Billing System Setup Manager
Core
Frontline leader responsible for the infrastructure of the revenue cycle, ensuring underlying systems and data are configured correctly to minimize billing exceptions and maximize payer reimbursement.
Role type
Senior IC Billing System Setup Manager
Builds
Configured revenue cycle systems and data pipelines for payer reimbursement
Domain
Healthcare revenue operations
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure
Required skills
Operational oversight, team leadership, process improvement, performance accountability, cross-functional collaboration, strategic thinking
Preferred skills
Supervisory experience in Revenue Operations or Setup, SQL/Toad/Netezza knowledge, root-cause analysis
Technologies
Microsoft Office (Excel, Access), SQL, Toad, Netezza
Responsibilities
Manage daily workflows for core functional lanes (Contract Management, Revenue Management, Claim Content/Formatting, Metadata); Lead and develop a team of front-line teammates and supervisors; Identify efficiencies in Setup Lines of Business and test process changes; Monitor daily, weekly, and monthly key metrics (SLA performance, WIP); Partner with ROPS and Finance teams to align on SOPs; Translate tactical goals into actionable milestones
Seniority
Senior, hands-on IC with team leadership