Revenue Cycle Manager
About The Position
Eventus WholeHealth delivers an integrated model that provides holistic care for medically vulnerable adults achieving extraordinary outcomes for the people we serve. We do this through a value-driven framework of excellence, integrity, person-centeredness, stewardship and teamwork. This care is provided to adults who reside in skilled nursing, assisted living facilities and private residences through a network of healthcare providers including Physicians, Nurse Practitioners, Physician Assistants, Psychologists, Licensed Clinical Social Worker, and Clinical and Administrative Support Staff. The Revenue Cycle Manager is responsible for the day-to-day performance of Eventus WholeHealth’s revenue cycle across its multi-state physician group, including Medicare provider enrollment and credentialing, denial management, cash posting and collections, and third-party RCM vendor oversight. This role owns the measurement and enforcement of vendor service-level agreements (SLAs), produces monthly performance reporting for finance and operations leadership, and applies hands-on data analysis to identify root causes of aging, denials, and underpayment. The manager partners closely with the Senior Director of Revenue Cycle Management to drive net collections, reduce days sales outstanding (DSO), and improve the integrity and completeness of the end-to-end revenue cycle.
Requirements
- Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field preferred; equivalent revenue cycle experience considered
- Minimum 5 years of progressive healthcare revenue cycle experience, including at least 2 years in a supervisory or management capacity
- Expert-level knowledge of Medicare provider enrollment and credentialing (PECOS, CMS- 855 forms, PTAN maintenance, revalidations, reassignments, and MAC jurisdiction requirements)
- Demonstrated experience in denial management, cash posting, and collections across multiple payers and states
- NextGen Enterprise experience preferred
- Expert command of Medicare enrollment and credentialing workflows across MAC jurisdictions (e.g., Palmetto GBA, WPS, CGS), including PECOS, revalidations, reassignments, and practice-location changes
- Advanced data analytics and reporting, including Excel (pivot tables, SUMIFS, lookups) and building recurring KPI dashboards and board-level reports
- Strong knowledge of denial management, payer contracts, net realizable value, and AR aging analysis (velocity- and level-based)
- Proficiency with RCM and practice-management systems (e.g., NextGen Enterprise, ChartPath) and GL integration; ability to calculate and audit vendor SLAs
Responsibilities
- Own the measurement, monitoring, and enforcement of third-party RCM vendor service-level agreements, including DSO, AR >90 days, and cash-collection targets; escalate performance gaps and manage cure timelines
- Direct Medicare provider enrollment and credentialing activities, ensuring accurate and timely PECOS submissions, revalidations, reassignments, PTAN maintenance, and new practice-location and entity enrollments
- Manage denial prevention and appeals, analyzing denial trends by payer, reason code, and service line to drive root-cause resolution and reduce preventable write-offs
- Oversee cash posting and collections, ensuring payments, adjustments, and contractual allowances are applied accurately and timely and that unresolved balances are actively worked
- Prepare monthly revenue cycle performance reports for finance and operations leadership, including KPI cards, trend and year-over-year analysis, and management narrative
- Perform hands-on data analysis across large claim and remittance datasets to identify aging drivers, underpayments, and enrollment-related revenue leakage
- Reconcile cash-to-AR activity and support month-end close, partnering with accounting on revenue recognition and accrual cutoffs
- Monitor AR aging using net realizable value frameworks and support the development of collection and reserve strategies
- Develop, document, and continuously improve revenue cycle policies, workflows, and internal controls to ensure compliance and operational efficiency
- Other related duties as assigned
Benefits
- Flexibility – no call, no weekends
- Paid Time Off and paid Holidays
- Medical Insurance, including HSA and FSA options
- Dental and Vision insurance
- Employer-paid employee life insurance
- Short-term / long-term disability options
- Voluntary Life and AD&D Coverage
- Employer 401(k) contributions
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
