Revenue Cycle Manager

Position Purpose The Revenue Cycle Manager provides strategic leadership and oversight for all revenue cycle operations, ensuring the financial health and operational efficiency of the organization. This role is responsible for managing claims processing, payment posting, accounts receivable, and denial management while driving performance, compliance, and continuous process improvement. The ideal candidate is a collaborative and results-oriented leader who thrives in a fast-paced healthcare environment and is passionate about building efficient, ethical, and high-performing revenue cycle practices. This position plays a key role in maximizing reimbursement, improving workflows, supporting staff development, and ensuring exceptional operational standards across the revenue cycle continuum. Qualifications/Basic Job Requirements Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field preferred; equivalent experience may be considered. Previous progressive experience in revenue cycle, billing, or healthcare financial operations, including at least three years of direct supervisory experience. Demonstrated leadership ability with experience managing, coaching, and developing staff to achieve performance goals. Strong knowledge of Medicare, Medicaid, commercial insurance regulations, and third-party reimbursement methodologies. Comprehensive understanding of state and federal funding programs and regulatory requirements impacting healthcare reimbursement. Proficiency in Electronic Medical Record (EMR) systems. Advanced working knowledge of Microsoft Office applications, including Excel (reporting and data analysis), Word, and Outlook. Strong analytical, problem-solving, and decision-making skills with the ability to interpret financial and operational data. Excellent organizational and time management skills with the ability to manage multiple priorities and deadlines. Self-directed professional with the ability to work independently while fostering collaboration within a team-oriented environment. Demonstrated commitment to ethical practices, regulatory compliance, and confidentiality standards (HIPAA). Essential Responsibilities Provide strategic leadership and operational oversight of all revenue cycle functions, including claims processing, billing, cash application, accounts receivable management, denial resolution, reconciliation, and revenue integrity activities. Work hours as prescribed by organizational leadership and fulfill additional responsibilities necessary to meet operational and financial objectives. Monitors accounts receivable and bad debt expense to ensure profitability measures and business goals are met and maintained. Lead denial management efforts through root cause analysis, corrective action planning, and implementation of workflow improvements to reduce revenue loss. Develop, monitor, and evaluate revenue cycle key performance indicators (KPIs) and predictive metrics to identify operational risks, reimbursement trends, and improvement opportunities. Analyze revenue patterns, payer performance, billing-to-cash outcomes, service utilization, practice patterns, and program-level financial performance. Correlate operational data, including service volume and productivity reports, with financial results reflected in organizational profit and loss statements. Participate in system testing, upgrades, and implementation of new EHR and other software functionality impacting revenue cycle operations. Assist in internal audits of billing, documentation, compliance, and recorded services, compile and present audit findings to leadership on a regular basis. Ensure compliance with federal, state, local, payer, and Illinois grant funding requirements, as well as organizational policies and generally accepted accounting practices. Serve as a revenue cycle and financial operations resource to organizational leadership and operational departments. Train, mentor, and provide ongoing education to staff regarding revenue cycle processes, regulatory requirements, and Avatar system functionality. Maintain positive working relationships across all organizational levels and effectively resolve escalated billing, reimbursement, and customer concerns. Exercise strict confidentiality in accordance with ethical standards, organizational policy, and applicable laws. Demonstrate leadership professionalism and serve as a role model representing organizational values and commitment to exceptional customer service. Actively participate as a member of the Revenue Cycle and Finance leadership teams. Perform additional duties, special projects, and strategic initiatives as assigned by the Director of Revenue Cycle, Chief Financial Officer, or Executive Leadership. Physical Requirements/Percentage of Work Time 1. Vision: Must be able to read printed and/or handwritten materials from a variety of sources (75-100%) 2. Hearing: Must be able to hear well enough to communicate with coworkers (50-79%); answer incoming phone calls (0-24%) 3. Standing/Walking/Mobility: Must have mobility between departments within the facility (50-79%) 4. Climbing/Stooping/Kneeling: (0-24%) 5. Lifting/Pulling/Pushing: Must exert up to 20 pounds of force occasionally and/or up to 5 pounds of force frequently to lift or move objects (25-49%) 6. Fingering/Grasping/Feeling: Must be able to finger keyboard for computer work and phone equipment for placing/receiving calls (75-100%) 7. Sitting: Must be able to sit for prolonged periods of time when using the computer (75-100%) Environment Exposure to bloodborne pathogens requires the use of universal precautions and/or personal protective equipment. Exposure to computers. Disclaimer The above examples are intended only as illustrations of various types of work performed in this position. The omission of specific statements or duties does not exclude them from this position if the work is similar, related or a logical assignment to the position. Requirements are representative of the minimum levels of knowledge, skills and/or abilities. To perform this job successfully, the employee will possess the abilities or aptitude to perform each duty proficiently. Schedule Hours: Monday-Friday 8:30am-5pm Work Location Onsite- Rosecrance Health Network, 1021 N. Mulford Road, Rockford, IL 61107 or Chicago Des Plaines, IL 60018 Work Mode: On-site Compensation Starting salary for Bachelors Degree $85,000 annual salary Our Benefits Medical, dental, and vision insurance (multiple plan options to meet your needs) 401(k) with employer match & discretionary contribution Group Life Insurance, LTD and AD&D Tuition assistance & licensure/certification reimbursement Paid Time Off, sick time, bereavement leave Referral program earning up to $1,000 per hire! Wellness program, including an on-site gym at select facilities Discounts at participating retailers Daily pay available through UKG Wallet for financial flexibility Who We Are Rosecrance has been at the forefront of providing behavioral health services for over a century. Our mission is to empower individuals and families to overcome substance abuse and mental health challenges through evidence-based therapies and compassionate care. Join us in our mission to foster lasting recovery and transform lives. We are committed to providing careers that make a difference in the lives of the people we serve and the people we employ. We do this through the work we do, our core mission and values, our employee resources, and especially through our purpose-driven community of opportunity and hope. Our Health and Safety Commitment We maintain a zero-tolerance drug-free environment, including marijuana, to prioritize safety for staff and clients. All candidates must pass an occupational health screening, ensuring a secure and healthy workplace. Equal Employment Opportunity Rosecrance is an equal opportunity employer and values diversity in the workplace. We do not discriminate based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, marital status, veteran status, or any other legally protected status. Our hiring decisions are based solely on qualifications, skills, and experience relevant to the requirements of the position. Our Partnerships AARP Employer Pledge Program MSEP (Military Spouse Employment Partnership). All requirements are subject to possible modification to reasonably accommodate individuals with disabilities. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other employees. This document does not create an employment contract, implied or otherwise, other than an at will employment relationship. #J-18808-Ljbffr