Revenue Cycle Manager
About The Position
A growing healthcare organization is seeking a Revenue Cycle Manager to oversee and optimize the full revenue cycle process, including billing, collections, coding, credentialing, and reimbursement operations. This individual will work closely with clinical and administrative teams to improve financial performance, reduce denials, and ensure compliance across revenue cycle functions. The ideal candidate will bring revenue cycle leadership experience, medical billing and coding expertise, and a strong understanding of healthcare reimbursement, insurance processes, and regulatory compliance. Experience with eClinicalWorks (eCW) is preferred.
Requirements
- 5+ years of revenue cycle management experience
- Strong knowledge of medical billing, coding, and reimbursement processes
- Experience with healthcare EMR/EHR systems
- Understanding of insurance verification, claims management, denials, and collections
- Strong leadership and team management skills
- Excellent analytical, communication, and problem-solving abilities
Nice To Haves
- Experience with eClinicalWorks (eCW)
- Experience overseeing credentialing processes
- Bachelor's degree in Healthcare Administration, Finance, Business, or related field
- Experience with eClinicalWorks (eCW)
- Experience with provider credentialing
- Community health center or FQHC experience
Responsibilities
- Oversee all aspects of the revenue cycle from insurance verification through payment collection
- Monitor billing, collections, coding, and reimbursement activities
- Improve processes to increase collections, reduce denials, and accelerate cash flow
- Ensure claims are submitted accurately and timely
- Lead and develop billing, coding, and credentialing teams
- Establish performance metrics and accountability standards
- Train and support staff to improve efficiency and accuracy
- Collaborate with providers and support staff to ensure proper documentation and timely note completion
- Oversee provider credentialing and recredentialing activities
- Ensure compliance with payer requirements and healthcare regulations
- Conduct audits to maintain billing accuracy and regulatory compliance
- Maintain adherence to HIPAA and other applicable healthcare standards
- Develop and track key performance indicators
- Analyze revenue cycle performance and identify opportunities for improvement
- Partner with executive leadership on revenue cycle strategy and planning
- Participate in annual fee schedule and chargemaster reviews
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
