Epic Revenue Cycle Program Manager (AR & Denials)

ZipRecruiter; Farmington (NM); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading recruitment firm is seeking a Program Manager to lead client-facing initiatives. The role involves analyzing revenue cycle data, implementing process improvements, and managing direct reports. Ideal candidates will have at least 2 years in revenue cycle operations, excellent client communication skills, and capability to work independently in a remote environment. Key responsibilities include presenting actionable recommendations and enhancing workflow efficiency.

Qualifications

• Minimum 2 years of provider/clinic revenue cycle experience.
• Hands-on experience with claims and denials.
• Strong analytical and problem-solving skills.

Responsibilities

• Act as primary client contact for AR and denial-related analysis.
• Conduct in-depth Epic AR inventory reviews.
• Manage direct reports including an Account Analyst.

Skills

Revenue cycle experience

Client-facing skills

Analytical skills

Problem-solving skills

Workflow design skills

Tools

Epic system

Job description

Overview

The Program Manager is responsible for leading client-facing initiatives and will immediately support an ortho clinic project. This individual will serve as the client-facing Program Manager, responsible for analyzing AR inventory, identifying upstream fixes, and driving resolution through both technical and process improvements.

Responsibilities

• Act as the primary client-facing contact for AR and denial-related analysis, presenting trend issues and actionable recommendations
• Conduct in-depth Epic AR inventory reviews to identify root causes of denials and implement upstream fixes (e.g., claim edits, workflow adjustments)
• Track Epic build tickets, following through to resolution and validating effectiveness of changes
• Partner cross-functionally within RCMS and with external partners to design solutions that improve workflow efficiency and financial outcomes
• Apply project management principles to organize tasks, ensure timely follow-up, and deliver measurable results
• Provide recommendations to clients, blending operational expertise with system insights
• Prepare and present recommendations and outcomes to clients
• Manage direct reports, including an Account Analyst

Qualifications

• Minimum 2 years of provider/clinic revenue cycle experience with strong emphasis on back-end operations (AR, claims, denials)
• Hands-on experience with claims, denials, and Epic configuration/builds
• Proven experience in AR analysis and denial avoidance strategies
• Strong client-facing skills, with ability to communicate findings, lead discussions, and present solutions to both operational and technical stakeholders
• Consulting mindset: able to identify opportunities, think critically, and influence change
• Strong analytical, problem-solving, and workflow design skills
• Experience supporting specialty clinics (ortho) a plus
• Ability to work independently in a fully remote environment while collaborating with cross-functional teams

Physical Demands and Work Environment

• Travel may be required
• Work Environment: This job operates in a professional home environment. This role routinely uses standard office equipment such as computers and phones
• Physical Demands: This is largely a sedentary role; however, employees may need to use keyboards, mouse, and other devices for typing, clicking, and navigating software systems