Revenue Cycle Manager

Job Description

Job Description

We are looking for an experienced Revenue Cycle Manager to lead core billing and reimbursement activities for a healthcare organization in Warminster, Pennsylvania. This role will guide daily revenue cycle operations, support a high-performing team, and help strengthen accuracy across charge capture, claims processing, and account reconciliation. The ideal candidate brings strong medical billing expertise, sound judgment, and the ability to improve workflows in a fast-paced environment.

Responsibilities:
• Lead daily revenue cycle operations, providing direction and support to staff responsible for billing and related financial processes.
• Oversee the full claim lifecycle, including charge review, data entry, submission, follow-up, and payment posting accuracy.
• Verify coding elements, modifiers, patient demographics, and insurance details before claims are released to payers.
• Monitor charge capture activity and perform reconciliations to confirm services are billed completely and within required timeframes.
• Analyze operational reports such as unbilled accounts, eligibility findings, claim status updates, and productivity metrics to address issues quickly.
• Set departmental performance targets and track quality, timeliness, and output to maintain strong results.
• Identify recurring billing problems, workflow inefficiencies, and denial patterns, then implement practical process improvements.
• Resolve escalated account concerns and billing discrepancies while coordinating with clinical, front-desk, eligibility, and finance teams.
• Coach, train, and evaluate team members to strengthen performance, accountability, and compliance with payer and regulatory standards.
• Support month-end close activities by completing reconciliations and ensuring deadlines are met consistently.• At least 5 years of experience in healthcare revenue cycle, medical billing, or a closely related function.
• Prior experience supervising or managing staff within a revenue cycle or billing environment is strongly preferred.
• Working knowledge of physician practice, outpatient, medical group, or similar healthcare billing operations.
• Strong understanding of medical billing workflows, charge entry, diagnosis coding, procedural coding, and modifier usage.
• Proven ability to manage high-volume work, balance competing deadlines, and maintain accuracy under pressure.
• Familiarity with revenue cycle reporting, key performance indicators, and account reconciliation practices.
• Experience using practice management platforms, clearinghouse tools, and medical billing systems; QuickBooks exposure is helpful.
• Excellent leadership, communication, analytical, and cross-functional problem-solving skills.