About The Position

Active Day is seeking a Revenue Cycle Manager to own and improve core revenue cycle performance with a strong focus on aged A/R reduction (90+ days), cash acceleration, payer relations, and team development. This leader will partner closely with Operations, Finance, and external billing agencies to strengthen outcomes, reporting, and communication across the organization.

Requirements

  • Bachelor’s degree required (Accounting, Finance, or Business preferred)
  • 5+ years of healthcare revenue cycle experience strongly preferred
  • Medicaid billing experience required
  • Strong A/R management, revenue reporting, and analytical skills
  • Experience with clearinghouses, payer portals, and EHR/billing systems
  • Advanced Excel and Microsoft Office skills
  • Strong written, verbal, and relationship-building communication skills

Nice To Haves

  • Prior people management experience
  • Experience in HCBS, adult day health, or Medicaid-heavy environments
  • Multi-site healthcare operations experience
  • Knowledge of CPT-4/HCPCS, ICD-10-CM, UB-04, CMS-1500
  • Experience with managed care organizations and government payers
  • Demonstrated process improvement and performance optimization experience
  • HFMA certification or active HFMA/ACHE involvement

Responsibilities

  • Oversee revenue cycle functions including billing, collections, denials, appeals, cash posting, adjustments, remittance processing, and revenue cycle reporting.
  • Partner with Operations on authorization workflows to support clean claims and timely reimbursement.
  • Drive reduction of 90+ day A/R, strengthen write-off and adjustment processes, and accelerate cash collections.
  • Improve private pay collection workflows and reduce payer issue resolution turnaround times.
  • Manage payer relationships, escalations, and appeals; maintain current knowledge of payer policies and reimbursement rules.
  • Own daily/weekly/monthly/quarterly KPI reporting; analyze trends across A/R, charges, payments, adjustments, and cash.
  • Prepare bad debt reporting and walk-forward schedules supporting all A/R activity.
  • Provide support for audits and year-end reimbursement reporting.
  • Lead, mentor, and develop internal A/R and cash posting teams; coordinate closely with external billing partners.
  • Improve communication and coordination between Revenue Cycle and Operations leadership.
  • Ensure compliance with State/Federal regulations and payer requirements.
  • Identify risks, trends, and improvement opportunities; escalate issues as needed.
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