Mgr, Rev Cycle Mgt,Provider

University of Rochester•Rochester, NY

1d•Remote

About The Position

The Healthcare Accounts Receivable Manager is responsible for operational planning and oversight of medical claims billing services across the professional fee organization. This role includes leading teams, setting performance goals, and driving efficiency through process improvement across revenue cycle operations, departments, and payers. The manager drives revenue cycle performance by overseeing all billing and follow-up activities for charged or billed services, including claims with no payer response, payer edits, or denials. The role requires strategic decision-making to optimize outcomes, including guiding workflows, refining follow-up strategies, and addressing emerging challenges. This position supports organizational leadership by providing recommendations based on performance monitoring, regular reporting, and data-driven analysis to inform decision-making. Success in this role requires strong proficiency in revenue cycle systems and operations, along with advanced analytical, problem-solving, and critical-thinking skills to resolve complex issues and improve results. Additional responsibilities include mentoring staff, managing time and workflows effectively, and ensuring compliance with all applicable regulatory requirements. ESSENTIAL FUNCTIONS With general direction of the Assistant Director and considerable latitude for initiative and judgment: 30%: Technical Proficiency - Drives revenue cycle performance by overseeing core operational functions and ensuring timely, accurate processing of transactions across assigned areas, including billing, follow-up, payment posting, or technical operations. Leads and mentors’ teams to identify and resolve process gaps, payer-related issues, and operational inefficiencies while meeting established productivity and quality standards. Directs staff to adhere to organizational policies and procedures, ensuring consistency and accountability in daily operations. Maintains compliance with all regulatory requirements and ensures revenue cycle activities are performed in accordance with applicable guidelines and standards. 25%: Analytical Problem Solving: Monitors and evaluates organizational performance metrics, leveraging data from multiple sources to develop and deliver actionable reports that meet the needs of internal and external stakeholders. Applies advanced analytical and operational expertise to interpret financial and operational data, identify root causes of performance gaps, and surface revenue cycle risks and opportunities. Partners with leadership to develop, implement, and continuously refine data-driven strategies that improve operational efficiency, financial outcomes, and overall revenue cycle performance across assigned functions. 20%: Manages the activities of employees under own supervision. Recruits, hires, trains, evaluates, and perform disciplinary actions as necessary following department and University guidelines. Constructs and monitors development plans and fosters functional unit employee engagement through focused team-building efforts, surveys and follow-up action plans. 15%: Knowledge and compliance Experience: Maintains expertise in regulatory requirements, industry standards, and organizational initiatives, serving as a resource to staff. Interprets and enforces compliance standards, proactively assessing the impact of changes on operations to ensure service quality, consistency, and adherence to established guidelines. 10%: Collaborates and maintains professional relationships with primary customers within area of responsibility including UBO leaders, medical directors, physicians, physician groups, patients, clinic leadership, supply vendors and external entities to foster opportunities for revenue enhancement, enhanced customer service and to positively impact core clinic measures. May perform other duties as assigned.

Requirements

Bachelor degree and 3 years of related relevant experience; or equivalent combination of education and/or experience required

Nice To Haves

Management Experience in a healthcare setting preferred
Demonstration of strong technical proficiency in revenue cycle systems preferred
Demonstration of analytical problem-solving and critical thinking skills preferred
Demonstration of effective written and verbal communication skills preferred

Responsibilities

Operational planning and oversight of medical claims billing services across the professional fee organization.
Leading teams, setting performance goals, and driving efficiency through process improvement across revenue cycle operations, departments, and payers.
Overseeing all billing and follow-up activities for charged or billed services, including claims with no payer response, payer edits, or denials.
Strategic decision-making to optimize outcomes, including guiding workflows, refining follow-up strategies, and addressing emerging challenges.
Providing recommendations based on performance monitoring, regular reporting, and data-driven analysis to inform decision-making.
Mentoring staff, managing time and workflows effectively, and ensuring compliance with all applicable regulatory requirements.
Drives revenue cycle performance by overseeing core operational functions and ensuring timely, accurate processing of transactions across assigned areas, including billing, follow-up, payment posting, or technical operations.
Leads and mentors’ teams to identify and resolve process gaps, payer-related issues, and operational inefficiencies while meeting established productivity and quality standards.
Directs staff to adhere to organizational policies and procedures, ensuring consistency and accountability in daily operations.
Maintains compliance with all regulatory requirements and ensures revenue cycle activities are performed in accordance with applicable guidelines and standards.
Monitors and evaluates organizational performance metrics, leveraging data from multiple sources to develop and deliver actionable reports that meet the needs of internal and external stakeholders.
Applies advanced analytical and operational expertise to interpret financial and operational data, identify root causes of performance gaps, and surface revenue cycle risks and opportunities.
Partners with leadership to develop, implement, and continuously refine data-driven strategies that improve operational efficiency, financial outcomes, and overall revenue cycle performance across assigned functions.
Manages the activities of employees under own supervision.
Recruits, hires, trains, evaluates, and perform disciplinary actions as necessary following department and University guidelines.
Constructs and monitors development plans and fosters functional unit employee engagement through focused team-building efforts, surveys and follow-up action plans.
Maintains expertise in regulatory requirements, industry standards, and organizational initiatives, serving as a resource to staff.
Interprets and enforces compliance standards, proactively assessing the impact of changes on operations to ensure service quality, consistency, and adherence to established guidelines.
Collaborates and maintains professional relationships with primary customers within area of responsibility including UBO leaders, medical directors, physicians, physician groups, patients, clinic leadership, supply vendors and external entities to foster opportunities for revenue enhancement, enhanced customer service and to positively impact core clinic measures.
May perform other duties as assigned.