Sr. Revenue Cycle Manager
About The Position
The Sr. Revenue Cycle Manager oversees the Appeals, Payment Posting, Collections, and Financial Counseling teams. The role ensures teams follow established Standard Operating Procedures (SOPs) and meet Key Performance Indicators (KPIs) that support revenue cycle efficiency. Working with leadership, the manager keeps Accounts Receivable within organizational targets, provides technical oversight of billing and appeals processes across payers, and identifies variances and revenue cycle management trends. The position manages daily workflows, staff performance, compliance education, KPI reporting, and process improvement. It operates in a medical office environment and typically follows a Monday–Friday, 8:00 a.m.–5:00 p.m. schedule.
Requirements
- High school diploma or GED.
- At least 5 years of revenue cycle management experience.
- At least 3 years in a leadership or management role.
- CPC certification or 3 years of coding experience.
- Professional demeanor, customer-focused approach, and ability to foster teamwork.
- Commitment to ongoing education and compliance with federal, state, and local regulations.
- 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.
- Clear and precise communication skills.
- Ability to manage, organize, and prioritize work effectively.
- Ability to deal tactfully with the public.
- Ability to protect patient information and maintain confidentiality.
- Ability to work under pressure.
- Ability to hire, manage, and discipline staff appropriately.
- Ability to sit and/or stand for prolonged periods, bend, stoop, and stretch, and lift and 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 EMR systems.
Responsibilities
- Oversee submission of claims and appeals for denied claims, ensuring compliance with SOPs.
- Monitor performance indicators, including days in A/R, clean claim rate, denial rate, and appeals resolution turnaround.
- Organize daily operations to minimize backlogs 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.
- Train staff to follow SOPs and compliance standards.
- Provide monthly KPI dashboards and production reports to leadership.
- Identify process gaps and implement improvements to enhance efficiency and reduce risk.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
