Manager, Revenue Cycle

Privia Health•Houston, TX

1d•Hybrid

About The Position

Privia Health is hiring a full-time Manager, Revenue Cycle for a hybrid role based in Houston, Texas. The position works in the office on Tuesdays and Thursdays at 1200 Binz St, Suite 1490, Houston, TX 77004. Mondays, Wednesdays, and Fridays are typically work-from-home days, though office attendance may occasionally be required. Under the direction of the Associate Director, Director, or AVP of Revenue Cycle Management, the role oversees and trains staff, manages revenue-cycle functions and processes, and is accountable for the team’s performance, quality, and production metrics. The manager supports Gulf Coast Market RCM Associate Directors with escalations and strategic projects. They ensure accounts receivable is worked according to best practices and that Manager Holds, Zero Pay, Unapplied, Unpostables, and other aged receivables are reviewed, reconciled, and resolved promptly and compliantly. The role also manages escalated claim issues and Salesforce cases, including oversight of the team resolving those cases. The position calls for strong training and claims-management skills, attention to detail, a solutions-focused mindset, and a strong work ethic. The salary range is $70,000–$72,000 in base pay, exclusive of bonuses and benefits. The role is eligible for an annual bonus targeted at 15% and restricted stock units. The offered base pay depends on relevant experience, education, and geographic location.

Requirements

High school graduation, a 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.
For employees regularly working from home, a minimum internet speed of 5 Mbps download and 3 Mbps upload is required before employment begins.

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 large payer projects and care-center support projects, and update 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, analyze and resolve aged receivables, and identify root-cause issues.
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 methods.
Update RCM policies as needed.
Meet with Performance Operations, Implementation, Sales, and other Privia teams to review escalated issues 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 the team’s achievement of daily and monthly KPIs.
Identify workflow gaps and create training programs to address them.
Perform or assist with staffing duties, including hiring, termination, coaching, and training.
Provide staff with ongoing performance feedback throughout the year.
Counsel employees on disciplinary matters and coordinate with Human Resources as appropriate for disciplinary actions or termination processes.
Serve as lead or co-presenter at meetings such as Office Manager Summits, Provider POD Meetings, and Market Retreats.
Resolve Salesforce cases and manage escalated issues, including the team responsible for resolving them.
Perform other duties as assigned.