REVENUE CYCLE MANAGER
About The Position
We are seeking a Revenue Cycle Manager to join the finance leadership team to provide hands-on operational leadership for our billing and revenue cycle function across Medicaid and commercial payers. This is a newly created role designed to formalize, standardize, and scale revenue cycle operations as the organization continues to grow. The Revenue Cycle Manager will oversee day-to-day billing execution, manage a team of billers, and partner closely with the CFO to improve workflows, visibility, and performance. This role is intentionally designed as a working manager position—balancing hands-on billing with leadership, reporting, and process improvement responsibilities. During the initial onboarding period, the Revenue Cycle Manager will actively bill alongside the team to develop a firsthand understanding of existing processes, systems, and payer requirements. As workflows become standardized and visibility improves, the role will transition to a primarily managerial and improvement-focused position. Ongoing billing responsibilities are expected to represent approximately 20–30% of the role.
Requirements
- 4+ years of experience in healthcare billing or revenue cycle operations
- Hands-on experience with Medicaid and commercial payers
- Prior experience managing or leading billing staff
- Strong understanding of claims workflows, rejections, and denials
- Strong Excel and reporting skills
- Hands-on revenue cycle leader
- Builder and customer service mindset
- Collaborative partner with executive leadership
- Self-learner who proactively keeps up with billing changes, payer updates, and operational impacts
Nice To Haves
- Behavioral health experience
Responsibilities
- Oversee daily billing operations across Medicaid and commercial payers
- Actively participate in billing activities to understand workflows and payer behavior
- Ensure timely claim submission, rejection resolution, denial follow-up, and payer communication
- Maintain organized work queues and prioritize activities
- Serve as the primary escalation point for billing-related issues
- Stay current on MCO and commercial payer billing changes
- Manage, coach, and support billing staff
- Set expectations for productivity, quality, and turnaround times
- Promote consistent practices and cross-training
- Partner with the CFO to document and improve workflows
- Develop and maintain SOPs for billing activities
- Identify recurring issues and implement improvements
- Produce regular operational reporting
- Track billing lag, denial trends, and AR aging
- Provide leadership with actionable insights
- In partnership with CFO, develop KPIs such as clean claim rate, first past payment rate, denial rate, denial turnaround, claims processed, staff error rate
- Coordinate with clinical and operational teams
- Establish clear communication and escalation pathways
- Support timely operational adjustments
- Other responsibilities as needed
- Actively bill alongside the team during the initial onboarding period to develop a firsthand understanding of existing processes, systems, and payer requirements
- Ongoing billing responsibilities are expected to represent approximately 20–30% of the role
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
Number of Employees
251-500 employees
