Revenue Cycle Manager
Revenue Cycle Manager
Location: Blue Lagoon, Miami, FL
Reports To: Director of Revenue Cycle / CFO
Direct Reports: 6 Revenue Cycle Specialists (Claims & Accounts Receivable)
Position Summary
We are seeking an experienced Revenue Cycle Manager to lead our Claims and Accounts Receivable team. This role is responsible for overseeing the end-to-end claims management process, maximizing collections, reducing denials, and improving cash flow performance. The Revenue Cycle Manager will supervise a team of six professionals and work closely with operations, finance, and payer representatives to ensure timely reimbursement and resolution of outstanding accounts.
Key Responsibilities
- Manage and develop a team of six Revenue Cycle Specialists focused on claims processing, denial management, and accounts receivable follow-up.
- Oversee daily billing and claims activities to ensure timely and accurate submission of claims to commercial, government, and managed care payers.
- Monitor and reduce aged accounts receivable balances while improving cash collections and reimbursement rates.
- Lead denial management efforts, identify root causes, and implement corrective action plans to minimize future denials.
- Review and analyze key revenue cycle metrics including Days in A/R, denial rates, collection rates, clean claim rates, and cash collections.
- Establish productivity standards and performance goals for the revenue cycle team.
- Collaborate with clinical, operational, and finance departments to resolve billing and reimbursement issues.
- Ensure compliance with payer regulations, contractual requirements, and company policies.
- Prepare and present revenue cycle performance reports and recommendations to senior leadership.
- Identify process improvement opportunities and implement best practices to enhance operational efficiency and financial performance.
Qualifications:
Qualifications
- Bachelor's degree in Accounting, Finance, Healthcare Administration, Business Administration, or related field preferred.
- 5+ years of progressive revenue cycle experience, including claims management and accounts receivable oversight.
- Prior supervisory or management experience leading revenue cycle teams.
- Strong understanding of commercial insurance, Medicare, Medicaid, and managed care reimbursement.
- Experience with denial management, appeals, collections, and revenue cycle reporting.
- Advanced Excel and reporting skills; experience with healthcare billing systems and EMR platforms preferred.
- Strong analytical, organizational, and communication skills.
Preferred Experience
- Healthcare services, physician practice, ambulatory surgery center, behavioral health, or multi-site healthcare environment experience.
- Proven track record improving collections, reducing denials, and shortening A/R cycles.
- Experience developing KPIs, dashboards, and revenue cycle reporting metrics.
Compensation
$120,000.00-$135,000.00 YearlyAbout Us
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