RCM Collection Manager

Revenue Cycle Manager Position Summary: The Revenue Cycle Manager leads the daily operations of Billing, and Collections, while managing accounts receivable across Medicare, Medicaid, commercial payers, and patient balances. The role oversees all back-end revenue cycle functions—including claims submission, payment posting, insurance follow-up, denial management, patient collections, and A/R recovery—to ensure accurate billing, timely reimbursement, regulatory compliance, and strong cash flow.

Key Responsibilities

· Develop and implement policies and procedures to ensure accurate and timely billing processes.

· Supervise collection efforts and provide leadership to Business Office Managers and staff.

· Monitor reimbursement trends, prepare analytical reports with trend assessments, and present findings to senior management.

· Stay informed on legislative, regulatory, and payer policy changes; anticipate impacts and communicate updates to relevant teams.

· Ensure compliance with company and payer guidelines through routine audits and process reviews.

· Forecast monthly collections and report projections to senior leadership.

· Collaborate with credentialing teams to minimize revenue disruptions at new and existing sites.

· Recruit, develop, coach, and manage staff, including setting objectives, providing orientation, communicating expectations, and applying progressive discipline as needed.

· Develop cross-functional strategies to exceed cash collection targets, reduce days in accounts receivable (AR), and minimize denial and adjustment rates.

· Track and report key revenue cycle performance indicators (KPIs) to leadership and stakeholders.

· Establish systems and processes to ensure compliance with contract requirements, including claim submission, documentation, fee schedules, credentialing, and site enrollments.

· Provide oversight (in collaboration with financial leadership) on general ledger close activities related to revenue, AR, and billing.

· Maintain contract controls, policies, and procedures in alignment with state/federal laws, compliance plans, and HIPAA regulations.

· Monitor collections against established goals to maximize cash flow and continuously assess claim submission processes for improvements.

· Oversee analysis, recording, and trending of revenue adjustments, write-offs, and denials; provide management with recommendations to reduce future occurrences.

Required Knowledge, Skills, and Abilities

· Experience with R2, Office Ally and WellnFuse systems highly preferred

· Excellent communication, collaboration, and interpersonal skills to optimize departmental processes and outcomes.

· Superior customer service orientation.

· Advanced proficiency in Microsoft Office (Word, Excel, Outlook).

· Strong organizational, analytical, and decision-making abilities.

· High computer literacy in PC environments.

· Professional written and verbal communication skills, including grammar and composition.

· Proactive, forward-thinking approach with strong problem-solving skills.

· Proven ability to meet productivity standards and performance metrics.

· Accurate and efficient data entry capabilities.

· Commitment to team goals and collaborative success.

Education, Experience, and Requirements

· Minimum of 10+ years of relevant experience in medical billing and revenue cycle management, preferably in specialty infusion therapy or complex outpatient services.

· Demonstrated experience delegating tasks and leading teams effectively.

· Bachelor’s degree in accounting, Finance, Healthcare Administration, or a related field preferred.

· Ability to meet U.S. employment eligibility requirements.