Manager of Revenue Cycle Management in United States at Jobgether

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Manager of Revenue Cycle Management in United States.

This role offers an opportunity to lead and optimize end-to-end revenue cycle operations within a fast-growing healthcare organization delivering services across multiple care settings. The position plays a critical part in ensuring financial performance, operational efficiency, and compliance across billing, claims, and collections processes. You will oversee complex revenue cycle workflows, partnering with clinical, billing, coding, and credentialing teams to ensure accurate and timely reimbursement. This is a highly analytical and leadership-driven role requiring both strategic oversight and hands-on problem solving. You will be responsible for identifying revenue leakage, improving processes, and strengthening payer relationships. The environment is fast-paced, mission-driven, and focused on scaling high-quality healthcare delivery nationwide.

• Lead and oversee end-to-end revenue cycle operations, including billing, collections, accounts receivable, denial management, and credentialing workflows.
• Ensure accurate, timely submission of claims while reducing denials and improving reimbursement performance.
• Develop, implement, and monitor KPIs, policies, and procedures to improve revenue cycle efficiency and financial outcomes.
• Analyze billing, coding, and claims data to identify errors, trends, and revenue leakage, implementing corrective actions where needed.
• Manage denial resolution processes, including appeals, payer negotiations, and resolution of underpaid or rejected claims.
• Oversee accounts receivable aging, payment cycles, and clearinghouse activity to ensure financial accuracy and timely collections.
• Work closely with credentialing, coding, and billing teams to ensure compliance with HIPAA and other regulatory requirements.
• Supervise and support offshore and third-party revenue cycle teams, ensuring performance standards and accountability.
• Maintain and strengthen relationships across internal departments including clinical operations, finance, HR, and credentialing.
• Monitor payer setups including EDI, ERA, and EFT processes and ensure proper configuration and functionality.
• Review payer correspondence and communicate effectively with patients and stakeholders when needed.
• Continuously improve workflows and implement process enhancements to maximize revenue and operational performance.

Requirements:

• 7+ years of experience in healthcare revenue cycle management, billing, or financial operations.
• Strong understanding of healthcare reimbursement systems, payer structures, and regulatory billing requirements.
• Extensive knowledge of CPT and ICD-10 coding standards.
• Proven experience managing accounts receivable, claims processing, and denial management workflows.
• Experience with credentialing processes and payer enrollment workflows.
• Demonstrated leadership experience managing teams, including offshore or third-party vendors.
• Strong analytical skills with the ability to interpret financial and operational data.
• Excellent communication and interpersonal skills for cross-functional collaboration.
• Ability to work in a fast-paced environment and manage multiple priorities simultaneously.
• Strong problem-solving skills with a focus on process improvement and operational efficiency.
• Proficiency with healthcare and business systems such as Excel, Google Workspace, and scheduling/communication tools.
• Familiarity with revenue cycle platforms such as eClinicalWorks or similar systems is a plus.

Benefits:

• Competitive compensation package.
• Comprehensive health, dental, and vision insurance.
• 401(k) retirement plan with employer match.
• Paid time off and holiday pay.
• Employer-paid life insurance coverage.
• Short-term and long-term disability insurance.
• Employee Assistance Program (EAP).
• Company-provided equipment for remote work.
• Opportunity to lead and shape revenue cycle operations in a growing healthcare organization.
• Exposure to multi-state healthcare operations and complex reimbursement environments.
• Professional development opportunities in healthcare finance and operations leadership.