Manager, Revenue Cycle Management
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Job Description
Revenue cycle manager optimizing billing, collections, denials, and reimbursement across ambulatory surgery centers. Improving financial performance through analytics, automation, and vendor collaboration.
Responsibilities:
- Oversee revenue cycle performance across an assigned portfolio of approximately five to nine ambulatory surgery centers
- Monitor accounts receivable, aging, cash collections, denials, reimbursement accuracy, and write-offs
- Identify financial performance gaps and implement strategies to improve collections, reduce aging, and strengthen revenue realization
- Monitor payment posting and reimbursement accuracy, identifying underpayments, discrepancies, and recovery opportunities
- Strengthen patient collections and outstanding balance resolution
- Drive timely resolution of denied, underpaid, and zero-paid claims and address root causes
- Ensure timely and accurate billing by resolving documentation, coding, authorization, and charge submission delays
- Develop and execute corrective action plans and standardize workflows across centers
- Identify and implement automation, AI-enabled tools, advanced analytics, and technology improvements
- Validate automated and AI-generated outputs for accuracy, compliance, and appropriate handling of protected health information
- Partner with center leadership, billing vendors, service partners, Managed Care, and enterprise teams
- Lead recurring revenue cycle performance reviews and ensure action-plan follow-through
- Provide performance reporting, financial forecasts, and escalation of emerging risks to enterprise leadership
- Analyze trends, identify financial exposure, prioritize recovery opportunities, and recommend corrective actions
- Maintain documentation of performance issues, action plans, and resolution progress
- Ensure compliance with billing regulations, HIPAA requirements, and organizational policies
Requirements:
- Progressive experience in healthcare revenue cycle management, including billing, accounts receivable, collections, denials, and reimbursement
- Demonstrated accountability for revenue cycle performance, corrective action, and operational improvement beyond reporting and analysis
- Experience managing revenue cycle performance across multiple facilities, business units, or client accounts
- Strong understanding of the end-to-end healthcare revenue cycle, including registration, authorization, coding, claims submission, payment posting, and collections
- Expertise in accounts receivable management, denial prevention, appeals, reimbursement analysis, and payment variance resolution
- Proven ability to identify performance gaps, develop corrective action plans, and deliver measurable improvements
- Experience interpreting revenue cycle performance data, identifying financial risks, and communicating actionable recommendations
- Ability to influence stakeholders and drive accountability across cross-functional teams and external service partners
- Strong communication, collaboration, problem-solving, and financial analysis skills
- Working knowledge of HIPAA requirements, healthcare billing compliance, and patient information protection
- Demonstrated experience using AI, automation, analytics, or workflow tools to improve revenue cycle processes and financial outcomes
- Proven ability to identify inefficient processes and implement practical, scalable improvements
- Intellectual curiosity and sound judgment when evaluating new technologies, validating AI-generated outputs, and protecting sensitive healthcare information
- Five or more years of healthcare revenue cycle management experience (preferred)
- Experience supporting ambulatory surgery centers or multispecialty outpatient healthcare organizations (preferred)
- Experience overseeing revenue cycle performance across five or more facilities or client accounts (preferred)
- Familiarity with outsourced or hybrid revenue cycle management models (preferred)
- Authorization to work in the United States
- Current eligibility to work in the United States of America and disclosure of any required future visa sponsorship
Benefits:
- Remote work arrangement
- Equal Opportunity/Affirmative Action Employer
- Reasonable accommodations during the application or hiring process
- E-Verify participation and work authorization verification
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