Revenue Cycle Manager

Acuity Eye Group • Arcadia, CA

2d

About The Position

The Manager, Revenue Cycle manages and oversees the Company’s authorization, coding, billing, claims, and collections. The role is responsible for maximizing departmental productivity and minimizing errors through structured auditing, reporting, and follow-up training. It has strategic and hands-on responsibilities within the finance department, including billing operations and strategy, planning, management, analysis, and policy development.

The manager oversees day-to-day authorization, invoicing, and collections activities; manages denials; develops compliant policies and procedures; and leads and develops team members. The role reports revenue cycle results and trends to the executive team, establishes productivity and quality metrics, creates and streamlines standard operating procedures, and collaborates with Finance on month-end close and annual audits. The position is primarily office-based, with controlled temperatures and low-to-moderate noise. It does not involve practicing ophthalmology or controlling or interfering with clinician-patient relationships.

Requirements

• Bachelor’s degree in Business, Finance, Accounting, Healthcare Administration, or equivalent.
• At least 5 years of billing experience.
• At least 3 years of management experience, including managing subordinates and teams.
• Experience working in an integrated health care system.
• Accounts-receivable-oriented experience; familiarity with daily and monthly closings and revenue cycles for all payers.
• Demonstrated knowledge of insurance companies, HMOs, PPOs, Medicare, and third-party payers.
• Experience directly overseeing payer and provider billing, collections, and cash posting.
• Ability to facilitate communication among stakeholders, extract relevant information, identify problems, and develop sustainable, scalable solutions.
• Ability to optimize the revenue cycle through team members, operational processes, and detailed data analysis.
• Results-driven approach and ability to focus time and effort on key drivers.
• Understanding of key metrics, revenue drivers, and return-on-investment expense analytics.
• Strong research and auditing skills; ability to analyze financial information and determine its business impact.
• Ability to identify and resolve issues promptly and proactively.
• Ability to communicate a vision, align and develop team members, provide direct feedback and coaching, delegate responsibility, and hold team members accountable.
• Ability to build trusting, mutually respectful relationships with professionals and clinicians.
• Strategic planning skills, including setting objectives, measuring and communicating monthly results, prioritizing work, and planning 6–12 months ahead.
• Ability to collaborate with peers and support resources and improve operational processes through innovation and analysis.
• Detail-oriented, organized, process-focused, self-motivated, proactive, customer-service-focused, and capable of problem solving.
• Independent judgment and ability to make timely, accurate decisions with incomplete or unclear information.
• Ability to multitask and prioritize work in a fast-paced, sometimes ambiguous environment while maintaining quality and contributing to organizational success.

Nice To Haves

• Master’s degree in Business, Finance, Accounting, or Healthcare Administration.
• Prior coursework or on-the-job training in ophthalmology, insurance, and management.
• Knowledge of Word, Excel, PowerPoint, and CareCloud.
• Revenue Cycle Certification (desired, but not required).

Responsibilities

• Manage the organization’s full revenue cycle.
• Oversee day-to-day authorization, invoicing, and collections activities.
• Oversee denials management, including reporting, accountability, and resolution.
• Protect confidentiality in accordance with federal guidelines, established policies and processes, and payer and provider contracts.
• Develop and implement policies and procedures to comply with new regulatory standards affecting billing and revenue.
• Manage, train, and coach team members; create personnel development and succession plans; and partner with HR as needed to support an engaged, productive team.
• Communicate revenue cycle successes, challenges, and trends to the executive team.
• Create and implement productivity and quality metrics.
• Create and implement standard operating procedures and streamline processes.
• Collaborate with Finance on month-end close and annual audit processes.
• Perform other duties as assigned by management.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager