Revenue Cycle Manager POST NUMBER: 476231

Revenue Cycle Manager

On-site in Louisville, KY
Direct Hire Opportunity

The Revenue Cycle Manager is responsible for the strategic leadership, direction, and performance of all revenue cycle operations. This role oversees end-to-end processes including patient access, coding, billing, collections, and denial management to optimize revenue, ensure compliance, and enhance the overall financial health of the organization. 

Key Responsibilities

Strategic Leadership

• Develop and execute revenue cycle strategies aligned with organizational goals
• Identify opportunities to improve cash flow, reduce denials, and increase net revenue
• Establish KPIs and performance metrics to monitor revenue cycle effectiveness
• Lead process improvement initiatives and system enhancements

Operational Oversight

• Oversee all revenue cycle functions including patient access, registration, coding, billing, AR follow-up, and collections
• Ensure timely and accurate claims submission and reimbursement
• Monitor and improve key metrics (DNFB, days in AR, clean claim rate, denial rates, etc.)
• Implement best practices across all revenue cycle operations

Financial Performance

• Drive revenue integrity and reimbursement optimization
• Analyze financial data and trends to identify risks and opportunities
• Partner with finance team on budgeting, forecasting, and reporting
• Oversee payer contracts and reimbursement methodologies

Compliance & Risk Management

• Ensure compliance with federal, state, and payer regulations (CMS, HIPAA, etc.)
• Maintain strong internal controls and audit processes
• Stay current on regulatory changes impacting revenue cycle operations

Leadership & Team Development

• Lead and develop revenue cycle leadership team and staff
• Foster a culture of accountability, collaboration, and continuous improvement
• Provide training and mentorship to enhance team performance

Technology & Systems

• Oversee revenue cycle systems and technology platforms (EHR, billing systems, clearinghouses)
• Drive automation and digital transformation initiatives
• Partner with IT to optimize system functionality and reporting capabilities

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field  required
• Master’s degree (MBA, MHA, or related)  preferred
• 10 years of progressive revenue cycle experience in healthcare
• 5 years in a senior leadership role
• Proven success improving revenue cycle performance and financial outcomes
• Experience in hospital, health system, or large physician group environment
• Deep understanding of revenue cycle operations and workflows
• Knowledge of payer regulations, reimbursement methodologies, and coding standards
• Experience with EHR/PM systems (Epic, Cerner, Meditech, etc.)
• Strong financial analysis and reporting skills

Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company’s 401(k) retirement plan. Additional disclaimer: Unless otherwise noted in the job description, the position Vaco/Highspring is filing for is occupied. Please note, however, that Vaco/Highspring is regularly asked to provide talent to other organizations. By submitting to this position, you are agreeing to be included in our talent pool for future hiring for similarly qualified positions. Submissions to this position are subject to the use of AI to perform preliminary candidate screenings, focused on ensuring minimum job requirements noted in the position are satisfied. Further assessment of candidates beyond this initial phase within Vaco/Highspring will be otherwise assessed by recruiters and hiring managers. Vaco/Highspring does not have knowledge of the tools used by its clients in making final hiring decisions and cannot opine on their use of AI products.