Revenue Cycle Manager

Revenue Cycle ManagerLocation:

Blue Lagoon, Miami, FLReports To:

Director of Revenue Cycle /

CFODirect Reports:

6 Revenue Cycle Specialists (Claims & Accounts Receivable)Position SummaryWe are seeking an experienced Revenue Cycle Manager to lead our Claims and Accounts Receivable team. This role is responsible for overseeing the end-to-end claims management process, maximizing collections, reducing denials, and improving cash flow performance. The Revenue Cycle Manager will supervise a team of six professionals and work closely with operations, finance, and payer representatives to ensure timely reimbursement and resolution of outstanding accounts.

Key ResponsibilitiesManage and develop a team of six Revenue Cycle Specialists focused on claims processing, denial management, and accounts receivable follow-up.

Oversee daily billing and claims activities to ensure timely and accurate submission of claims to commercial, government, and managed care payers.

Monitor and reduce aged accounts receivable balances while improving cash collections and reimbursement rates.

Lead denial management efforts, identify root causes, and implement corrective action plans to minimize future denials.

Review and analyze key revenue cycle metrics including Days in A/R, denial rates, collection rates, clean claim rates, and cash collections.

Establish productivity standards and performance goals for the revenue cycle team.

Collaborate with clinical, operational, and finance departments to resolve billing and reimbursement issues.

Ensure compliance with payer regulations, contractual requirements, and company policies.

Prepare and present revenue cycle performance reports and recommendations to senior leadership.

Identify process improvement opportunities and implement best practices to enhance operational efficiency and financial performance.