Revenue Cycle Manager

Unison Health•Toledo, OH

About The Position

The Revenue Cycle Manager partners closely with clinical, administrative, and operational teams to ensure documentation, coding, and billing processes align with regulatory and payer requirements. The position provides leadership over revenue cycle staff, monitors key performance indicators, drives process improvements, and serves as the primary escalation point for complex billing and reimbursement issues. Through continuous oversight, reporting, and compliance monitoring, this role plays a critical part in maintaining the organization’s revenue integrity and financial sustainability.

Requirements

Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Master’s degree preferred.
3+ years of management experience and staff development required.
3–5 years of progressive experience in healthcare revenue cycle operations, including patient access, coding, billing, and claims management across multiple payer types.
Strong knowledge of healthcare billing, coding, reimbursement methodologies, and payer regulations (commercial, Medicare, Medicaid, managed care).
Working knowledge of federal and state regulations impacting billing and reimbursement, including HIPAA and CMS requirements.
Experience monitoring revenue cycle KPIs such as denial rates, clean claims, days in A/R, and charge capture accuracy.
Proficiency with EHR systems and revenue cycle management software.
Strong analytical, problem-solving, and communication skills with the ability to manage multiple priorities in a fast-paced setting.

Nice To Haves

Master’s degree preferred.

Responsibilities

Manage day-to-day revenue cycle operations, including registration, coding, billing, claims submission, and reimbursement.
Ensure accurate, timely, and compliant billing practices to optimize reimbursement and minimize denials.
Monitor key performance indicators (KPIs) such as denial rates, clean claim rates, and days in A/R; take corrective action as needed.
Implement and maintain revenue cycle policies and procedures to improve efficiency and reduce claim rework.
Supervise, train, and support revenue cycle staff, promoting accountability and consistent performance.
Collaborate with clinical and administrative teams to ensure accurate documentation and compliant coding and billing practices.
Resolve complex billing and reimbursement issues and serve as the primary escalation point for staff.
Maintain compliance with federal, state, and payer regulations, including HIPAA and CMS guidelines.