Physician Revenue & Denials Manager

methodisthealthsystem; Dallas (TX); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Methodist Health System in Dallas, TX, seeks a Manager to oversee AR specialists and a Team Lead within the Central Business Office. The role focuses on setting performance goals, reducing accounts receivable, and improving processes in collaboration with the Director.

Requirements include a bachelor's degree in healthcare administration or related field, 5+ years in physician billing or revenue cycle management, and 3+ years of leadership experience.

Qualifications

• Education: Bachelor's degree in Healthcare Administration, Business, or related field required. Master's preferred.
• Experience: 5+ years in physician billing, revenue cycle management, or payer relations; 3+ years of direct leadership experience.
• Knowledge Base: In-depth understanding of CPT/HCPCS/ICD-10 coding, payer-specific requirements, and CMS guidelines for physician services.
• Systems: Epic experience required; experience with denial management systems and reporting tools preferred.
• Certifications: Certification through HFMA, AAHAM, or Epic (PB Resolute or Claim Edit) preferred for new hires; encouraged for incumbents.

Responsibilities

• Leads all post-bill follow-up and denial resolution activities across all payers, ensuring timely resolution and maximum reimbursement for multi-specialty physician services.
• Directs the appeals and reconsideration process, including root cause analysis, persuasive appeal writing, and submission accuracy.
• Collaborates with Revenue Integrity and Coding teams to ensure accurate documentation, reduce revenue leakage, and ensure compliant charge capture.
• Oversees Epic workqueue utilization, provides optimization feedback, and partners with IT to support performance improvement.
• Manages a team of AR staff (including one Team Lead), focusing on team coaching, performance monitoring, productivity tracking, and staff development.
• Conducts denial trend analysis and leads cross-functional discussions to resolve clinical, documentation, or billing workflow barriers.
• Supports AR goals, denial recovery metrics, and process improvement initiatives in partnership with the Director of Physician Revenue Optimization.
• Participates in enterprise revenue cycle meetings, peer manager forums, and professional development efforts.
• Contributes to cultural engagement, team-building initiatives, and talent development in alignment with Methodist Health's leadership standards.

Skills

Leadership experience

Effective communication

Teamwork

Education

Bachelor's degree in Healthcare Administration, Business, or related field

Master's degree preferred

HFMA certification

AAHAM certification

Epic PB Resolute or Claim Edit certification preferred

Tools

Epic experience

Denial management systems

Reporting tools

Job description

Methodist Health System in Dallas, TX, seeks a Manager to oversee AR specialists and a Team Lead within the Central Business Office. The role focuses on setting performance goals, reducing accounts receivable, and improving processes in collaboration with the Director.

Requirements include a bachelor's degree in healthcare administration or related field, 5+ years in physician billing or revenue cycle management, and 3+ years of leadership experience.