Manager, Revenue Cycle

Privia Health•Houston, TX

2d•$70,000 - $72,000•Hybrid

About The Position

Privia Health is seeking a Manager, Revenue Cycle Management, to oversee staff, training, revenue cycle functions, and processes. Reporting under the direction of an Associate Director, Director, or AVP of Revenue Cycle Management, this role is accountable for the team’s performance, quality, and production metrics and supports Gulf Coast Market RCM Associate Directors with escalations and strategic projects. The Manager ensures accounts receivable work follows best practices and that Manager Holds, Zero Pay, Unapplied, Unpostables, and other aged accounts receivable are reviewed, reconciled, and resolved promptly and compliantly. The position also oversees resolution of escalated claim issues and questions, Salesforce cases, and the teams handling those cases. The role calls for strong training and claims management skills, close attention to detail, a solutions-focused approach, and a strong work ethic. This is a full-time hybrid position. Employees work in the Houston office on Tuesdays and Thursdays and typically work from home on Mondays, Wednesdays, and Fridays, with occasional office attendance on those days. The listed base salary range is $70,000–$72,000, exclusive of bonuses and benefits. The role is also eligible for an annual bonus targeted at 15% and restricted stock units. Benefits listed include medical, dental, vision, life, and pet insurance, a 401(k), paid time off, and wellness programs.

Requirements

High school graduate, Medical Office training certificate, or relevant experience.
At least 5 years of experience managing physician revenue cycle.
At least 2 years of personnel management experience.
Understanding of the drivers of optimal revenue cycle performance and ability to investigate and resolve complex claims.
Compliance with HIPAA rules and regulations.

Nice To Haves

Experience working with athenaOne, Trizetto, and Salesforce is strongly preferred.

Responsibilities

Oversee the claims submission and follow-up process, ensuring claims are accurately worked, resolved, and submitted on time.
Lead and manage large payer projects and care center support projects, updating leadership and affected stakeholders as needed.
Keep Associate Directors and the AVP informed about operational improvement opportunities and recommend process improvements.
Manage teams responsible for accounts receivable, including analysis and resolution of aged AR and investigation of root causes.
Use data to identify patterns in claim denials or delays and develop actionable solutions.
Make independent decisions regarding claim adjustments, resubmissions, appeals, and other claim resolution techniques.
Update RCM policies as needed.
Meet with Performance Operations, Implementation, Sales, and other Privia teams to review escalations and discuss payer or claim concerns.
Meet with Care Center leadership, including lead physician partners, office managers, and other staff, to discuss complex claims and revenue cycle matters.
Drive team-focused achievement of daily and monthly department KPIs.
Identify workflow gaps and create training programs to address them.
Perform or assist with staffing duties, including hiring, termination, coaching, and training.
Provide ongoing feedback to staff about performance throughout the year.
Counsel employees on disciplinary matters and obtain appropriate Human Resources assistance for disciplinary actions and termination processes.
Lead or co-present at meetings such as Office Manager Summits, Provider POD Meetings, and Market Retreats.
Perform other duties as assigned.