Revenue Cycle Manager

Role Description

We are seeking an experienced Revenue Cycle Manager to lead and oversee all billing and RCM operations across our 9-location dermatology practice. This is a leadership role responsible for managing a remote billing team, driving performance across the full revenue cycle, and ensuring our RCM function operates at the highest standard of accuracy, compliance, and efficiency.

The ideal candidate is a seasoned RCM professional who has led billing teams in a multi-location healthcare or specialty practice environment. You understand how to build a team, read the numbers, identify what is broken, and fix it — while keeping your people accountable and supported.

Key Responsibilities

• Team Leadership & Management
  • Lead, supervise, and develop a remote RCM team including billers, coders, AR specialists, and denial staff across all 9 practice locations.
  • Set clear performance expectations, conduct regular one-on-ones, and deliver timely, constructive feedback to direct reports.
  • Manage staffing levels, workload distribution, and team capacity to ensure all billing functions are covered efficiently.
  • Recruit, onboard, and train new billing team members on practice systems, workflows, and performance standards.
  • Foster a culture of accountability, continuous improvement, and professional development within the RCM team.
• Revenue Cycle Oversight
  • Own the full revenue cycle from charge capture and claim submission through payment posting, denial management, and AR resolution.
  • Ensure claims are submitted accurately and on time across all 9 locations and all payer types.
  • Monitor and manage AR aging buckets, ensuring accounts are worked within appropriate timelines and escalated as needed.
  • Oversee denial management and appeals processes, ensuring high-dollar and complex accounts receive timely, expert resolution.
  • Review and approve write-offs, adjustments, and escalated account resolutions within established authority limits.
• Performance Monitoring & Reporting
  • Track, analyze, and report on key RCM performance metrics including clean claim rate, denial rate, days in AR, collection rate, and net collection percentage.
  • Prepare and present monthly RCM performance reports to practice leadership and the CFO.
  • Identify trends, variances, and performance gaps and develop action plans to address them.
  • Build and maintain RCM dashboards and reporting tools that provide real-time visibility into billing performance across all locations.
  • Benchmark performance against dermatology industry standards and drive continuous improvement toward best-in-class metrics.
• Compliance & Payer Relations
  • Ensure all billing and coding practices comply with federal and state regulations, payer contracts, and CMS guidelines.
  • Oversee HIPAA compliance within all RCM operations and maintain appropriate safeguards for protected health information.
  • Manage payer relationships and serve as the escalation point for complex payer disputes, contract issues, and credentialing matters.
  • Stay current on dermatology-specific coding updates, payer policy changes, and regulatory developments affecting the revenue cycle.
  • Coordinate with compliance and legal counsel on audit responses, overpayment refunds, and payer investigations as needed.
• Process Improvement & Systems
  • Evaluate and optimize RCM workflows, tools, and systems to improve efficiency, accuracy, and collections performance.
  • Lead implementation of process improvements, policy updates, and technology enhancements across the billing function.
  • Develop and maintain billing policies, procedures, and training materials for the RCM team.
  • Collaborate with practice management, clinical staff, and IT on front-end improvements that reduce denials and improve charge capture.
  • Identify automation opportunities and work with vendors or internal teams to implement solutions.
• Cross-Functional Collaboration
  • Partner with practice administrators and office managers across all 9 locations to resolve billing issues and improve front-end workflows.
  • Collaborate with clinical leadership on documentation improvement, coding accuracy, and charge capture completeness.
  • Provide RCM guidance and education to non-billing staff to reduce preventable errors and improve overall revenue performance.

Qualifications

• 5 or more years of medical billing and revenue cycle experience, with at least 2 years in a supervisory or management role.
• Demonstrated experience managing a billing team in a multi-location healthcare, specialty, or dermatology practice.
• Strong knowledge of the full revenue cycle including charge entry, coding, claim submission, payment posting, denial management, and AR.
• Working knowledge of dermatology CPT, ICD-10, and HCPCS coding across medical, surgical, and cosmetic service lines.
• Proficiency with practice management and billing software used in specialty or dermatology settings.
• Excellent analytical skills with the ability to interpret RCM metrics, identify root causes, and drive measurable improvement.
• Strong leadership and communication skills — you can manage performance, deliver feedback, and develop people effectively.
• Comfortable working in a fully remote leadership role with a distributed team.

Preferred Qualifications

• Direct experience managing RCM operations for a dermatology, plastic surgery, or aesthetics practice.
• Experience with Modernizing Medicine (EMA), Nextech, or similar dermatology-specific EHR and billing platforms.
• Familiarity with Availity, Waystar, or similar clearinghouse and payer portal platforms.
• CPC, CPMA, CHBME, or other relevant billing, coding, or healthcare management certification.
• Experience building or scaling a remote RCM team from the ground up.
• Background in payer contract negotiation or credentialing management.

Benefits

• This is a full-time role.
• 100% Remote.
• Rate starts at $13/hr.