Revenue Cycle Leader – Epic, Compliance & Strategy

Lever, Inc.; Pittsburgh (Allegheny County); On-site; USD 90,000 - 100,000; Full time

Job summary

Planned Parenthood of Western Pennsylvania is seeking a Revenue Cycle Operations leader to direct and optimize billing, oversee staff, and align revenue cycle activities with strategic goals across the region.

The role requires Epic Resolute expertise, strong analytics, and ability to collaborate with clinical and operations teams to improve coding, compliance, and patient access while guiding initiatives with executive leadership.

Qualifications

• Bachelor’s degree in Accounting, Finance, Healthcare Administration, Business, or related field preferred; equivalent combination of experience and education considered.
• Minimum of three (3) years in a leadership or director-level role
• Minimum of two (2) years of direct, hands-on experience with Epic Resolute Professional Billing required.
• Experience in reproductive health, family planning, community health center (FQHC), or women’s health settings strongly preferred

Responsibilities

• Direct, evaluate and optimize all billing and revenue cycle activities for PPWP, including management of staff, and oversight of revenue cycle activities.
• Develop and maintain reporting and dashboards to monitor key revenue cycle metrics including AR days, denial rates, clean claim rates, collections performance, and payer-specific trends.
• Prepare and present revenue cycle performance reviews to executive leadership.
• Develop and deliver clinical billing and training content for providers and clinical front-end users; coordinate with Medical Services leadership to ensure consistent coding and documentation practices across the organization.
• Act as the primary liaison between the billing department and internal departments ensuring clear communication, updates to billing processes and procedures, identification of trends, issue resolution, and continuous workflow improvement
• Collaborate with Health Center Managers and Medical Services leadership to optimize front-end revenue cycle processes including patient registration, insurance verification, eligibility checking, sliding fee scale application, and point-of-service collections
• Ensure all billing activities comply with federal and state regulations, HIPAA privacy and security requirements, payer contract terms, and Planned Parenthood’s organizational standards and mission
• Collaboratively review the coding audits with operations and IT analysts to identify training and system enhancements to improve compliant billing and coding.
• Support billing and documentation requirements for the Title X Family Planning Program, including sliding fee scale compliance, service coding, and federal reporting obligations
• Direct third-party payer contract negotiations, management, and payer relations, including MCO contracts, fee schedule reviews, and dispute resolution.
• Ensure complete, accurate, and timely data is maintained in Epic and that internal operations supports clean claim submission; identify and resolve data or workflow gaps that impact billing performance
• Actively participate in strategic discussions and planning activities in collaboration with the Chief Financial Officer and Chief Executive Officer.
• Manage Revenue Cycle Work Plan and actively execute various projects and initiatives identified in prior Revenue Cycle assessments, approved work plan and identified priorities.
• Manage the risk assessment and quality management process and activities of the Revenue Cycle, including the following: Revenue optimization initiatives and needs for PPWP team; Evaluation of risk areas, including mitigation of identified risks
• Actively participate in any financial and other compliance audits, specifically related to Revenue Cycle.
• Liaise with other PA affiliates to strategize state-wide revenue enhancement
• Recruit, onboard, develop, and retain a small revenue cycle team; set clear performance expectations and conduct regular performance evaluations
• Foster a culture of accountability, continuous improvement, and mission alignment within the revenue cycle function
• Perform other duties as assigned by the Chief Financial Officer

Skills

Leadership

Analytical thinking

Communication

Travel readiness

Education

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

Tools

Epic Resolute Professional Billing

Microsoft Excel

Clearinghouse platforms

Job description

Planned Parenthood of Western Pennsylvania is seeking a Revenue Cycle Operations leader to direct and optimize billing, oversee staff, and align revenue cycle activities with strategic goals across the region.

The role requires Epic Resolute expertise, strong analytics, and ability to collaborate with clinical and operations teams to improve coding, compliance, and patient access while guiding initiatives with executive leadership.