Revenue Cycle Manager
About The Position
The Revenue Cycle Manager oversees and optimizes front-end revenue cycle operations, including charge capture, eligibility verification and prior authorizations, Athena (EMR) billing workflows, coordination with an external billing vendor, and leadership of the internal patient collections function. This role establishes standards, monitors performance, and drives cross-functional process improvement to support accurate, timely, compliant billing and a positive patient financial experience. The Revenue Cycle Manager aligns front-end billing practices with organizational goals by ensuring clean charge capture, timely authorizations, efficient Athena (EMR) workflows, and disciplined follow-through with internal teams and the external billing vendor to drive accurate, compliant, patient-centered reimbursement outcomes.
Requirements
- Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field (Master’s preferred).
- 5+ years of progressive experience in healthcare revenue cycle management.
- Strong knowledge of Athena (EMR) workflows and revenue cycle best practices.
- Strong knowledge of OB/GYN billing.
- Experience with out-of-network (OON) billing.
- Experience collaborating with external vendors and managing internal teams.
- Excellent leadership, communication, and problem-solving skills.
- Ability to analyze data, identify trends, and implement process improvements.
Responsibilities
- Leads the Patient Finance Supervisor and Charge Capture Team by setting clear expectations, assigning priorities, providing coaching and performance feedback, and establishing training and quality-audit routines that strengthen accuracy, accountability, and service standards.
- Partners closely with scheduling, registration, and clinical leaders to reinforce documentation and workflow handoffs, remove barriers to timely patient care, and resolve issues that impact patients and reimbursement.
- Set and monitor front-end revenue cycle standards (charge entry, eligibility verification, and authorization turnaround times) to reduce denials and rework.
- Use Athena reporting and worklists to identify trends, root causes, and opportunities to improve claim quality and speed to bill.
- Establish performance expectations, training, and quality audits for charge capture, prior authorization, and patient finance staff.
- Hold the external billing vendor accountable to agreed service levels and KPIs, ensuring clear escalation paths and timely issue resolution.
- Maintain compliant, consistent patient billing and collections practices, including financial counseling and payment plan governance.
- Prepare actionable revenue cycle dashboards for leadership and recommend process or policy changes to improve performance.
- Oversee front-end charge capture processes to ensure accurate and complete documentation of patient encounters.
- Oversee eligibility verification and prior authorization workflows to secure timely approvals and prevent delays in care and reimbursement.
- Partner with clinical, scheduling, and registration teams to reinforce documentation requirements and correct workflow handoffs.
- Serve as the subject matter expert for Athena workflows related to billing, coding, and claims submission.
- Monitor system performance, identify workflow inefficiencies, and implement process improvements.
- Train and support staff on best practices for Athena usage to maximize efficiency and compliance.
- Act as the primary liaison to the external billing vendor, ensuring clear communication, adherence to contractual obligations, and alignment to performance metrics.
- Review vendor reports and KPIs, monitor claim resolution rates, and escalate issues to ensure timely root-cause correction.
- Oversee the internal patient collections team by setting performance expectations, providing coaching, and monitoring results.
- Develop and maintain policies for patient payment plans, financial counseling, and compassionate, compliant collections practices.
- Monitor collection performance and implement strategies to improve recovery while maintaining a positive patient experience.
- Ensure compliance with federal, state, and payer requirements, including HIPAA.
- Prepare and present revenue cycle performance reporting to leadership, including trends, risks, and recommended actions.
- Stay current on regulatory and industry changes impacting billing, collections, and payer policies.
Benefits
- Paid Time Off
- 401(k) with match
- Medical, Dental, and Vision Insurance
- Employee Assistance Programs
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Manager
