Revenue Cycle Manager

Eventus WholeHealth delivers an integrated model that provides holistic care for medically vulnerable adults achieving extraordinary outcomes for the people we serve. We do this through a value-driven framework of excellence, integrity, person-centeredness, stewardship and teamwork. This care is provided to adults who reside in skilled nursing, assisted living facilities and private residences through a network of healthcare providers including Physicians, Nurse Practitioners, Physician Assistants, Psychologists, Licensed Clinical Social Worker, and Clinical and Administrative Support Staff. Revenue Cycle Manager Role The Revenue Cycle Manager is responsible for the day‑to‑day performance of Eventus WholeHealth’s revenue cycle across its multi-state physician group, including Medicare provider enrollment and credentialing, denial management, cash posting and collections, and third‑party RCM vendor oversight. This role owns the measurement and enforcement of vendor service‑level agreements (SLAs), produces monthly performance reporting for finance and operations leadership, and applies hands‑on data analysis to identify root causes of aging, denials, and underpayment. The manager partners closely with the Senior Director of Revenue Cycle Management to drive net collections, reduce days sales outstanding (DSO), and improve the integrity and completeness of the end‑to‑end revenue cycle. Qualifications Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field (preferred; equivalent revenue cycle experience considered) Minimum 5 years of progressive healthcare revenue cycle experience, including at least 2 years in a supervisory or management capacity Expert‑level knowledge of Medicare provider enrollment and credentialing (PECOS, CMS-855 forms, PTAN maintenance, revalidations, reassignments, and MAC jurisdiction requirements) Demonstrated experience in denial management, cash posting, and collections across multiple payers and states NextGen Enterprise experience preferred Specialized Skills and Knowledge Expert command of Medicare enrollment and credentialing workflows across MAC jurisdictions (e.g., Palmetto GBA, WPS, CGS), including PECOS, revalidations, reassignments, and practice‑location changes Advanced data analytics and reporting, including Excel (pivot tables, SUMIFS, lookups) and building recurring KPI dashboards and board‑level reports Strong knowledge of denial management, payer contracts, net realizable value, and AR aging analysis (velocity‑ and level‑based) Proficiency with RCM and practice‑management systems (e.g., NextGen Enterprise, ChartPath) and GL integration; ability to calculate and audit vendor SLAs Essential Job Duties / Responsibilities Own the measurement, monitoring, and enforcement of third‑party RCM vendor service‑level agreements, including DSO, AR >90 days, and cash‑collection targets; escape performance gaps and manage cure timelines Direct Medicare provider enrollment and credentialing activities, ensuring accurate and timely PECOS submissions, revalidations, reassignments, PTAN maintenance, and new practice‑location and entity enrollments Manage denial prevention and appeals, analyzing denial trends by payer, reason code, and service line to drive root‑cause resolution and reduce preventable write‑offs Oversee cash posting and collections, ensuring payments, adjustments, and contractual allowances are applied accurately and timely and that unresolved balances are actively worked Prepare monthly revenue cycle performance reports for finance and operations leadership, including KPI cards, trend and year‑over‑year analysis, and management narrative Perform hands‑on data analysis across large claim and remittance datasets to identify aging drivers, underpayments, and enrollment‑related revenue leakage Reconcile cash‑to‑AR activity and support month‑end close, partnering with accounting on revenue recognition and accrual cutoffs Monitor AR aging using net realizable value frameworks and support the development of collection and reserve strategies Develop, document, and continuously improve revenue cycle policies, workflows, and internal controls to ensure compliance and operational efficiency Other related duties as assigned Compliance Requirements Ensure compliance with all federal, state, and local laws, regulations, standards, guidelines, and Eventus WholeHealth policies and procedures pertaining to the job Remain informed of any changes to federal, state, and local laws, regulations, standards, guidelines, and Eventus WholeHealth policies and procedures that impact the job and the company Promptly report any non‑compliant conduct and/or practices to Eventus WholeHealth’s Chief Compliance and Risk Officer Ethical Conduct Ensure adherence to Eventus WholeHealth's Code of Ethics and Business Conduct Perform the job duties with integrity and professionalism Promptly report any unethical conduct and/or practices to Eventus WholeHealth’s Chief Compliance and Risk Officer Patient Privacy and Confidentiality Strictly protect patient information in accordance with all federal and state privacy laws and Eventus WholeHealth policies and procedures Promptly report any violations of federal and state privacy laws and Eventus WholeHealth policies and procedures to Eventus WholeHealth’s Chief Compliance and Risk Officer Documentation and Record Keeping Maintain accurate and complete documentation when performing the job duties Ensure that all Eventus WholeHealth information, data, documentation, and records are always safeguarded and maintained confidentially Training and Education Participate in all assigned training Complete all assigned training by the deadline for completion Risk Management and Incident Reporting Engage in regular risk assessments to identify potential risks and work proactively with a supervisor and Eventus WholeHealth’s Chief Compliance and Risk Officer to mitigate any identified risks Promptly report any incidents (as defined in the Incident Report Policy) to the Chief Compliance and Risk Officer Competitive Benefits Flexibility – no call, no weekends Paid Time Off and paid Holidays Medical Insurance, including HSA and FSA options Dental and Vision insurance Employer‑paid employee life insurance Short‑term / long‑term disability options Voluntary Life and AD&D Coverage Employer 401(k) contributions Equal Opportunity Employer Statement We are an equal opportunity employer and are committed to creating an inclusive environment for all employees. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic in accordance with applicable laws. #J-18808-Ljbffr