Revenue Cycle Optimization Manager - Hybrid (w/ office hours in Nashua, NH)

SolutionHealth • Nashua, NH

6d • Hybrid

About The Position

The Revenue Cycle Optimization Manager is responsible for driving measurable improvements in accounts receivable (AR) performance, cash flow, and revenue integrity across the Southern New Hampshire Health enterprise. This role provides operational oversight of AR management, including follow-up, denial resolution, and collections optimization, while leading strategic initiatives to enhance end-to-end revenue cycle performance. The incumbent partners with revenue cycle leadership, operations, IT, clinical stakeholders, and external vendors to achieve targeted outcomes such as reduced days in AR, improved cash collections, denial reduction, and mitigation of aged balances. This role combines operational leadership, data-driven performance management, and project execution to ensure sustainable financial results while maintaining regulatory compliance.

Requirements

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or a related field required
• An additional four (4) years of relevant experience may substitute for the bachelor’s degree
• Project Management Professional (PMP) certification required within six (6) months of hire
• Minimum of five to seven (5–7) years of progressively responsible experience in revenue cycle operations with a strong focus on AR management and optimization
• Comprehensive knowledge of healthcare billing, payer reimbursement, AR follow-up, and denials management
• Understanding of CPT and ICD-10 coding and charge capture processes
• Strong analytical skills with the ability to interpret complex financial and operational data
• Advanced proficiency in Excel and reporting tools
• Excellent written and verbal communication skills, including executive-level presentations
• Ability to manage multiple priorities in a fast-paced environment
• Ability to translate data into actionable operational strategies
• Ability to lead cross-functional teams and drive accountability without direct authority

Nice To Haves

• Master’s degree preferred
• PMP certification at time of hire preferred
• HFMA certification (CRCR, CHFP) preferred
• AAHAM certification (CRCE, CPAR) preferred
• Seven to ten (7–10) years of healthcare revenue cycle leadership experience preferred
• Experience in an acute care or health system environment preferred
• Epic or similar revenue cycle system experience preferred

Responsibilities

• Own and drive performance of key AR metrics, including days in AR, aging by payer and financial class, cash collections, and denial resolution rates
• Oversee AR work queues and follow-up strategies to ensure timely and accurate resolution of outstanding balances
• Lead initiatives to reduce aged AR (90+ days) and improve overall collection velocity
• Monitor and analyze payer-specific trends, identifying systemic issues and escalation opportunities
• Establish, track, and enforce productivity and quality standards for AR staff and external vendors
• Lead denials management strategy, including root cause analysis, prevention, appeals optimization, and recovery tracking
• Develop and implement strategic initiatives to enhance operational efficiency across billing, coding, prior authorization, claims follow-up, and collections
• Apply Lean, Six Sigma, or similar methodologies to streamline workflows and reduce waste
• Identify and resolve systemic issues impacting cash flow, including front-end errors, documentation gaps, coding inaccuracies, and payer-related challenges
• Analyze revenue cycle data and KPIs to develop actionable improvement plans and performance dashboards
• Lead cross-functional revenue cycle projects from initiation through implementation and stabilization
• Manage multiple concurrent initiatives, including enterprise-wide and vendor-led efforts
• Serve as a liaison among clinical, operational, financial, IT teams, and external partners
• Lead change management efforts including workflow redesign, communication, training, and adoption strategies
• Oversee vendor performance and ensure adherence to service level agreements
• Ensure compliance with regulatory requirements, payer guidelines, and internal policies

Benefits

• Health, dental, prescription, and vision coverage for full-time & part-time employees
• Medical, dental, and vision coverage
• Life insurance
• Short- and long-term disability
• Flexible Spending Accounts (FSA)
• Competitive pay
• Tuition Reimbursement
• Nursing Student Loan Paydown Program
• 403(b) Retirement Savings Plan
• Education & Paid training courses for continued career progression

What This Job Offers

• Job Type: Full-time
• Career Level: Manager