Revenue Cycle Manager

Exciting Revenue Cycle Manager Opportunity at MainStreet Family Care

Position Summary

The Revenue Cycle Manager is responsible for leading the day-to-day operations of the Revenue Cycle department, ensuring timely, accurate, and compliant reimbursement across all revenue cycle functions. This role provides direct leadership to a team of approximately 15 employees through coaching, performance management, workload prioritization, and employee development while driving accountability and operational excellence.


The Revenue Cycle Manager analyzes financial and operational performance, monitors key performance indicators, identifies opportunities for improvement, and implements initiatives that enhance reimbursement, reduce denials, improve efficiency, and support the organization's financial goals. This position works cross-functionally with internal departments and payer representatives to resolve complex issues, maintain regulatory compliance, and strengthen revenue cycle performance.


Essential Duties & Responsibilities

• Lead the daily operations of the Revenue Cycle department, ensuring work is completed accurately, efficiently, and within established service levels.

• Supervise, coach, mentor, and develop a team of approximately 15 revenue cycle professionals.

• Assign and prioritize workloads while maintaining high levels of productivity and quality.

• Monitor key performance indicators, including accounts receivable, denial rates, reimbursement trends, aging, and productivity metrics.

• Analyze operational and financial reports to identify trends and implement corrective actions.

• Develop and implement process improvements that increase efficiency, reduce revenue leakage, and improve overall financial performance.

• Partner with clinical, operations, finance, credentialing, and other departments to resolve revenue cycle issues and improve workflows.

• Oversee the resolution of complex billing, claims, payment, and payer-related issues.

• Ensure compliance with federal, state, payer, and organizational billing requirements.

• Develop and maintain departmental policies, procedures, and best practices.

• Prepare reports and communicate revenue cycle performance and recommendations to leadership.

• Foster a culture of accountability, continuous improvement, collaboration, and excellent customer service.

Required Qualifications

• Minimum of 5 years of experience in healthcare revenue cycle management, including billing, claims, collections, denials, and reimbursement.

• Minimum of 2 years of people management experience leading a healthcare revenue cycle team.

• Demonstrated ability to coach, develop, and hold employees accountable for performance.

• Experience hiring and training team members and leading operational improvements.

• Strong understanding of medical billing, reimbursement methodologies, denial management, accounts receivable, and payer operations.

• Proficiency with electronic health record and practice management systems, along with Microsoft Office, particularly Excel.

• Excellent leadership, communication, organizational, and problem-solving skills.

Preferred Qualifications

• Experience leading revenue cycle operations in a multi-site healthcare organization.

• Experience in urgent care, primary care, or ambulatory healthcare.

• Knowledge of revenue cycle analytics and key performance metrics.

• Experience implementing workflow improvements or process optimization initiatives.

Schedule

• Schedule: Monday through Friday, 8:00 a.m. - 5:00 p.m. This is a salaried, exempt position and may require flexibility based on business needs.

Why Join MainStreet Family Care?

At MainStreet Family Care, we're committed to expanding access to high-quality healthcare throughout rural communities across the Southeast. As our organization continues to grow, we're looking for leaders who enjoy developing teams, improving processes, and making a measurable impact on organizational success. If you're passionate about leadership, operational excellence, and continuous improvement, we'd love to hear from you.