Finance and Revenue Cycle Manager

Miller Vein•Farmington Hills, MI

About The Position

The Finance & Revenue Cycle Manager oversees Miller Vein’s day-to-day revenue cycle operations, including insurance verification, prior authorizations, claims management, payment posting, denial management, accounts receivable, collections, reimbursement, and related financial processes. The Manager leads and supports the billing and insurance team, monitors revenue cycle performance, identifies improvement opportunities, and works with leadership to support accurate, timely, and efficient financial operations. The role includes managing team onboarding, training, performance, development, workloads, and coverage; overseeing revenue cycle workflows and follow-up; monitoring financial metrics and reporting; supporting budgeting and planning; and maintaining compliance with HIPAA, CMS, payer requirements, and applicable healthcare regulations. The Manager also collaborates with providers, clinical teams, administrative staff, and leadership to resolve issues and improve processes.

Requirements

Strong knowledge of medical billing, insurance reimbursement, claims processing, denials, accounts receivable, and revenue cycle operations.
Experience with EMR and practice management systems.
Strong analytical and problem-solving skills.
Ability to interpret revenue cycle and financial data and translate findings into action.
Strong leadership, organizational, and communication skills.
Ability to manage multiple priorities in a fast-paced healthcare environment.
Detail-oriented, with a strong commitment to accuracy and follow-through.

Nice To Haves

Bachelor's degree preferred.
Five years of healthcare revenue cycle experience preferred.
Three years of supervisory or management experience preferred.

Responsibilities

Manage, coach, and support billing and insurance team members.
Oversee onboarding, training, performance management, and staff development.
Establish and monitor productivity standards and performance expectations; conduct evaluations and provide ongoing feedback and coaching.
Prioritize workloads, ensure appropriate coverage and follow-up, and foster accountability, teamwork, collaboration, and continuous improvement.
Serve as a resource for complex billing, insurance, and reimbursement issues.
Manage insurance verification and prior authorization processes.
Oversee claims submission, payment posting, denial management, and follow-up.
Monitor accounts receivable, collections, and outstanding accounts, ensuring appropriate follow-up.
Ensure claims are processed accurately and in a timely manner.
Review denied and underpaid claims to identify trends and improvement opportunities.
Implement and maintain processes to maximize reimbursement and improve revenue cycle efficiency.
Work with providers, clinical teams, and administrative staff to resolve billing and insurance issues.
Identify workflow issues and recommend practical solutions.
Monitor revenue cycle metrics, reimbursement trends, collections, and financial performance.
Develop and implement action plans to improve collections, reduce denials, and optimize cash flow.
Assist with budgeting, forecasting, and financial planning.
Prepare revenue cycle and financial performance reports for leadership.
Analyze data to identify trends, issues, and opportunities for improvement.
Help maintain effective financial controls and processes and ensure accurate, timely reporting of revenue cycle results.
Ensure compliance with HIPAA, CMS, payer requirements, and applicable healthcare regulations.
Participate in audits, compliance reviews, and corrective action planning.
Maintain departmental policies, procedures, and internal controls.
Monitor team processes for accuracy, consistency, and compliance.
Stay current on payer requirements and changes affecting billing and reimbursement.

Benefits

Competitive pay.
100% employer-paid medical, dental, and vision insurance for eligible employees.
401(k).
Paid Time Off (PTO).
Healthy work-life balance, including four-day weekends every other weekend for many clinic team members.
No evening, weekend, or holiday work (almost never).
Paid office closure between Christmas and New Year's Day.
Community service opportunities.
Continuing education support.
Positive, upbeat office environments where teammates take care of one another.
Fun company outings.