Revenue Manager - Facility Revenue Cycle M-F 8-5 Remote

Overview

This role involves managing and coordinating revenue cycle activities within a healthcare system's Patient Revenue Management Organization (PRMO). The position supports clinical areas by overseeing charge capture, coding, billing, insurance follow-up, reimbursement analysis, and other revenue functions. The revenue manager monitors staff performance in scheduling, registration, clinic check-in, and collections, and develops reports to track financial and operational performance across the revenue cycle.

Responsibilities

Revenue Management (40%)

• Manage revenue cycle-related inquiries and serve as a liaison for assigned clinical applications.
• Respond to, research, and resolve revenue cycle inquiries.
• Manage assigned service tickets related to revenue cycle issues.
• Specialize in and manage revenue cycle functions and Epic Systems applications, particularly charge capture, reconciliation, and corrections.
• Provide training on charge capture and related processes.
• Monitor key performance indicators such as denial rates, write-offs, and charge variances.
• Review and recommend updates to charge masters and charge capture documents to ensure accurate billing and compliance with CPT/HCPCS and ICD-10 updates.
• Continuously research and monitor payer regulations, educate operational areas, and coordinate implementation of changes.

Revenue Cycle Leadership (30%)

• Facilitate collaboration and strategic planning related to revenue cycle activities.
• Coordinate and chair revenue-oriented workgroups and meetings.
• Manage communications among PRMO, hospitals, and physician practices.
• Organize and lead workgroups addressing registration, billing, coding, charge capture, and clinical applications.
• Arrange and coordinate revenue cycle training activities for staff and providers.

Project Management (20%)

• Manage and prioritize revenue and compliance requests.
• Develop and manage action plans, timelines, and project plans.
• Identify and recruit appropriate resources for projects.
• Lead root cause analysis and develop creative solutions to revenue cycle issues.
• Coordinate system setup and modifications for new services, including charge capture and billing workflows.
• Validate revenue cycle functions post-implementation to ensure accurate billing and payment.

Epic Systems Advisory (10%)

• Serve as a subject matter expert for revenue cycle functions within Epic Systems applications.
• Investigate charge and claim information and navigate related information systems.

Requirements

Education and Experience

• Bachelor’s degree required; Master’s degree preferred.
• Minimum of 6 years of relevant healthcare experience, preferably in charge integrity or revenue management.

Certifications (Preferred)

• Coding certifications such as CCS, CPC, RHIA, RHIT.
• HFMA CHFP (Certified Healthcare Financial Professional).
• CRCR (Certified Revenue Cycle Representative).
• BSN or RN credentials.

Skills and Abilities

• Strong leadership skills with the ability to lead, motivate, and collaborate with hospital leadership.
• Excellent oral and written communication skills.
• Strong problem-solving, analytical, and technical troubleshooting abilities.
• Ability to prioritize and manage multiple projects concurrently.
• Flexibility to work varied schedules.
• Strong research and documentation skills.
• Ability to work independently.
• Proficiency in Microsoft Excel, PowerPoint, Teams, Word, Visio, and Outlook.

Physical Requirements

Certain positions may require specific physical and/or mental abilities. Reasonable accommodations will be provided as needed.

Equal Opportunity

The employer is committed to providing equal employment opportunities without regard to age, color, disability, gender identity or expression, genetic information, national origin, race, religion, sex (including pregnancy), sexual orientation, or military status.