Revenue Cycle Manager

Job Description

Job Description

Heritage Specialty Pharmacy is seeking an experienced Revenue Cycle Manager to lead our Admissions and Billing teams and oversee the full patient revenue cycle from referral through reimbursement. This role is responsible for optimizing patient access, improving financial performance, enhancing operational efficiency, and ensuring compliance across specialty pharmacy revenue cycle functions. 

• Lead the Admissions and Billing teams, providing coaching, accountability, and professional development. 
• Oversee referral intake, benefits investigations, prior authorizations, patient financial clearance, billing, collections, and reimbursement activities. 
• Monitor and improve key performance indicators such as cash collections, accounts receivable, claim denials, authorization turnaround times, referral conversion, and reimbursement outcomes. 
• Collaborate with pharmacy, clinical, compliance, IT, accounting, and patient experience teams to improve workflows and patient access to therapy.
• Serve as an escalation point for complex payer, provider, patient, and reimbursement issues. 
• Drive process improvements, standardization, and automation initiatives that enhance operational and financial performance.
• Ensure compliance with payer, regulatory, accreditation, and organizational requirements. 

• Bachelor's degree in Healthcare Administration, Finance, Accounting, or related field; equivalent experience considered.
• 7+ years of leadership experience in healthcare billing, reimbursement, revenue cycle, or specialty pharmacy operations. 
• Strong understanding of specialty pharmacy and/or infusion revenue cycle processes, payer requirements, prior authorizations, and reimbursement.
• Experience managing teams, performance metrics, and operational improvement initiatives. 
• Excellent communication, problem-solving, and relationship-building skills.

At Heritage Specialty Pharmacy, we are committed to providing a level of patient care that few organizations are willing to provide. We combine a high-touch patient experience with operational excellence to help patients access life-changing therapies while supporting providers, caregivers, and payers along the way.

If you're passionate about leading teams, improving patient access, and driving meaningful operational results, we'd love to hear from you.

Apply today to join a growing organization where your leadership in the Revenue Cycle Manager role can make a direct impact on patients, providers, and our continued success.