Revenue Cycle Leader: Data-Driven Cash Flow Optimizer

Valora Medical Group; Orlando (FL); Presencial; USD 85.000 - 110.000; Jornada completa

Descripción de la vacante

Valora Medical Group seeks a Revenue Cycle Manager to lead day-to-day revenue cycle operations for a multi-provider primary care network. You will oversee charge capture, claims processing, posting, AR, collections, and denials while guiding process improvements.

The ideal candidate combines operational revenue cycle expertise with strong analytical skills, excels at handling large data sets in Excel, and translates financial data into actionable recommendations to improve cash flow.

Formación

• 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.
• Advanced proficiency in Microsoft Excel, including PivotTables, lookup functions, formulas, data manipulation, reconciliation, and analysis of large data sets.
• Experience developing revenue cycle reports, dashboards, and performance analyses.

Responsabilidades

• 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 aging A/R and ensure appropriate follow-up and escalation.
• Review payer trends and recurring issues affecting reimbursement.
• Partner with billing staff to resolve complex claims, denials, payment discrepancies, and payer issues.
• 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 (PivotTables, XLOOKUP/VLOOKUP, formulas, data validation, charts, large-data analysis).
• Monitor key revenue cycle metrics (days in A/R, denial rates, clean claim rates, collection rates, aging, write-offs, staff productivity).
• Perform root-cause analysis when performance falls below expectations and recommend corrective actions.
• Prepare concise monthly reporting explaining what data shows, why changes occur, and actions to take.

Conocimientos

Medical billing

Claims processing

Accounts receivable

Denials management

Payer requirements

Data analysis

Excel proficiency

Educación

Bachelor’s degree in Healthcare Administration, Finance, Business, Accounting, or related field

Herramientas

eClinicalWorks

Descripción del empleo

Valora Medical Group seeks a Revenue Cycle Manager to lead day-to-day revenue cycle operations for a multi-provider primary care network. You will oversee charge capture, claims processing, posting, AR, collections, and denials while guiding process improvements.

The ideal candidate combines operational revenue cycle expertise with strong analytical skills, excels at handling large data sets in Excel, and translates financial data into actionable recommendations to improve cash flow.