Sr. Revenue Cycle Manager
About The Position
The Sr. Revenue Cycle Manager manages the Appeals, Payment Posting, Collections, and Financial Counseling teams. The role ensures adherence to established standard operating procedures (SOPs) and achievement of key performance indicators (KPIs) to maintain revenue cycle efficiency. Working collaboratively with leadership, the manager keeps accounts receivable (A/R) within organizational targets, provides technical oversight for billing and appeals across all payers, and identifies performance variances and revenue cycle management trends. The manager oversees claims and appeals, monitors performance metrics, organizes daily workflows, leads staff, and reports results to leadership. The role also supports compliance and staff education and identifies and implements process improvements. It reports to the Revenue Cycle Director.
Requirements
- High school diploma or GED.
- At least 5 years of experience in revenue cycle management and 3 years in a leadership or management role.
- CPC certification or 3 years of coding experience.
- Knowledge of medical terminology and CPT, ICD-9, and ICD-10 coding.
- Knowledge of collections for ambulatory surgeries, anesthesia, and in-office procedures.
- Knowledge of correct billing techniques, forecasting, and the billing revenue cycle.
- Proficiency in Athena EMR systems and Microsoft Office Suite; experience with Athena is listed as preferred in the qualifications.
- Clear and precise communication skills and a customer-focused, collaborative approach.
- Ability to organize and prioritize work, work under pressure, and deal tactfully with the public.
- Ability to hire, manage, and discipline staff appropriately.
- Commitment to ongoing education and compliance with federal, state, and local regulations.
- Ability to protect patient information and maintain confidentiality.
- Ability to work as scheduled, typically 8:00 a.m. to 5:00 p.m. Monday through Friday.
- Ability to sit and/or stand for prolonged periods, bend, stoop, stretch, and lift or move items weighing up to 30 pounds.
- Eye-hand coordination and manual dexterity sufficient to operate office equipment.
Nice To Haves
- Bachelor’s degree in healthcare administration or a related field.
- Strong background in pain management.
- Experience with Athena.
Responsibilities
- Direct submission of claims and appeals for denied claims while ensuring compliance with SOPs.
- Monitor KPIs, including days in A/R, clean claim rate, denial rate, and appeals resolution turnaround.
- Organize daily operations to minimize backlog and optimize productivity.
- Interview, hire, evaluate, discipline, and coach employees; conduct regular team meetings to support communication and accountability.
- Stay current on payer regulations, coding updates, and appeal trends, and train staff on SOPs and compliance standards.
- Provide monthly KPI dashboards and production reports to leadership.
- Identify process gaps and implement improvements to increase efficiency and reduce risk.
- Provide technical oversight for billing and appeals processes across all payers and identify variances to goals and revenue cycle management trends.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
