REVENUE CYCLE MANAGER

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    "description": "<p>We are seeking a <strong>Revenue Cycle Manager</strong> to join the finance leadership team to provide hands-on operational leadership for our billing and revenue cycle function across Medicaid and commercial payers. This is a newly created role designed to formalize, standardize, and scale revenue cycle operations as the organization continues to grow.</p>\n\n<p>&nbsp;</p>\n\n<p>The Revenue Cycle Manager will oversee day-to-day billing execution, manage a team of billers, and partner closely with the CFO to improve workflows, visibility, and performance. This role is intentionally designed as a working manager position&mdash;balancing hands-on billing with leadership, reporting, and process improvement responsibilities. T<u>his is a hybrid role based in our Raleigh office</u>.&nbsp;</p>\n\n<h3>&nbsp;</h3>\n\n<h3><strong>Key Responsibilities</strong></h3>\n\n<p><strong>Revenue Cycle Operations (Hands-On Leadership)</strong></p>\n\n<ul>\n\t<li>Oversee daily billing operations across Medicaid and commercial payers</li>\n\t<li>Actively participate in billing activities to understand workflows and payer behavior</li>\n\t<li>Ensure timely claim submission, rejection resolution, denial follow-up, and payer communication</li>\n\t<li>Maintain organized work queues and prioritize activities</li>\n\t<li>Serve as the primary escalation point for billing-related issues</li>\n\t<li>Stay current on MCO and commercial payer billing changes</li>\n</ul>\n\n<p><strong>Team Leadership &amp; Management</strong></p>\n\n<ul>\n\t<li>Manage, coach, and support billing staff</li>\n\t<li>Set expectations for productivity, quality, and turnaround times</li>\n\t<li>Promote consistent practices and cross-training</li>\n</ul>\n\n<p><strong>Process Standardization &amp; Improvement</strong></p>\n\n<ul>\n\t<li>Partner with the CFO to document and improve workflows</li>\n\t<li>Develop and maintain SOPs for billing activities</li>\n\t<li>Identify recurring issues and implement improvements</li>\n</ul>\n\n<p><strong>Reporting &amp; Visibility</strong></p>\n\n<ul>\n\t<li>Produce regular operational reporting</li>\n\t<li>Track billing lag, denial trends, and AR aging</li>\n\t<li>Provide leadership with actionable insights</li>\n\t<li>In partnership with CFO, develop KPIs such as clean claim rate, first past payment rate, denial rate, denial turnaround, claims processed, staff error rate</li>\n</ul>\n\n<p><strong>Cross-Functional Collaboration</strong></p>\n\n<ul>\n\t<li>Coordinate with clinical and operational teams</li>\n\t<li>Establish clear communication and escalation pathways</li>\n\t<li>Support timely operational adjustments</li>\n\t<li>Other responsibilities as needed</li>\n</ul>\n\n<p>&nbsp;</p>\n\n<h3><strong>Hands-On Billing Expectation</strong></h3>\n\n<p>&nbsp;</p>\n\n<p>This is a hands-on leadership role. During the initial onboarding period, the Revenue Cycle Manager will actively bill alongside the team to develop a firsthand understanding of existing processes, systems, and payer requirements.</p>\n\n<p>As workflows become standardized and visibility improves, the role will transition to a primarily managerial and improvement-focused position. Ongoing billing responsibilities are expected to represent approximately 20&ndash;30% of the role.</p>\n\n<p><strong>What We&rsquo;re Looking For</strong></p>\n\n<ul>\n\t<li>Hands-on revenue cycle leader</li>\n\t<li>Builder and customer service mindset</li>\n\t<li>Collaborative partner with executive leadership</li>\n\t<li>Self‑learner who proactively keeps up with billing changes, payer updates, and operational impacts</li>\n</ul>\n\n<p style=\"margin-left:24px\">&nbsp;</p>\n\n<h3><strong>Why This Role</strong></h3>\n\n<p>This role offers the opportunity to shape a scalable, well-run revenue cycle function with direct executive partnership and meaningful ownership.</p>\n",
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