About this role
The Senior Manager of Revenue Cycle is responsible for leading end-to-end revenue cycle operations, including claims management, payment posting, denials and appeals, accounts receivable, and patient collections. You will partner closely with clinical teams, finance, and risk adjustment teams to optimize cash flow, reduce revenue leakage, improve billing accuracy, and ensure regulatory compliance. Planning, organizing, and influencing department activities while overseeing day-to-day operations to ensure accuracy in the billing processes. Monitor budget and utilize operational resources, participate in billing process improvement to maximize reimbursement. Oversee charge capture and reconciliation, claims submission and editing, payment posting and reconciliation, denial management and appeals, A/R management and collection, credit balance resolution Evaluate current Athena hold rules for appropriateness and propose and implement changes where appropriate Ensure accounts are billed accurately and timely by providing proactive oversight and direction for billing teams Support accurate and timely month-end close activities Report key KPIs to finance and market leadership including net collection rate, days in A/R, denial rate, clean claim rate, point-of-service collections, etc. Identify trends and operational deficiencies, implementing corrective action plans as necessary Monitor and manage the billing staff regularly for work accuracy including charge retrieval, claims submissions and payment posting, holding team accountable for success Maintain current knowledge of hospital billing systems and government payer systems, including applicable federal/state laws and regulations, as well as all aspects of third-party reimbursement policies and practices Understand the contract terms and ensure appropriate payment Participate in the development and implementation of operating policies and procedures Audit current procedures to monitor and improve the efficiency of revenue cycle operations