Revenue Cycle Manager - Billing Operations - Life Flight Network - Work at Home

Mercy Health BSMH • Toledo, OH

8d • Remote

About The Position

The Revenue Cycle Manager provides leadership and oversight for EMS Transportation billing and revenue cycle operations, ensuring timely, accurate, compliant, and fiscally responsible billing and collections for ground and air medical transportation services. The role directs and develops billing staff, sets and monitors performance expectations, and partners with EMS Operations, Revenue Cycle, Finance, payers, and other stakeholders to improve revenue realization, reduce accounts receivable, resolve billing and payer issues, and support a positive patient financial experience.

The manager oversees daily billing operations, including claim submission, payment posting, accounts receivable follow-up, denials and underpayments, insurance verification and authorization, compliance, financial reconciliation, and reporting. The position uses financial and operational analytics to identify trends, create corrective action plans, improve performance, and inform strategic decisions. It also supports billing systems and departmental projects, maintains appropriate financial controls, and serves as a subject matter expert for EMS Transportation billing.

Requirements

• High school diploma or GED.
• Three to five years of experience in healthcare revenue cycle, medical billing, EMS billing, or a related healthcare financial environment.
• Demonstrated experience with accounts receivable management, insurance billing, payer follow-up, denial management, and financial reconciliation.
• Experience working with billing systems and financial reporting tools.
• Ability to lead or direct others.
• High degree of analytical ability.
• Working knowledge of Microsoft Office.
• Prior experience in healthcare billing operations.
• Certified Ambulance Coder within six months of the start date, or equivalent EMS billing certification approved by the organization.

Nice To Haves

• Bachelor's degree, preferably in Business, Healthcare Administration, Finance, Revenue Cycle Management, or a related field.
• Two or more years of supervisory or management experience.
• Certification or formal training in healthcare revenue cycle, medical billing, medical terminology, EMS billing/coding, or a related field.
• Knowledge of registration, insurance, scheduling, insurance verification, or hospital billing.
• Experience in air and ground medical transportation billing and operations.

Responsibilities

• Oversee daily EMS Transportation billing activities, including claim submission, payment posting, account follow-up, denial management, correspondence, adjustments, refunds, and account resolution.
• Manage and develop billing staff by setting expectations, monitoring productivity and quality, conducting check-ins and evaluations, coaching, taking corrective action as appropriate, and promoting professional development and accountability.
• Develop and maintain billing training programs, including new employee orientation and continuing education on EMS billing, payer requirements, organizational policies, systems, regulatory changes, and revenue cycle processes.
• Monitor revenue cycle performance and develop, maintain, and analyze key performance indicators such as collections, accounts receivable days and aging, denials, clean claims, submission timeliness, payment variance, and productivity.
• Oversee insurance filing and accounts receivable management, including claim follow-up, payer correspondence, payment posting, reconciliation, denial and rejection resolution, underpayment identification, and escalation of complex payer issues.
• Ensure accurate and timely financial reconciliation, including deposits, payment posting, adjustments, refunds, daily and monthly balancing, audits, and investigation of discrepancies.
• Partner with EMS operational leadership to improve financial performance, documentation, billing accuracy, charge capture, authorizations, collections, and revenue cycle results.
• Monitor payer requirements and revenue cycle compliance, including applicable Medicare, Medicaid, commercial payer, EMS transportation, organizational, regulatory, and compliance requirements.
• Identify and analyze denial, rejection, and underpayment trends, assess their financial impact, and coordinate corrective actions with relevant teams and payer representatives.
• Support the development and implementation of billing processes and procedures, including workflow improvements, system utilization, automation, reduced manual work, and stronger revenue cycle controls.
• Coordinate departmental staffing and schedules, plan coverage, monitor staffing needs, balance staffing with operational demands, and minimize unnecessary overtime.
• Prepare and present regular financial and operational reports on billing performance, accounts receivable, collections, payer performance, denials, and productivity, and escalate significant trends, risks, and opportunities.
• Participate in or lead projects involving billing systems, payer initiatives, process changes, revenue cycle improvements, and technology implementations.
• Serve as a subject matter expert and resource for staff and operational leaders on billing requirements, payer issues, account resolution, documentation, and revenue cycle processes.
• Promote service excellence for patients, families, payers, EMS associates, providers, and other customers, and support a positive patient financial experience.
• Ensure billing, payment posting, adjustments, refunds, deposits, and other financial activities comply with organizational policies and internal controls.
• Perform other duties and responsibilities as assigned.

Benefits

• Competitive pay, incentives, referral bonuses, and a 403(b) with employer contributions when eligible.
• Medical, dental, vision, and prescription coverage; HSA/FSA options; life insurance; mental health resources; and discounts.
• Paid time off, parental and FMLA leave, short- and long-term disability, and backup care for children and elders.
• Tuition assistance, professional development, and continuing education support.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED