Revenue Cycle Manager

Position Description :

Revenue Cycle Manager at Eye Care Specialists

Position Summary

The Revenue Cycle Manager is responsible for overseeing the complete revenue cycle and practice initiatives at Eye Care Specialists. This includes patient access, charge capture, coding, claims management, denials, collections, compliance, and reporting. The Manager will lead the design and implementation of best-practice workflows, centralized processes, and technology solutions to optimize financial performance, enhance patient experience, and ensure regulatory compliance. This role requires a strategic leader who can align clinical, administrative, and financial teams to achieve operational excellence.

Key Responsibilities

Mid-Cycle : Documentation, Coding & Charge Capture

Oversee accurate and timely charge capture across all services.

Ensure compliance with medical necessity documentation, coding regulations, and payer rules.

Collaborate with clinic managers to address documentation deficiencies and promote best practices.

Partner with other departments to conduct regular workflow audits and provide staff education.

Billing, Claims & Denials Management

Direct timely submission of clean claims and oversee claims-editing processes.

Monitor accounts receivable (AR) to minimize outstanding balances and days in AR.

Implement best practices in denial prevention, management, and appeals, with root-cause analysis to reduce recurring issues.

Ensure alignment of billing practices with payer contracts and state / federal regulations.

Collections & Back-End Revenue Cycle

Oversee patient collections, ensuring policies balance financial stewardship with patient experience.

Implement processes, payment plans, and financial counseling for patients.

Monitor collection agency performance and ensure compliance with debt collection standards.

Track and report cash collections performance.

Leadership, Practice Redesign & Continuous Improvement

Lead a revenue cycle team with accountability for performance, accuracy, and customer service.

Establish KPIs for the full revenue cycle (front-end accuracy, AR days, denial rates, cash collections).

Partner with clinic leaders to redesign workflows, leverage technology, and improve revenue integrity.

Develop and maintain standardized policies and procedures across the revenue cycle.

Provide ongoing training and professional development for revenue cycle staff.

Serve as a subject matter expert on industry best practices, regulatory changes, and payer trends.

Qualifications

7+ years of progressive experience in revenue cycle operations, with at least 3 years in a leadership role.

Proven expertise in patient access, coding, billing, denials management, and collections.

Strong knowledge of Medicare / Medicaid, commercial payer contracts, and compliance regulations.

Demonstrated success implementing process redesign and technology-enabled solutions.

Proficiency with EHRs, scheduling platforms, and revenue cycle management systems.

Exceptional leadership, communication, and analytical skills.

Core Competencies

Strategic leadership and practice redesign expertise

Financial and operational performance management

Regulatory and compliance acumen

Process standardization and continuous improvement

Patient-centered approach to access and collections

Cross-functional collaboration and team development