familiarity with 340B regulations (if applicable to WACBD).
- Certification such as CRCR, CPC, CPB, or CHFP.
85,000 - 135,000 USD per year(Home Clinic Address)