BILLING AND REVENUE CYCLE MANAGER

Job Description

Job Description

Position Title: Billing and Revenue Cycle Manager 

Department: Billing 

Reports To: Senior Director of Operations 

FLSA Status: Exempt

Company Overview 

Bare Dermatology is a dynamic dermatology group dedicated to providing the highest quality clinical care and exceptional patient experiences. We foster a collaborative, inclusive, and people-centered environment where employees feel valued and empowered to learn and grow. Our unwavering commitment to both our patients and our team sets us apart as a leader in dermatological care.

The Ideal Bare Dermatology Teammate: 

To thrive in our environment, you will embody these qualities:

• Positive Attitude: You approach challenges with optimism and enthusiasm.

• Results-Oriented: You set high expectations and strive for excellence in all you do.

• Innovative: You think outside the box and seek creative solutions.

• Passionate:  You are dedicated to your work and driven to make a difference.

• Self-Motivated:  You take initiative and proactively seek out ways to improve.

• Collaborative:  You are a team player who values communication and cooperation.

Summary:

The Billing & Revenue Cycle Manager is responsible for overseeing, optimizing, and advancing the full revenue cycle across Bare Dermatology's locations. This position requires a hands-on leader who combines strong technical billing expertise with strategic thinking, financial accountability, and exceptional people management skills.

This position oversees internal billing personnel, outsourced team members, third-party vendors, and credentialing resources while collaborating closely with clinical leadership, operations, and executive management.

Essential Duties and Responsibilities:

Key Responsibilities

Revenue Cycle Leadership & Financial Performance

• Oversee the entire revenue cycle, including insurance verification, authorization workflows, charge capture, coding, claims submission, payment posting, denial management, accounts receivable, patient collections, and payment reconciliation.

• Establish and monitor key performance indicators (KPIs), including days in A/R, aging trends, clean claim rate, denial rate, net collection rate, first-pass resolution, and collection productivity.

• Develop strategies to maximize reimbursement, reduce revenue leakage, accelerate collections, and improve overall revenue cycle efficiency.

• Identify trends, root causes, and opportunities for improvement through detailed financial analysis and reporting.

• Monitor payer reimbursement trends, contractual adjustments, underpayments, and collection performance.

• Partner with executive leadership to establish departmental goals, performance expectations, and revenue cycle improvement initiatives.

• Provide regular financial performance reporting, actionable insights, and recommendations to leadership.

Billing Operations & Process Improvement

• Ensure timely and accurate claims submission, payment posting, follow-up, appeals, and resolution of outstanding balances.

• Develop, implement, and maintain standardized workflows, internal controls, and departmental policies across all practice locations.

• Identify operational inefficiencies and implement solutions.

• Oversee denial prevention, root-cause analysis, appeals, and payer escalation processes.

• Ensure appropriate charge capture, coding accuracy, claim edits, and reimbursement for medical, surgical, and cosmetic dermatology services.

• Collaborate with clinical and operational teams to resolve documentation, coding, authorization, and billing challenges.

• Monitor the accuracy and completeness of patient account balances, refunds, credits, adjustments, and collections.

• Ensure proper reconciliation of payments, deposits, merchant transactions, and financial records in coordination with accounting and finance.

• Manage process for collection of patient cash and check payments at each office location and coordinate bank deposits with accounting and finance.

• Maintain accountability for timely resolution of outstanding issues, departmental deadlines, and operational priorities.

Team Leadership & Accountability

• Lead, coach, and develop an internal billing team and outsourced personnel.

• Establish clear roles, responsibilities, productivity standards, and performance expectations.

• Monitor individual and departmental performance through measurable goals and routine reporting.

• Provide ongoing training, professional development, performance evaluations, and constructive feedback.

• Oversee staffing needs, workload distribution, scheduling, and departmental resource utilization.

• Address performance concerns proactively while fostering a positive, supportive work environment.

Vendor, Payer & Credentialing Management

• Manage relationships and performance expectations with outsourced billing resources, vendors, clearing houses, and other revenue cycle partners.

• Oversee third-party credentialing resources to ensure timely provider enrollment, recredentialing, payer participation, and maintenance of accurate provider records.

• Monitor vendor service levels, accuracy, productivity, responsiveness, and contractual obligations.

• Serve as a primary point of contact for escalated payer issues, reimbursement disputes, and complex billing matters.

• Collaborate with leadership on payer contracting, reimbursement analysis, and opportunities to improve payer relationships.

• Ensure timely completion of credentialing and enrollment requirements for new providers, locations, and organizational changes.

• Evaluate opportunities to improve vendor performance, reduce unnecessary expenses, and optimize outsourced resources.

Systems, Reporting & Technology

• Serve as a departmental leader and subject matter expert for ModMed/EMA and related revenue cycle technologies.

• Leverage reporting tools, advanced Excel functionality, and data analysis to identify trends, exceptions, and performance opportunities.

• Develop dashboards and reporting processes that provide accurate, timely, and actionable financial information.

• Identify opportunities for automation, system optimization, and improved workflow efficiency.

• Maintain data integrity and ensure appropriate system controls, user access, and financial reporting accuracy.

• Partner with internal and external technology resources to troubleshoot issues and implement system enhancements.

Compliance, Risk Management & Financial Controls

• Ensure billing operations comply with applicable federal and state regulations, payer requirements, coding standards, and organizational policies.

• Maintain appropriate controls over payment posting, adjustments, refunds, deposits, and financial transactions.

• Conduct routine audits to identify billing errors, reimbursement discrepancies, compliance risks, and potential financial losses.

• Monitor compliance with Medicare, Medicaid, commercial payer, and other applicable billing requirements.

• Support HIPAA compliance and the appropriate handling of protected health information.

• Develop corrective action plans when deficiencies are identified and monitor them through resolution.

• Collaborate with leadership to mitigate financial, regulatory, and operational risks.

Cross-Functional Collaboration

• Work closely with clinical providers, practice managers, scheduling, patient services, accounting, and executive leadership.

• Communicate revenue cycle challenges and opportunities clearly to both clinical and nonclinical audiences.

• Provide training and guidance to other departments on processes affecting reimbursement and collections.

• Support new provider onboarding, practice expansion, and operational initiatives affecting the revenue cycle.

• Demonstrate ownership of departmental results while maintaining a collaborative, solutions-oriented approach.

Qualifications

Required

• Minimum 5 years of progressive medical billing or revenue cycle management experience, including at least 2 years in a supervisory or management capacity.

• Strong understanding of the full healthcare revenue cycle, from patient registration through final payment resolution.

• Demonstrated success managing accounts receivable, denial management, collections, billing operations, and reimbursement performance.

• Experience supervising employees and managing performance through measurable goals and accountability.

• Willingness and ability to work onsite, primarily in our Rockwall location.

Preferred

• Experience in dermatology, multispecialty physician practices, or other outpatient medical environments.

• Experience with ModMed/EMA practice management and electronic health record systems.

• Experience managing revenue cycle operations across multiple practice locations and providers.

• Knowledge of dermatology-specific billing, including medical dermatology, surgical procedures, pathology, and cosmetic services.

Work Environment:  This position requires travel between Bare Dermatology clinics and occasional remote work for administrative tasks.

Compensation and Benefits: Comprehensive benefits package provided, including a 401(k) plan.

Career Development Opportunities: The organization provides opportunities for continued professional development and training to support employee growth and advancement.

Confidentiality: The employee acknowledges that all patient information, financial data, business strategies, and other information encountered during the course of employment with Bare Dermatology is strictly confidential. Any unauthorized disclosure of this information to individuals or entities outside of Bare Dermatology is prohibited and may result in immediate termination of employment and potential legal action.

Physical Demands:  This position requires the ability to occasionally lift and/or move up to 25 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Additional Duties and Coverage:  This job description is not exhaustive, and other duties may be assigned as needed. At times, you may be required to assist in other offices or departments based on the needs of the organization. Reasonable notice will be provided prior to such requests, and your cooperation and flexibility are essential to ensuring the smooth operation of our team.

Equal Opportunity Statement:  Bare Dermatology is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.