Revenue Cycle Management Lead
About The Position
As our Revenue Cycle Management (RCM) Lead, you will own and optimize revenue cycle performance in a high-growth, scaling healthcare organization. You will serve as the operational owner of claims management, accounts receivable performance, payer enrollments, and vendor oversight. This is a high-impact individual contributor role responsible for ensuring revenue integrity, improving cash flow, and proactively identifying revenue risk. You will operate with autonomy, serve as the internal subject matter expert for revenue cycle operations, and provide actionable performance insights to leadership. Comp | Perks | Benefits The base pay range for this position is $38.00 - $48.00 per hour Robust and affordable Medical, Dental, and Vision plan options Flexible time off policy Base pay offered may vary depending on job-related knowledge, skills, and experience. An annual incentive plan and stock options may be provided as part of the compensation package, in addition to a full range of medical, financial, and/or other benefits, dependent on the position offered.
Requirements
- 5+ years of progressive experience in revenue cycle management, medical billing, or healthcare operations
- Strong knowledge of ICD-10, CPT, payer reimbursement methodologies, and claims lifecycle management
- Experience with EFT/ERA setup and payer enrollment processes
- Strong analytical skills with ability to translate data into operational action
- Excellent communication skills with experience presenting performance insights to leadership
Nice To Haves
- Experience with payer contracting and credentialing is preferred
- Experience in a high-growth or startup healthcare environment is preferred
Responsibilities
- Own end-to-end revenue cycle performance across claims submission, denial management, and A/R follow-up
- Manage and hold external billing vendors accountable to defined KPIs and service expectations
- Monitor first-pass resolution rates, denial trends, and aging buckets to proactively mitigate revenue risk
- Lead monthly vendor performance reviews and implement corrective action plans as needed
- Own aged A/R performance, with specific focus on reducing >60 and >90-day balances
- Identify systemic causes of payment delays and implement process improvements
- Develop and maintain recurring KPI dashboards for leadership visibility
- Analyze trends in denials, payer performance, and reimbursement variance
- Deliver data-driven recommendations to improve net collection rate and accelerate cash flow
- Surface emerging revenue risks with proposed solutions
- Oversee EFT, ERA, and payer enrollment processes to prevent reimbursement disruption
- Maintain accurate credentialing and payer setup data within RCM systems
- Ensure payer configurations align with contracted reimbursement terms
- Develop and maintain SOPs for core revenue cycle workflows
- Identify opportunities for automation and operational efficiency
- Serve as internal subject matter expert for revenue cycle best practices
- Act as primary RCM liaison across Provider Operations, Clinical, and Finance teams
- Support operational initiatives that impact revenue performance
Benefits
- Robust and affordable Medical, Dental, and Vision plan options
- Flexible time off policy
- An annual incentive plan and stock options may be provided as part of the compensation package, in addition to a full range of medical, financial, and/or other benefits, dependent on the position offered.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
11-50 employees
