Revenue Cycle Manager

Surgical Information Systems•Pine Manor, FL

23h•Remote

About The Position

The Revenue Cycle Manager (RCM) will lead a revenue cycle team or region, providing direct supervision to managers while driving strong communication, sound decision‑making, and measurable results for clients. This is an exciting time of growth for the organization, and this role offers the opportunity to join a dynamic, collaborative team that is expanding services, strengthening processes, and delivering meaningful impact across a growing client base. In this role, the RCM will be responsible for achieving clearly defined outcomes for multiple clients within a medical billing services environment. As a people leader, the RCM will develop and execute consistent strategies that drive best‑in‑class service, high‑quality results, responsiveness, and clear direction for both teams and clients. The RCM will work closely with fellow RCMs, senior leadership, and assigned clients, partnering cross‑functionally to assess and support staffing, tools, coaching, and training needs to ensure regional success and continued organizational growth.

Requirements

High school graduate or GED certification
3–5 years of management experience
Experience in ambulatory surgery center, surgical hospital, or hospital billing environments
Experience with forecasting, staffing, scheduling, and workload balancing
Demonstrated success in performance management and coaching high‑performing teams
Experience interviewing and selecting talent aligned with team needs
Strong customer service orientation
Advanced analytical, critical thinking, and problem‑solving skills
Effective written and verbal communication skills across all organizational levels
Excellent organizational skills with the ability to manage multiple priorities
Prior experience in a medical office or call‑center environment strongly preferred

Nice To Haves

AA degree in Management Preferred

Responsibilities

Drives consistent, high‑quality daily outcomes in alignment with established operational expectations during routine business hours.
Drives strong performance outcomes by emphasizing high productivity, quality, and accountability. On a weekly basis, or more frequently as needed, coaches team members to develop structured work plans focused on effective time management, organization, and performance metrics.
Reviews client cash summaries to ensure accuracy and completeness
Reviews posting folders in SharePoint for timely processing
Reviews accounts to ensure proper application of payments
Conducts weekly reviews of ERA/EFT/ACH enrollments
Performs weekly full reconciliation of cash summaries
Reviews payment and adjustment transactions to ensure appropriate job codes are utilized
Resolves Waystar balance discrepancies and reports out‑of‑balance items
Manages month‑end processes, including confirmation of posted refunds, total refund dollars, total monthly collection recoveries, closure of all payment posting batches, confirmation of total recoupments, and completion of all required month‑end reports
Oversees billing activities by reviewing and resolving billing inquiries, confirming prior‑day query resolution, and performing quality assurance on high‑priority or problematic cases
Ensures accurate charge entry, processing of client hard‑post transactions, and timely submission of billed charges via Waystar, paper, or fax as applicable
Manages Waystar rejections and resolves coordination of benefits (COB) errors
Ensures billing rules are current, accurate, and consistently followed
Reconciles unbilled cases against PAS at minimum on a weekly basis
Completes all required end‑of‑month billing activities
Reviews unbilled reports daily for discrepancies and shares weekly reports with clients
Oversees the forward‑to‑billing queue on a weekly basis
Maintains ongoing communication with the coding department to support workflow accuracy and efficiency
Push Wednesday – Each week (excluding end‑of‑month weeks), performs a “soft close” to assess readiness for month‑end close. Activities focus on ensuring all cases are billed, RFIs are current and escalated as appropriate, and all cash is posted and balanced. A summary report is shared with the team and clients by noon the following day.
Credit Balances – Verifies credit balances are worked in accordance with policy. Payment‑generated credit balances are addressed and documented within ten (10) business days, and refund requests are processed within fifteen (15) business days when applicable.
AR Follow-up Metrics – Validates that productivity and quality metrics are maintained at 90–94% to meet expectations and 95% or greater to exceed expectations. When performance falls below targets, escalates issues to the Client Services Manager (CSM) and establishes corrective action plans.
Consistently measures and evaluates associate performance against established goals and objectives. Conducts one‑on‑one coaching and feedback sessions at least monthly, and more frequently as needed.
Proactively monitors key performance indicators (KPIs) and recommends, develops, and implements improvements to achieve or exceed targets.
Timely Closing – Ensures centers close on or before the fifth business day to meet expectations and on or before the third business day to exceed expectations.
Days to Bill/Lag Days – Maintains client‑specific goals, generally five (5) days or fewer, recognizing targets may change based on client needs.
AR > 90 Dollars – Maintains AR within client‑specific thresholds (“floor”). Performance within one percent of the target meets expectations; exceeding goals by two points or more exceeds expectations.
Credit Balances – Ensures accurate tracking and documentation of credit balances, including monthly refund request submissions and detailed account notes. Audit results of 90–94% meet expectations; 95% or greater exceeds expectations.
Expenses-Manages regional staffing expenses to ensure efficient and effective operations
RCM Brain-Resolves RCMBrain queue items daily
Actively participates in routine and ad‑hoc meetings, performance improvement initiatives, project development, and execution
Responds to leadership, client, and associate inquiries using data‑driven insights and sound analysis
Coaches associates toward improved performance and makes timely personnel decisions when improvement is not achieved
Partners with Human Resources on recruiting, interviewing, and hiring decisions, providing clear rationale for selections
Oversees onboarding and training of new team members, documenting progress and competency
Consistently meets budgeted revenue and expense targets
Ensures compliance with all applicable employment laws and regulations, including Equal Employment Opportunity (EEO) and the Americans with Disabilities Act (ADA)