Revenue Cycle Manager & Compliance Officer

Description

Position Summary

The Revenue Cycle Manager & Compliance Officer is a hands-on role responsible for supporting accurate billing, timely collections, and consistent business practices across all departments.

During the first 90 days, this position will prioritize revenue cycle cleanup under the direction of the Director of Revenue Cycle & Business Operations. This work includes reviewing outstanding accounts receivable, resolving billing discrepancies, addressing denied or unpaid claims, and improving documentation and follow-up processes.

Ongoing responsibilities include managing revenue cycle workflows and overseeing business operations compliance across departments. This individual will work with department leaders, Human Resources, and executive leadership to identify gaps, monitor adherence to policies and applicable requirements, and ensure corrective actions are completed.

Essential Duties and Responsibilities

First 90 Days — Revenue Cycle Cleanup

• Partner with the Director to assess existing billing workflows, outstanding balances, and priority areas for cleanup.
• Review accounts receivable aging and identify overdue, denied, underpaid, or unbilled accounts.
• Research billing discrepancies and coordinate corrections with the appropriate departments and payers.
• Review supporting documentation, service authorizations, and billing records to identify missing or inconsistent information.
• Assist with claim corrections, resubmissions, payer follow-up, and payment reconciliation.
• Maintain a cleanup tracker identifying each issue, responsible party, next action, due date, and resolution.
• Provide regular progress reports to the Director, including unresolved barriers and recommendations.
• Help establish reliable procedures to prevent recurring billing and collection issues.

Ongoing Revenue Cycle Management

• Coordinate day-to-day billing, collections, denial management, and accounts receivable follow-up.
• Monitor billing accuracy, submission timeliness, outstanding balances, and collection performance.
• Work with scheduling, service delivery, documentation, and finance teams to resolve issues affecting reimbursement.
• Review payment posting and reconciliation processes and escalate discrepancies.
• Develop and maintain reports that help leadership understand revenue cycle performance.
• Support billing-system implementation, optimization, and staff training.
• Establish clear workflow expectations and monitor completion of assigned revenue cycle tasks.

Business Operations Compliance Across Departments

• Coordinate compliance reviews of business operations across all departments.
• Monitor adherence to company policies, established procedures, payer requirements, and applicable operational requirements.
• Conduct routine audits of records, workflows, and internal controls to identify gaps and inconsistent practices.
• Maintain a compliance calendar and tracking tools for required reviews, submissions, training, and corrective actions.
• Document findings and work with department leaders to develop corrective action plans with clear ownership and deadlines.
• Follow up on corrective actions and verify that identified issues have been addressed.
• Support policy and procedure updates in partnership with Human Resources and department leadership.
• Assist with audit preparation, information requests, and organized retention of supporting documentation.
• Receive and document compliance concerns and promptly escalate significant issues to the Director and appropriate leadership.
• Coordinate with clinical leaders on matters requiring clinical review or professional judgment.
• Protect confidential client, employee, financial, and business information.

Requirements

Requirements

• Two to four years of progressive experience in healthcare billing, collections, revenue cycle, compliance, or related healthcare business operations.
• Demonstrated ability to review accounts receivable, research billing issues, and manage follow-up through resolution.
• Experience using healthcare billing, electronic health record, practice-management, or related financial systems.
• Strong spreadsheet, reporting, recordkeeping, and data-analysis skills.
• Ability to review policies and workflows, identify gaps, and document actionable findings.
• Strong organization, communication, judgment, accountability, and follow-through.
• Ability to collaborate across departments and handle confidential information appropriately.