Revenue Cycle Manager

Together Women's Health, LLC•Grosse Pointe Farms, MI

About The Position

The Revenue Cycle Manager oversees and optimizes accounts receivable processes to support timely, accurate collection of outstanding insurance and patient balances. The role works closely with billing and coding teams and other departments to streamline workflows, resolve issues, and improve financial performance. The ideal candidate has significant Athena EMR experience and a proven track record managing accounts receivable processes effectively. This position leads and mentors the AR and Customer Service team, collaborates with charge entry and other functions, analyzes performance metrics, and ensures compliance with regulatory requirements, payor policies, and industry best practices. It also supports staff training on Athena EMR revenue cycle functionalities and communicates relevant billing and coding changes to stakeholders.

Requirements

High school diploma required.
Minimum 5 years of experience in revenue cycle management operations, with a strong focus on accounts receivable.
Excellent written and oral communication skills and problem-solving ability.
High attention to detail and accuracy.
Ability to work independently and as part of a team, and to manage projects through completion.
Advanced working knowledge of Microsoft Excel.

Nice To Haves

Bachelor’s degree in Finance, Accounting, Healthcare Administration, Business, or another related field.
Experience in women’s healthcare-related specialties.
At least 1 year of Athena Healthcare EMR experience.
AAPC or AHIMA certification, such as CPC or CCS.

Responsibilities

Oversee end-to-end accounts receivable processes, including claim resubmissions, denial management, and patient collections.
Develop and implement strategies to reduce days in accounts receivable and improve collection rates.
Monitor accounts receivable aging reports and proactively address issues or delays.
Troubleshoot system-related issues affecting accounts receivable, including posting issues and payor correspondence.
Train and support staff on Athena EMR functionalities related to revenue cycle management.
Lead and mentor the AR and Customer Service team, supporting performance and professional development.
Collaborate with the charge entry team and other functions to resolve accounts receivable issues and improve operational efficiency.
Analyze accounts receivable metrics and key performance indicators to identify trends and improvement opportunities.
Compile data submissions for payor-related projects with project management oversight.
Prepare and present regular reports on accounts receivable performance, including key metrics and action plans.
Ensure adherence to regulatory requirements, payor policies, and accounts receivable best practices.
Stay current on industry trends and billing and coding regulatory changes, and communicate needed modifications to stakeholders.