Revenue Cycle Management Manager

JOB SUMMARY:

The Revenue Cycle Manager supports the Director in guiding and developing the billing team. This role oversees hiring, onboarding, training, and performance management, while ensuring adherence to best practices in billing processes. This position interprets operational-level reports, analyzes data, and presents revenue cycle improvement opportunities to stakeholders. A key responsibility is managing complex payer appeals and guiding initiatives that strengthen revenue cycle performance and financial outcomes.

JOB RESPONSIBILITIES

Decision Making

• Makes decisions by gathering, analyzing, and interpreting information; chooses the best course of action by establishing clear decision criteria, generating, and evaluating alternatives, and making timely decisions.

Coaching & Developing Others

• Partners with individuals and supports their development of knowledge, skills, and abilities; empowers them to unlock their potential and maximize performance and growth.

Operational Excellence

• Reports on Key Performance Indicators for the department.
• Manage the daily workflow and inventory of the department, monitor progress to identify trending issues, and develop training or processes to address these issues.
• Conduct quality assurance activities, including audits, productivity reviews, and performance evaluations.
• Hold huddles to efficiently cover new or evolving training focuses to encourage and develop team members.
• Oversee progress and monitoring of worked denials for quality assurance and productivity measures.
• Reviews, updates and implements policies and procedures to support the vision and goals.

NON-ESSENTIAL FUNCTIONS:

• Perform all job responsibilities in alignment with the industry's best security practices and regulatory guidelines to protect the confidentiality, integrity, and availability of protected health information and other sensitive company data.
• Must be familiar with and abide by the Corporate Compliance Program and all Corporate policies, including the Privacy and Security policies.
• Works with other departments within PathGroup and subsidiaries.
• Nothing in the job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
• Other duties as assigned.

Qualifications EDUCATION & LICENSURE: Bachelor's degree in Healthcare Administration, Business, Analytics, or equivalent experience. REQUIREMENTS:

• 5+ years in backend healthcare revenue cycle management, demonstrated through progressive experience in operations or performance management. Experience with Xifin billing system a plus.
• Experience implementing process improvements and improving KPI's.
• Knowledge of Medicaid, Medicare, and commercial payer adjudication and appeal processes.
• Comfortable managing remote teams and implementing change management frameworks (Lean/Six Sigma knowledge preferred).
• Adept with Microsoft applications which may include Outlook, Word, Excel/Smartsheet's, PowerPoint and other web-based applications. Power BI preferred.
• Experience with laboratory billing preferred.
• Proven ability to lead and develop high-performing teams, set and achieve goals, and foster a culture of excellence.
• Strong analytical and problem-solving abilities.
• Understanding of healthcare reimbursement and denial management processes.
• Clear, concise communication skills and comfortable explaining complex findings to non-technical stakeholders.
• Organized, adaptable, and comfortable working in a dynamic, fast-growing environment.