Manager, Revenue Cycle

Overview

This role involves managing the entire revenue cycle process for a clinical independent laboratory. The Manager, Revenue Cycle will lead a team, develop strategies, and ensure integrity and quality throughout the medical billing process. The position requires extensive knowledge of Medicare compliance, payer audits, and the independent lab industry. Strong personnel management skills are essential to build and motivate a team aligned with core values such as integrity, teamwork, innovation, and quality. This is a remote position.

Responsibilities

• Develop and maintain department priorities, procedures, and policies related to the revenue cycle.
• Establish performance metrics and staffing requirements to ensure efficient, accurate operations and excellent customer service.
• Create processes for smooth information flow between third-party billing vendors, receivables, and contact centers.
• Design and implement strategies to maximize collection of earned reimbursements for lab operations.
• Develop policies for handling exceptions, appeals, denials, and balance billing.
• Monitor client accounts receivable activity and initiate corrective actions as needed.
• Investigate denial trends and coordinate appeals with cross-functional teams.
• Ensure billing compliance with third-party payer regulations.
• Promote customer satisfaction through effective communication and problem-solving.
• Oversee daily revenue cycle operations and accounts receivable management.
• Motivate the team to meet month-end goals and report performance to leadership.
• Foster a collaborative, team-oriented environment within and outside the department.
• Monitor compliance with performance metrics and communicate results to leadership.
• Hire, coach, and develop staff; manage productivity and service performance.
• Maintain confidentiality in compliance with HIPAA and other regulations.
• Implement staff education programs and training.
• Supervise staff workload, conduct performance reviews, and manage work performance.
• Apply expertise in payer/insurance appeals, reimbursement processes, and professional billing.
• Utilize knowledge of Medicare billing regulations and reimbursement methodologies, especially in laboratory settings.
• Use revenue cycle management software and third-party billing service providers.
• Apply analytical and forecasting skills to plan workload and scale operations.
• Develop staff reporting and key productivity and accuracy metrics.
• Demonstrate strong organizational, problem-solving, interpersonal, and presentation skills.
• Adapt to change and work effectively in ambiguous situations.
• Inspire and motivate others through influence and collaboration.
• Support compliance with Quality Management System policies.
• Maintain regular attendance and work Monday through Friday during normal business hours.
• Perform computer-based tasks approximately 80% of the workday.

Minimum Qualifications

• Bachelor’s degree in healthcare administration, business, or related field; or high school diploma/GED with 4 years relevant experience.
• 8+ years of experience in medical/healthcare billing with strong claims processing knowledge.
• 5+ years of leadership experience with demonstrated ability to recruit, motivate, and inspire teams.
• Authorization to work in the United States without sponsorship.
• Ability to perform essential duties with or without accommodation.

Preferred Qualifications

• Leadership experience in accounts receivable or billing operations.
• Experience in both payer billing and provider billing within a laboratory environment.
• Certifications such as CPC, CPM, CPCO, CPMA, or similar.
• Membership in patient accounting organizations (e.g., AHAM).

Compensation & Benefits

• Salary Range (National): $87,500 - $130,000 annually.
• Salary Range (California): $100,000 - $150,000 annually.
• Position is bonus eligible.
• Benefits include paid time off (vacation, holidays, volunteering, personal time), paid parental and caregiver leave, retirement savings plan, wellness support, and health coverage including medical, prescription drug, dental, and vision.

Location

• Remote position within the United States.

The employer is an equal opportunity organization committed to diversity and inclusion. All qualified applicants will receive consideration without regard to disability, protected veteran status, or other protected categories under applicable laws.