Senior Revenue Cycle Management Project Manager (Systems, Reporting, SLA experience)

MicroHealth, LLC•Vienna, VA

7d•$110,000 - $120,000•Remote

About The Position

MicroHealth is seeking an experienced and strategic Senior Revenue Cycle Management Project Manager to lead enterprise-level financial initiatives within healthcare organizations. This senior-level position requires a dynamic leader with extensive hands-on management experience (10+ years minimum) who can drive cross-functional teams to streamline patient access, billing, and collections processes while optimizing technology platforms and ensuring regulatory compliance to maximize cash flow and minimize claim denials. The Senior Revenue Cycle Management Project Manager oversees complex, multi-faceted revenue cycle programs from end to end. This role demands a strategic thinker who can balance operational excellence with financial performance, leveraging data analytics and process improvement methodologies to achieve measurable results. The ideal candidate will serve as a key liaison between clinical, financial, and IT departments to align revenue goals with broader organizational objectives.

Requirements

Bachelor’s degree in healthcare administration, Business, Finance, Health Information Management, or a related field required
Minimum 10+ years of extensive hands-on management experience in healthcare revenue cycle management with demonstrated success leading large-scale projects or transformations
Proven track record of managing enterprise-level revenue cycle initiatives from conception through implementation
Experience with Careview and InnovAlone systems required
Demonstrated expertise in reporting and managing Service Level Agreements (SLAs)
Experience working in remote/distributed team environments
Background in healthcare operations, finance, or health information management
Certified Revenue Cycle Professional (CRCP), Certified Revenue Cycle Representative (CRCR), or similar revenue cycle certification required
Certification in coding (CPC, CCS, or equivalent), billing, and/or auditing required
Advanced proficiency with Careview and InnovAlone platforms (required)
Exceptional system experience with ability to quickly master new technologies and software applications
Proficiency in major Electronic Health Record (EHR) systems such as Epic, Cerner, Meditech, or Allscripts
Advanced skills in data analytics tools including Tableau, Power BI, Microsoft Excel, or SQL
Experience with revenue cycle management software and billing systems
Strong understanding of medical coding (ICD-10, CPT, HCPCS) and billing regulations
Familiarity with claims processing systems and clearing houses
Expertise in developing and managing reporting frameworks and dashboards
Demonstrated ability to manage and monitor Service Level Agreements (SLAs)
Change management expertise with proven ability to drive adoption of new processes and technologies
Attention to detail and accuracy particularly in financial and compliance matters

Responsibilities

Apply formal project management methodologies (Agile, Waterfall, Hybrid) to manage scope, timelines, budgets, and risks across complex front-, middle-, and back-end revenue cycle programs
Lead cross-functional teams including clinical staff, billing specialists, IT professionals, and executive stakeholders
Develop comprehensive project charters, work breakdown structures, and communication plans
Monitor project milestones and deliverables, ensuring alignment with organizational strategic goals
Manage and report on Service Level Agreements (SLAs), ensuring compliance with contractual obligations and performance metrics
Identify operational bottlenecks and inefficiencies across the revenue cycle continuum
Design and implement standardized workflows to increase efficiency and reduce errors
Deploy automation solutions to streamline repetitive tasks and improve accuracy
Conduct process mapping and gap analysis to identify improvement opportunities
Champion change management initiatives to ensure successful adoption of new processes
Analyze claim rejection and denial trends to identify root causes and systemic issues
Direct targeted strategies to improve clean claim rates and accelerate reimbursement cycles
Collaborate with coding and billing teams to address documentation deficiencies
Implement denial prevention programs and appeal processes
Monitor payer-specific requirements and adjust workflows accordingly
Track and report on core Key Performance Indicators (KPIs) including: Days in Accounts Receivable (A/R), Net collection rates, Clean claim rates, Denial rates and appeal success rates, Point-of-service collections, Cost-to-collect ratios
Generate routine executive reports and dashboards for senior leadership
Develop comprehensive reporting frameworks to support data-driven decision-making
Conduct variance analysis and recommend corrective actions
Present findings and recommendations to C-suite executives and board members
Act as a strategic liaison between clinical, financial, and IT departments
Facilitate regular meetings with stakeholders to ensure alignment on revenue goals
Translate complex financial and technical concepts for diverse audiences
Build consensus among competing priorities and resource constraints
Maintain transparent communication channels with all project participants
Ensure all billing and coding practices adhere to federal, state, and payer regulations
Stay current on regulatory changes including CMS guidelines, HIPAA requirements, and payer policies
Oversee internal and external auditing processes to ensure compliance and accuracy
Coordinate with compliance officers to address audit findings and implement corrective action plans
Develop and maintain compliance documentation and standard operating procedures
Apply certification knowledge in coding, billing, and auditing to ensure best practices
Demonstrate proficiency with Careview and InnovAlone platforms (required)
Optimize Electronic Health Record (EHR) system configurations to support revenue cycle workflows
Collaborate with IT teams on system implementations, upgrades, and integrations
Exhibit strong system savvy to quickly learn and adapt to new technologies and platforms
Evaluate and recommend revenue cycle management software and tools
Ensure data integrity across multiple systems and platforms