RCM Manager

This is a full-time, exempt position reporting to our Director of RCM Account Management.

Revenue Cycle Oversight & Performance Management

• Monitor and analyze key revenue cycle metrics such as Days Sales Outstanding (DSO), denial rates, A/R aging, and net collections to ensure operational targets are met.
• Proactively identify trends, root causes, and opportunities to improve revenue capture and reduce delays in the billing cycle.
• Support accurate and timely execution of all RCM activities, including charge entry, claims submission, payment posting, and A/R follow-up.
• Collaborate with RCM Specialists and offshore team members to troubleshoot issues and maintain optimal workflow execution.

Operational Coordination & Issue Resolution

• Act as an internal escalation point for complex billing, coding, and payer-related issues, resolving them in collaboration with cross-functional teams.
• Investigate operational bottlenecks and implement solutions to improve accuracy, efficiency, and turnaround times.
• Support the RCM Account Manager by providing internal performance insights that contribute to broader client strategy and retention efforts.

Workflow Optimization & Compliance

• Contribute to the development and refinement of RCM workflows and standard operating procedures to ensure consistency and compliance.
• Ensure all processes adhere to regulatory requirements, including HIPAA, CMS guidelines, and payer-specific policies.
• Identify opportunities for automation, system improvements, and process enhancements to streamline revenue cycle functions.

Team Support & Reporting

• Mentor and support RCM Specialists by guiding day-to-day activities, answering technical questions, and helping prioritize tasks.
• Assist in training new team members and ensuring consistent application of policies and procedures.
• Generate and interpret operational reports to highlight performance trends, identify gaps, and support continuous improvement initiatives.
• Regularly report operational findings and suggestions to the RCM Account Manager to inform client-facing discussions and strategic planning.

Qualifications & Skills

• High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration or related field preferred.
• 3+ years of experience in medical billing, collections, or revenue cycle operations; prior experience in a lead or supervisory capacity strongly preferred.
• Proven ability to analyze and act on revenue cycle data to improve performance metrics such as DSO, denial rate, and net collections.
• Experience mentoring or guiding junior RCM team members, with a demonstrated ability to delegate tasks and monitor execution.
• Familiarity with additional EHR and practice management systems is a plus (e.g., eCW, NextGen, Nextech, ModMed, Epic, Athena, AdvancedMD, Allscripts, etc.).
• Working knowledge of CPT, ICD-10, and HCPCS coding systems
• Strong understanding of insurance guidelines, EOBs, and remittance advice
• Excellent organizational and communication skills
• Ability to function well in a fast-paced and at times stressful environment.
• Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.

The salary range for this position is: $45,000 - $55,000. Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more.