Revenue Cycle Manager

Overview

This role involves managing and optimizing front-end revenue cycle operations for a healthcare organization specializing in women's health. The Revenue Cycle Manager will oversee charge capture, eligibility verification, prior authorizations, Athena (EMR) billing workflows, coordination with an external billing vendor, and leadership of the internal patient collections team. The position focuses on establishing standards, monitoring performance, and driving cross-functional process improvements to ensure accurate, timely, and compliant billing while maintaining a positive patient financial experience.

Responsibilities

• Lead and manage the Patient Finance Supervisor and Charge Capture Team by setting expectations, assigning priorities, coaching, and providing performance feedback.
• Establish training programs and quality audit routines to improve accuracy, accountability, and service standards.
• Collaborate with scheduling, registration, and clinical leaders to support documentation, workflow handoffs, and resolve issues impacting patient care and reimbursement.
• Set and monitor front-end revenue cycle standards including charge entry, eligibility verification, and authorization turnaround times to reduce denials and rework.
• Use Athena reporting and worklists to identify trends, root causes, and opportunities for improving claim quality and billing speed.
• Hold the external billing vendor accountable to service levels and KPIs, ensuring timely issue resolution and clear escalation paths.
• Maintain compliant and consistent patient billing and collections practices, including financial counseling and payment plan governance.
• Prepare revenue cycle dashboards and reports for leadership with recommendations for process or policy improvements.
• Oversee front-end charge capture processes to ensure accurate and complete documentation of patient encounters.
• Manage eligibility verification and prior authorization workflows to secure timely approvals and prevent delays.
• Serve as the subject matter expert for Athena billing workflows, monitor system performance, and implement workflow improvements.
• Act as primary liaison to the external billing vendor, reviewing reports and KPIs, monitoring claim resolution, and escalating issues.
• Oversee the internal patient collections team, setting performance expectations, coaching, and monitoring results.
• Develop and maintain policies for patient payment plans, financial counseling, and compliant collections practices.
• Ensure compliance with federal, state, and payer requirements including HIPAA.
• Stay current on regulatory and industry changes affecting billing, collections, and payer policies.

Requirements

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (Master’s preferred).
• Minimum 5 years of progressive experience in healthcare revenue cycle management.
• Certified Professional Coder (CPC) certification required.
• Strong knowledge of Athena (EMR) workflows and revenue cycle best practices.
• Expertise in OB/GYN billing and out-of-network billing.
• Experience managing internal teams and collaborating with external vendors.
• Excellent leadership, communication, and problem-solving skills.
• Ability to analyze data, identify trends, and implement process improvements.

Preferred Qualifications

• Experience with performance management, coaching, training reinforcement, and quality audits.
• Data-driven problem-solving skills using Athena reporting and worklists.
• Strong cross-functional partnership skills to align clinical, scheduling, registration, and billing workflows.
• Vendor oversight experience including KPI/SLA management and escalation.
• High attention to detail and commitment to regulatory and payer compliance.
• Patient-centered approach to billing communications, financial counseling, and collections.

Compensation & Benefits

• Base salary range: $105,000 - $115,000
• Bonus: 10%
• Paid Time Off
• 401(k) with match
• Medical, Dental, and Vision Insurance
• Employee Assistance Programs

Location

• Remote position within the U.S., requiring work in Eastern or Central Time Zone.

Working Conditions

• Primarily office and/or clinical practice setting with frequent computer and phone use.
• Ability to manage multiple priorities and maintain confidentiality of protected health information.
• Collaboration across departments and with external billing vendor.
• Standard business hours with occasional extended hours for month-end or escalations.
• Prolonged sitting and frequent use of computer keyboard, mouse, and telephone.
• Minimal lifting of office materials (up to 10 lbs.).
• Ability to work in a fast-paced environment and handle sensitive information in compliance with HIPAA and organizational policies.