Full-Time Revenue Cycle Optimization Manager

Are you a strategic thinker with a passion for solving revenue cycle challenges? Join us as a Revenue Cycle Optimization Manager and play a pivotal role in reshaping financial performance and operational excellence.

Responsibilities:

• Identify, develop, and implement strategic initiatives for operational efficiency and reimbursement effectiveness.
• Focus on continuous improvement in reimbursement operations (prior authorization, billing, coding, claims follow-up, collections).
• Collaborate with reimbursement teams to assess processes and implement improvements for revenue realization and claim denial reduction.
• Develop and execute process improvement initiatives to optimize revenue cycle metrics (Days in A/R, first-pass resolution rate, cash collections).
• Lead root cause analysis and performance audits to improve reimbursement timelines and payer compliance.
• Build and manage a framework for continuous quality improvement using Lean, Six Sigma, or Kaizen techniques.
• Mentor revenue cycle teams in improvement methodology and project execution.
• Monitor and report on performance KPIs, developing dashboards and tracking mechanisms.
• Partner with cross-functional teams to align process improvements with broader business and system initiatives.
• Stay current with industry trends, payer changes, and regulatory requirements.

Requirements:

• Bachelor's degree in relevant field, Master's preferred.
• 5+ years of experience in healthcare revenue cycle operations.
• Proven success implementing process improvement frameworks.
• Strong knowledge of healthcare reimbursement processes, payer requirements, and RCM metrics.
• PMP or Lean Six Sigma certification preferred.
• Strong analytical, problem-solving, and communication skills.
• Proficiency in data tools (e.g., Excel, Tableau).

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