Remote Revenue Cycle Manager — Denials & Payer Policy

Commonwealth of VA Careers; Charlottesville (VA); Remote; USD 84,000 - 144,000; Full time

Benefits offered by this job

Primarily remote work environment

Flexible scheduling

Opportunity to lead a highly skilled,専

Job summary

UVA Health is seeking an experienced revenue cycle leader to head our Professional Billing organization as Manager, Revenue Cycle. This role leads a small team focused on denials, underpayments, payer policy analysis, and proactive revenue recovery, partnering with clinical and operational leaders to drive improvements.

You will guide escalation on complex reimbursement issues, align workflows with payer requirements (Epic), and advance denial-prevention initiatives across the health system,

Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• Management and/or supervisory experience in healthcare or a similar customer-focused environment.
• Professional billing experience.
• Experience with insurance claims, denials, reimbursement, or revenue cycle operations.
• Demonstrated leadership and team development abilities.

Responsibilities

• Lead and develop a team focused on denial management and underpayment resolution.
• Monitor and oversee underpayment and low-pay work queues.
• Research and resolve complex reimbursement and payer escalation issues.
• Analyze payer policies, reimbursement methodologies, and coding guidelines.
• Review payer contracts and identify operational impacts.
• Collaborate with Epic teams to ensure payer requirements and reimbursement changes are reflected in system workflows.
• Partner with physician groups, operational leaders, and stakeholders across the health system.
• Represent the department in payer meetings and serve as an escalation resource.
• Drive accountability and follow-through on complex reimbursement initiatives.
• Support denial prevention efforts through proactive policy review and operational improvements.
• Identify opportunities to improve workflows, processes, and financial performance.

Skills

Leadership

Strategic thinking

Payer policy analysis

Denials management

Team development

Revenue cycle knowledge

Education

Bachelor's degree or equivalent

Healthcare management experience

Tools

Epic

Job description

UVA Health is seeking an experienced revenue cycle leader to head our Professional Billing organization as Manager, Revenue Cycle. This role leads a small team focused on denials, underpayments, payer policy analysis, and proactive revenue recovery, partnering with clinical and operational leaders to drive improvements.

You will guide escalation on complex reimbursement issues, align workflows with payer requirements (Epic), and advance denial-prevention initiatives across the health system,