Manager, HME Revenue Cycle & Financial Analyst

Medcare Equipment Company•Greensburg, PA

About The Position

The HME Revenue Cycle Manager/Financial Analyst oversees revenue cycle operations for a Home Medical Equipment (HME) organization, supporting accurate reimbursement, cash collections, denial reduction, and financial analysis for strategic and operational decision-making. The role combines revenue cycle management, reimbursement optimization, financial reporting, budgeting, and business analytics to improve profitability, cash flow, and operational performance. The position leads revenue cycle activities from intake and insurance verification through billing, collections, cash posting, and accounts receivable management. It also produces financial and operational reporting, develops forecasts and financial models, monitors budgets, and analyzes revenue, margins, reimbursement, and profitability across products, referral sources, service lines, payers, and branches. The role develops dashboards and key performance indicators, analyzes billing and referral trends, and presents data-driven recommendations to leadership. It leads and develops billing, collections, and revenue cycle staff and coordinates with teams across Finance, Operations, Purchasing, Customer Service, Intake, Clinical, Sales, and Compliance.

Requirements

Bachelor's degree in Finance, Accounting, Healthcare Administration, Business Administration, or a related field.
5+ years of progressive revenue cycle leadership experience.
3+ years of financial analysis, budgeting, or healthcare finance experience.
Strong understanding of HME/DME reimbursement and billing regulations.
Experience with Medicare, Medicaid, Managed Care, and Commercial Insurance billing.
Advanced Excel skills, including pivot tables, complex formulas, and financial modeling.
Strong analytical and problem-solving capabilities.
Knowledge of HME reimbursement methodologies.
Experience creating executive-level dashboards and financial reports.
Understanding of healthcare compliance and regulatory requirements.
Strong communication and presentation skills.
Ability to manage multiple priorities in a fast-paced environment.

Nice To Haves

MBA, CPA, HFMA, or equivalent certification.
Experience with Brightree or comparable HME software.

Responsibilities

Direct revenue cycle operations, including intake, insurance verification, authorization, billing, collections, cash posting, and accounts receivable management.
Ensure compliance with Medicare, Medicaid, commercial payer, and accreditation requirements.
Monitor revenue cycle metrics, including DSO, net collection rate, denial rate, first-pass claim acceptance rate, aging accounts receivable, and write-offs and adjustments.
Lead denial management initiatives and implement corrective actions to improve reimbursement.
Develop workflows and standard operating procedures to improve billing accuracy and collection performance.
Manage payer audits, RAC requests, ADRs, and documentation reviews.
Collaborate with Intake, Clinical, Sales, Compliance, and Operations teams to support clean claim submission and timely payment.
Oversee monthly revenue cycle performance reviews and reporting.
Prepare monthly financial and operational reports for executive leadership.
Analyze revenue, gross margin, reimbursement trends, and profitability by product category, referral source, service line, payer, and branch location.
Develop financial models to assess business opportunities, reimbursement changes, and operational initiatives.
Monitor budget performance and identify opportunities for cost reduction and revenue enhancement.
Perform variance analysis between budget, forecast, and actual financial performance.
Create forecasts for revenue, cash flow, reimbursement, and accounts receivable.
Support annual budgeting and strategic planning.
Develop dashboards and KPIs to monitor financial and operational performance.
Analyze billing trends, referral conversion rates, payer utilization, and reimbursement patterns.
Identify opportunities to improve revenue capture, billing efficiency, collection performance, referral retention, and operational productivity.
Use reporting and software platforms to analyze data and present actionable recommendations to leadership.
Lead, mentor, and develop billing, collections, and revenue cycle staff.
Establish departmental goals and performance standards.
Promote cross-functional collaboration among Revenue Cycle, Finance, Operations, Purchasing, and Customer Service teams.
Drive accountability, continuous improvement, and customer service excellence.