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Revenue Cycle Manager
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Robert Half
San Mateo, CA (In Person)
Full-Time
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Job Description
Revenue Cycle & Reporting ManagerJob Type:
Fulltime W2 Position SummaryThe Revenue Cycle & Reporting Manager is responsible for overseeing the full revenue cycle, including billing, claims management, payment posting, collections, accounts receivable, and revenue reporting. This role ensures billing accuracy, payer compliance, financial integrity, and operational efficiency while providing reporting and analysis to support leadership decision-making and organizational performance.The ideal candidate will have strong experience in healthcare revenue cycle operations, accounts receivable management, reporting, and process improvement.
Key ResponsibilitiesRevenue Cycle ManagementOversee daily billing operations, claim submission, payment posting, denial management, collections, and refunds.
Ensure billing accuracy and compliance prior to claim submission.
Investigate and resolve complex billing issues, claim denials, and payer discrepancies.
Maintain fee schedules, contractual adjustments, and write-off controls.
Monitor timely filing requirements and implement corrective actions when needed.
Ensure compliance with payer guidelines and regulatory requirements.
Accounts Receivable & CollectionsManage insurance and patient accounts receivable across aging categories.
Monitor collection performance and identify trends impacting reimbursement.
Coordinate patient payment arrangements, financial assistance programs, and collection activities.
Track and report outstanding balances, collection efforts, and revenue risks.
Develop strategies to improve cash collections and reduce aging receivables.
Reporting & Financial AnalysisPrepare and distribute monthly revenue cycle reports and key performance metrics, including:
Revenue and production analysisOutstanding claims and billing statusAccounts receivable agingDenial and reimbursement trendsData quality and reconciliation findingsAnalyze revenue cycle performance and recommend process improvements.
Partner with accounting and finance teams to reconcile revenue activity and support month-end close.
Provide reporting and documentation for audits, compliance reviews, and leadership planning.
Systems & Process ImprovementServe as the subject matter expert for revenue cycle workflows and billing systems.
Develop, maintain, and improve standard operating procedures and internal controls.
Train and support staff on billing processes, documentation requirements, and payer regulations.
Monitor industry and payer updates and communicate operational impacts to stakeholders.
Identify opportunities to improve efficiency, accuracy, and overall revenue cycle performance.