Revenue Cycle Manager

Miller Vein•Farmington Hills, MI

13h

About The Position

The Revenue Cycle Manager oversees the day-to-day operations of Miller Vein’s revenue cycle, including insurance verification, prior authorizations, claims management, payment posting, denial management, accounts receivable, collections, reimbursement, and related financial processes. The Manager leads and supports the billing and insurance team, monitors revenue cycle performance, identifies opportunities for improvement, and works with leadership to ensure accurate, timely, and efficient financial operations. The role also ensures compliance with HIPAA, CMS, payer requirements, and applicable healthcare regulations. The Manager participates in audits and compliance reviews, maintains departmental policies and internal controls, monitors processes for accuracy and compliance, and stays current on payer requirements and changes affecting billing and reimbursement.

Requirements

Healthcare experience is required.
Strong knowledge of medical billing, insurance reimbursement, claims processing, denials, accounts receivable, and revenue cycle operations.
Experience with EMR and practice management systems.
Strong analytical and problem-solving skills.
Ability to interpret revenue cycle and financial data and translate findings into action.
Strong leadership, organizational, and communication skills.
Ability to manage multiple priorities in a fast-paced healthcare environment.
Detail-oriented with a strong commitment to accuracy and follow-through.
Experience with payor negotiations.
Prior authorization experience.
Medical practice billing experience.

Nice To Haves

Bachelor’s degree preferred.
Five years of healthcare revenue cycle experience preferred.
Three years of supervisory or management experience preferred.

Responsibilities

Manage, coach, and support billing and insurance team members.
Oversee onboarding, training, performance management, and staff development.
Establish and monitor productivity standards and performance expectations.
Conduct performance evaluations and provide ongoing feedback and coaching.
Prioritize workloads and ensure appropriate coverage and follow-up.
Foster accountability, teamwork, collaboration, and continuous improvement.
Support team members with complex billing, insurance, and reimbursement issues.
Manage insurance verification and prior authorization processes.
Oversee claims submission, payment posting, denial management, and follow-up.
Monitor accounts receivable, collections activity, and outstanding accounts.
Ensure claims are processed accurately and in a timely manner.
Review denied and underpaid claims and identify trends and opportunities for improvement.
Implement and maintain processes to maximize reimbursement and improve revenue cycle efficiency.
Work with providers, clinical teams, and administrative staff to resolve billing and insurance issues.
Identify workflow issues and recommend practical solutions.
Ensure compliance with HIPAA, CMS, payer requirements, and applicable healthcare regulations.
Participate in audits, compliance reviews, and corrective action planning.
Maintain departmental policies, procedures, and internal controls.
Monitor team processes for accuracy, consistency, and compliance.
Stay current on payer requirements and changes affecting billing and reimbursement.

Benefits

Competitive pay.
100% employer-paid medical, dental, and vision insurance for eligible employees.
401(k).
Paid time off (PTO).
Healthy work-life balance, including four-day weekends every other weekend for many clinic team members.
No evening, weekend, or holiday work (almost never).
Paid office closure between Christmas and New Year’s Day.
Community service opportunities.
Continuing education support.
Positive, upbeat office environments where teammates take care of one another.
Fun company outings.