Revenue Cycle Manager
$111.28k - $125kArizona Staffing
RCM Applications Lead
We are seeking an experienced RCM Applications Lead to oversee revenue cycle system configuration, optimization, revenue integrity, and assigned RCM configuration staff.
This role serves as the RCM subject matter expert across payer configuration, fee schedules, billing logic, claims workflows, EDI, billing edits, and revenue cycle reporting. The position works closely with EHR Application Development, Data & Analytics, Finance, Billing, and Operations to translate business and billing requirements into system specifications, testing strategies, and effective configuration solutions.
This is a high-impact role, as RCM system configuration directly affects billing accuracy, claims, reimbursement, revenue integrity, cash flow, and financial reporting.
Key Responsibilities
- Lead the design and optimization of RCM system configuration, including payer setup, fee schedules, billing logic, claims workflows, EDI, and billing edits
- Evaluate payer requirements, operational workflows, and system configuration to identify gaps and opportunities for improvement
- Identify potential revenue leakage and revenue integrity risks and recommend practical configuration solutions
- Translate business, billing, and payer requirements into technical specifications and testing scenarios
- Define and execute testing/validation for billing-related system changes prior to production deployment
- Support resolution of complex billing, payer, claims, and configuration issues
- Partner with EHR, Data & Analytics, Finance, Billing, Operations, and leadership teams
- Support RCM reporting and interpretation of billing and financial data
- Provide direct day-to-day supervision, direction, and coaching to the RCM Configuration/EDI Analyst
- Review configuration work, testing results, and documentation for accuracy and completeness
- Provide input regarding staff performance, development, workload, and process improvement
What This Role Is – and Isn't
This position focuses specifically on RCM applications, configuration, revenue integrity, and system optimization.
It does not own:
- Overall EHR administration
- Enterprise application administration
- EHR vendor relationships
- System releases or patches
- Overall EHR platform lifecycle
The RCM Applications Lead partners with the appropriate technical teams while maintaining responsibility for the RCM configuration function.
Minimum Qualifications
- High school diploma required
- Bachelor's degree in Healthcare Administration, Business, Information Systems, Computer Science, Finance, or related field preferred
- 5+ years of experience in revenue cycle management, billing systems, EHR configuration, claims workflows, payer configuration, or related healthcare systems
- NextGen Ambulatory EHR experience
- Strong understanding of payer requirements, billing logic, fee schedules, claims, EDI, billing edits, denials, and revenue integrity
- Experience translating business/billing requirements into system configuration, testing scenarios, reporting requirements, or technical specifications
- Strong analytical, communication, documentation, and problem-solving skills
- Proficiency with Excel and RCM-related data analysis
Benefits
- Medical, Dental & Vision Insurance
- Disability & Life Insurance – 25% employer-paid
- 401(k) with Employer Match – 100% vested upon enrollment
- 5 Weeks of PTO
- PTO Cash-Out Option after 1 year
- Hospital Indemnity & Critical Illness Plans
- Pet Insurance
- Dependent Care & Health Care Savings Programs
- Wellness Programs
- Employee Assistance Program (EAP)
- Tuition Reimbursement & Tuition Assistance
- Public Service Loan Forgiveness (PSLF) Eligibility for qualifying employees
Preferred Qualifications
- Experience in behavioral health
- Experience with clinical, billing, and operational workflows
- EHR, revenue cycle, billing, coding, or payer-related certification
Ideal Candidate
The ideal candidate is an experienced RCM systems professional who understands both the operational and technical sides of healthcare revenue cycle management.
You should be comfortable working with EHR configuration, payer logic, claims workflows, EDI, revenue integrity, testing, reporting, and cross-functional technology teams, while also providing leadership to RCM configuration staff.
Schedule & Remote Work
- Full-Time
- Monday-Friday
- Typically 8:00 AM-5:00 PM Arizona Time
- 100% Remote
- Candidates may reside anywhere in the United States
- Must be available to work on Arizona Time
Pay Details: $111,280.00 to $125,000.00 per year
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
Vacancy posted 20 hours ago
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