Director of Revenue Cycle Management

Valora Medical Group; Irving (TX); On-site; USD 90,000 - 130,000; Full time

Job summary

Valora Medical Group in Irving, TX, seeks a Revenue Cycle Manager to lead daily AR activities, billing, denials, and collections across multiple providers. You will analyze data and develop Excel-based reports to drive cash flow and performance.

The role requires strong Excel proficiency, data-driven decision making, and collaboration with Finance, HR, and clinical operations to optimize reimbursement and productivity in a growing primary care organization.

Qualifications

• Bachelor’s degree in Healthcare Administration, Finance, Business, Accounting, or related field preferred; equivalent relevant experience may be considered.
• Minimum of 5 years of progressive healthcare revenue cycle experience, including leadership or supervision.
• Strong working knowledge of medical billing, claims processing, A/R, collections, denials, and payer requirements.

Responsibilities

• Manage daily revenue cycle activities: charge capture, claim submission, payment posting, A/R, collections, and denials.
• Monitor claim submission and reimbursement activity for timely, accurate billing.
• Identify workflow gaps, reimbursement issues, and operational barriers impacting revenue or cash flow.
• Review payer trends and recurring issues affecting reimbursement.
• Develop and maintain Excel-based reports, dashboards, trackers, and analyses.
• Analyze revenue cycle data to identify trends, variances, risks, and opportunities for improvement.
• Collaborate with clinical operations, Finance, HR, and providers to address billing issues.

Skills

Advanced Excel

Data analysis

Leadership & communication

Education

Bachelor’s degree in Healthcare Administration or related field

Tools

EHR systems (eClinicalWorks)

Practice management software

Job description

The Revenue Cycle Manager is responsible for the day-to-day management, analysis, and continuous improvement of revenue cycle operations for a multi-provider primary care organization. This position oversees billing, claims management, payment posting, collections, accounts receivable, and denial management to support accurate reimbursement and strong cash flow.

The Revenue Cycle Manager serves as a hands-on leader who combines operational revenue cycle expertise with strong analytical and problem-solving skills. This individual must be highly proficient in Microsoft Excel and comfortable working with large data sets, identifying trends and root causes, developing meaningful reports, and translating financial and operational data into actionable recommendations.

The ideal candidate is both detail-oriented and strategically minded—able to manage daily revenue cycle performance while looking beyond individual transactions to identify opportunities to improve processes, reimbursement, productivity, and overall financial performance.

Key Responsibilities

Revenue Cycle Operations

• Manage daily revenue cycle activities, including charge capture, claim submission, payment posting, accounts receivable, collections, and denial management.
• Monitor claim submission and reimbursement activity to ensure timely and accurate billing.
• Identify workflow gaps, reimbursement issues, and operational barriers impacting revenue or cash flow.
• Monitor outstanding A/R and ensure appropriate follow-up and escalation of aging balances.
• Review payer trends and recurring issues affecting reimbursement.
• Partner with billing staff to resolve complex claims, denials, payment discrepancies, and payer issues.
• Ensure established revenue cycle procedures and internal controls are consistently followed.
• Analyze revenue cycle data to identify trends, variances, risks, and opportunities for improvement.
• Develop and maintain Excel-based reports, dashboards, trackers, and financial analyses supporting revenue cycle performance.
• Utilize advanced Excel functionality, including PivotTables, XLOOKUP/VLOOKUP, formulas, conditional logic, data validation, charts, and large-data-set analysis.
• Monitor key revenue cycle metrics including days in A/R, denial rates, clean claim rates, collection rates, aging, write-offs, and staff productivity.
• Perform root-cause analysis when performance falls below expectations and recommend corrective actions.
• Analyze payer, provider, location, and service-level performance to identify patterns affecting reimbursement.
• Validate the accuracy and integrity of revenue cycle reporting before presenting findings to leadership.
• Prepare concise monthly reporting that explains not only what the data shows, but why performance is changing and what actions should be taken.
• Identify opportunities to improve collections, reduce denials, accelerate cash flow, and streamline workflows.

Strategic & Process Improvement

• Evaluate existing revenue cycle workflows and recommend practical improvements based on data and operational performance.
• Identify recurring revenue leakage, process inefficiencies, and reimbursement barriers.
• Develop solutions and action plans to address identified trends or performance concerns.
• Assist leadership with revenue cycle initiatives, system improvements, payer issues, and special projects.
• Collaborate with clinical operations, Finance, HR, providers, and other departments to address issues affecting billing and reimbursement.
• Support implementation and measurement of process improvement initiatives.

Team Management & Development

• Supervise, coach, and support revenue cycle staff to ensure productivity, accuracy, accountability, and timely follow-up.
• Establish clear expectations and monitor individual and team performance.
• Provide training and ongoing feedback regarding billing processes, payer requirements, denials, and revenue cycle best practices.
• Identify performance or workflow concerns and implement appropriate corrective action plans.
• Promote cross-training and effective workload distribution within the department.
• Foster a culture of accountability, collaboration, continuous improvement, and data-driven decision-making.

Compliance & Quality

• Ensure billing and collection activities comply with applicable federal, state, payer, and organizational requirements.
• Monitor billing accuracy and identify potential compliance or documentation concerns for appropriate escalation.
• Conduct periodic audits of claims, payment posting, accounts receivable, adjustments, and other revenue cycle activities.
• Stay informed of payer requirements and reimbursement changes that may affect revenue cycle operations.
• Maintain appropriate documentation and internal controls supporting billing and collection activities.

Qualifications

• Bachelor’s degree in Healthcare Administration, Finance, Business, Accounting, or related field preferred; equivalent relevant experience may be considered.
• Minimum of 5 years of progressive healthcare revenue cycle experience, including experience leading or supervising revenue cycle functions.
• Strong working knowledge of medical billing, claims processing, accounts receivable, collections, denials, payer requirements, and reimbursement processes.
• Demonstrated experience analyzing revenue cycle performance and using data to identify root causes and recommend improvements.
• Advanced proficiency in Microsoft Excel is required, including PivotTables, lookup functions, formulas, data manipulation, reconciliation, and analysis of large data sets.
• Experience developing revenue cycle reports, dashboards, and performance analyses.
• Experience with practice management and EHR systems; eClinicalWorks experience is strongly preferred.
• Strong analytical and critical-thinking skills with the ability to move from data analysis to actionable recommendations.
• Demonstrated ability to identify process efficiencies and implement sustainable improvements.
• Strong leadership, communication, organization, and problem-solving skills.
• Ability to communicate financial and operational findings clearly to both technical and non-technical stakeholders.

EEO Statement: Valora Medical Group, LLC is an equal opportunity employer and does not discriminate on the basis of race, color, religion, creed, sex, national origin, age, disability, pregnancy status, sexual orientation, gender identity, veteran status, marital status, genetic information, citizenship status, or other status protected by law. In compliance with the Immigration Reform and Control Act of 1986, we will hire only U.S. citizens and aliens lawfully authorized to work in the United States.