Revenue Cycle Process Improvement Manager

Overview

A healthcare organization is seeking a Revenue Cycle Process Improvement Manager to lead operational and workflow improvement initiatives within the Central Billing Office (CBO). This role focuses on enhancing revenue cycle performance by partnering with leadership across revenue cycle, operations, finance, IT, and clinical support teams to identify inefficiencies, reduce denials and rework, accelerate cash flow, strengthen controls, and standardize best practices.

Responsibilities

• Lead process improvement initiatives across charge capture, billing, claims submission, payment posting, denials, follow-up, and customer service workflows.
• Evaluate current workflows to identify inefficiencies, bottlenecks, handoff failures, control gaps, and opportunities for standardization and automation.
• Design and implement future-state workflows, standard operating procedures (SOPs), tools, and operating controls to improve quality, throughput, and accountability.
• Apply structured improvement methods such as root cause analysis, workflow mapping, KPI management, and corrective action planning.
• Support system optimization, work queue redesign, edit logic improvement, and workflow standardization across facilities, teams, and service lines.
• Analyze operational and financial performance trends to identify opportunities to improve cash collections, reduce denials, lower days in accounts receivable, minimize rework, and strengthen clean-claim performance.
• Collaborate with revenue cycle and operational leaders to prioritize improvement efforts based on financial impact, operational risk, staffing burden, and patient experience.
• Monitor post-implementation results to ensure process changes are adopted, sustained, and producing measurable outcomes.
• Support efforts to reduce avoidable write-offs, late charges, claim holds, missed authorizations, posting variances, unapplied cash, and preventable reimbursement leakage.
• Utilize data from host system platforms, clearinghouses, payer portals, work queues, and reporting tools to identify root causes of performance issues and develop actionable solutions.
• Prepare dashboards, scorecards, summaries, and leadership updates to measure initiative progress and operational impact.
• Conduct audits, workflow reviews, and variance analyses to validate compliance with expected processes and identify breakdowns by facility, payer, department, or team.
• Translate data findings into practical action plans, operational recommendations, and leadership-level decision support.
• Collaborate with Patient Access, Health Information Management (HIM), Coding, Clinical Operations, Managed Care, Finance, Compliance, and IT to resolve upstream and downstream revenue cycle barriers.
• Lead or support cross-functional meetings, action plans, project workgroups, and implementation efforts related to process redesign and operational improvement.
• Develop training tools, communication materials, and transition plans to support adoption of new workflows and operational expectations.
• Support integration, standardization, and stabilization efforts for new facilities, acquired operations, and organizational change initiatives.
• Ensure process improvement efforts align with payer requirements, billing regulations, documentation dependencies, internal policies, and audit expectations.
• Strengthen operational controls related to claim quality, charge integrity, payment accuracy, denial prevention, and reconciliation workflows.
• Promote a culture of continuous improvement by identifying recurring issues, tracking trends, and building sustainable corrective actions.

Requirements

• Bachelor’s degree in Healthcare Administration, Business, Finance, Accounting, Industrial Engineering, or related field preferred; equivalent relevant experience may be considered.
• Minimum of three years of progressive experience in healthcare revenue cycle, operational improvement, project management, consulting, or related fields preferred.
• Experience leading workflow redesign, performance improvement, automation, or revenue cycle transformation initiatives preferred.
• Background in hospital, behavioral health, acute care, physician revenue cycle, or multi-site healthcare operations preferred.
• Familiarity with host system platforms, reporting tools, clearinghouse data, and revenue cycle analytics preferred.
• Strong understanding of end-to-end healthcare revenue cycle workflows and common operational control points.
• Excellent analytical, organizational, project management, and communication skills.
• Ability to interpret data, identify root causes, and translate findings into measurable process improvements.
• Experience with workflow mapping, standardization, policy development, and cross-functional implementation planning.
• Proficiency with Excel, reporting tools, payer portals, and standard revenue cycle systems.

Additional Information

• This is a remote, individual contributor position.
• No licenses, designations, or certifications are required.

Compensation & Benefits

The organization offers a comprehensive benefits plan and a competitive salary commensurate with experience and qualifications.

Location

Remote position

Veterans and military spouses are encouraged to apply. The organization values the unique strengths of the military community in supporting its mission to serve those who have served.