Revenue Cycle Systems Senior Manager

ARIZONA ARTHRITIS & RHEUMATOLOGY ASSOCIATES PC • Glendale, AZ

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About The Position

Arizona Arthritis & Rheumatology Associates, P.C. is the largest private Rheumatology practice in the United States. The practice has over 60 providers, 15 sites and over 350 employees providing assessment and treatments for our rheumatology patients. Our providers work together to keep patients healthy and are recognized for excellence in medicine and for being pioneers in new treatments, ably supported by our Research department.
We are an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.
Our vision is to provide the best Rheumatology care, anywhere and, to balance sustainable operation with the highest possible level of patient care.
We are a seeking an ambitious, friendly, positive, and compassionate Revenue Cycle Systems Senior Manager to join our team.
The Revenue Cycle Systems Senior Manager creates centralized ownership of systems, workflows, vendor performance, and all pre-claim revenue cycle operations.
This role is responsible for ensuring that all activities leading up to claim creation — including eligibility, referrals, charge entry, and system workflows — are accurate, efficient, and optimized to prevent downstream revenue loss.
This position transforms pre-claim operations from a fragmented, reactive function into a structured, performance-driven capability, ensuring clean claim generation and scalable revenue cycle performance. Working alongside the AR Manager to also create systems to monitor, quantify, and collect data on AR as well as create systems and dashboards to prevent, report, and decrease denials and low productivity.

Requirements

• 5+ years in Revenue Cycle systems or operations
• Strong knowledge of NextGen PM/EHR and workflows
• Experience with clearinghouse processes (837/835)
• Advanced Excel and data analysis skills
• Experience managing system issues and root cause analysis
• Strong understanding of end-to-end RCM workflows

Nice To Haves

• Experience with RCX rules engine
• Vendor management experience (offshore teams preferred)
• Healthcare interface and data flow knowledge (SFTP, integrations)
• Process improvement / automation experience

Responsibilities

• Own end-to-end pre-claim workflow performance, including:
• Eligibility verification
• Referral management
• Charge entry accuracy and timeliness
• Own NextGen PM/EHR functionality and optimization
• Monitor:
• Charge entry workflows
• Payment posting accuracy (system integrity oversight, not ownership)
• RCX rules and edits
• Oversee:
• Vendor performance (Sunrise, YVW) across pre-claim functions
• QA, productivity, and accuracy standards
• Manage:
• System interfaces and data flow
• Pre-claim workflow standardization
• Build and maintain:
• Daily dashboards:
• Charge lag
• Eligibility issues
• Referral gaps
• Error rates
• Identify and resolve:
• Root causes of front-end errors impacting clean claim rate
• Workflow breakdowns prior to claim submission
• Partner with:
• IT and Informatics on system performance and upgrades
• AR Manager on denial trends tied to front-end issues

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 1-10 employees