Manager, Revenue Cycle
Core
Oversees and trains staff to manage physician revenue cycle functions, ensuring accurate claims submission, resolution of aged accounts receivable, and adherence to performance metrics.
Role type
Senior Manager, Revenue Cycle Management (IC)
Builds
Physician practice revenue optimization and claims resolution workflows
Domain
Healthcare / Revenue Cycle Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Claims management, Accounts Receivable analysis, Staff training and management, Process improvement, Data analysis for denial patterns, Policy updates, HIPAA compliance, Conflict resolution, Hiring and termination, KPI attainment
Preferred skills
AthenaOne, Trizetto, Salesforce
Technologies
Salesforce, AthenaOne, Trizetto
Responsibilities
Oversee claims submission and follow-up processes; Manage large payer projects and care center support; Analyze aged AR and resolve root causes of claim denials; Develop training programs to address workflow gaps; Meet with Care Center leadership and physician partners to discuss complex revenue matters; Manage team performance, coaching, and disciplinary actions.
Seniority
Senior, hands-on IC with management responsibilities