Revenue Cycle Manager

Job Title: Revenue Cycle Manager
Location: Texas (TX)
Employment Type: Full-Time
Work Arrangement: On-Site
Salary Range: Competitive, Based on Experience
Position Status: Open

Position Summary

We are seeking an experienced and results-driven Revenue Cycle Manager to oversee end-to-end revenue cycle operations for a healthcare organization in Texas. The ideal candidate will have strong expertise in medical billing, coding, insurance follow-up, accounts receivable (AR), denial management, payment posting, collections, and revenue optimization.

This position is responsible for improving financial performance, reducing revenue leakage, ensuring regulatory compliance, and leading revenue cycle teams to achieve operational and financial goals.

Key Responsibilities

• Manage day-to-day revenue cycle operations, including patient registration, insurance verification, charge capture, billing, claims submission, payment posting, AR follow-up, and collections.
• Oversee denial management processes, identify root causes, and implement corrective action plans.
• Monitor key performance indicators (KPIs), including days in AR, clean claim rate, denial rate, net collection rate, and AR aging.
• Develop strategies to improve reimbursement, accelerate cash collections, and reduce outstanding receivables.
• Ensure compliance with HIPAA, CMS, Medicare, Medicaid, commercial payer requirements, and applicable Texas healthcare regulations.
• Supervise, coach, and develop revenue cycle staff while establishing performance expectations.
• Collaborate with clinical, coding, finance, and operational teams to resolve billing and reimbursement issues.
• Manage payer escalations, underpayments, appeals, and reimbursement discrepancies.
• Prepare and present revenue cycle performance reports to senior leadership.
• Identify workflow inefficiencies and implement process improvements and automation opportunities.
• Support internal audits, payer audits, and revenue cycle compliance initiatives.

Required Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field, or equivalent relevant experience.
• 5+ years of healthcare revenue cycle management experience.
• 3+ years of supervisory or management experience in healthcare billing or revenue cycle operations.
• Strong knowledge of medical billing, coding workflows, payer reimbursement, AR management, and denial resolution.
• Experience working with Medicare, Texas Medicaid, managed care, and commercial insurance payers.
• Proficiency with electronic health records (EHR), practice management systems, and revenue cycle reporting tools.
• Strong analytical, problem-solving, leadership, and communication skills.
• Ability to manage operational targets and drive continuous improvement.

Preferred Qualifications

• Experience with Epic, Oracle Health/Cerner, athenahealth, eClinicalWorks, or similar healthcare systems.
• Professional certification such as CRCR, CHFP, or CRCE.
• Experience managing multi-site or high-volume healthcare billing operations.
• Knowledge of Texas Medicaid reimbursement and payer contracting.
• Experience with revenue cycle process automation and performance dashboards.

Key Performance Indicators

• Days in Accounts Receivable (AR)
• AR Aging Over 90 Days
• Clean Claim Submission Rate
• Initial Claim Denial Rate
• Net Collection Rate
• Cash Collections Against Target
• Denial Appeal Success Rate
• Team Productivity and Quality Metrics

Compensation & Benefits

• Competitive base salary commensurate with qualifications and experience
• Medical, dental, and vision insurance
• Paid time off and company holidays
• 401(k) retirement plan, subject to employer offerings
• Professional development and career growth opportunities

Work Location

Texas, United States

Candidates must be able to work at the assigned Texas location in accordance with organizational requirements.

Equal Employment Opportunity

We are an Equal Opportunity Employer committed to providing a workplace free from unlawful discrimination and harassment. All qualified applicants will receive consideration for employment in accordance with applicable federal and Texas employment laws.