Revenue Cycle Leader: Medicare Billing & AR Management

Fuller Hospital; North Attleborough (MA); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Student Loan Repayment

Tuition Reimbursement

401(K) with company match

Career development opportunities

Licensure supervision

Job summary

Fuller Hospital is seeking a Revenue Cycle Manager to bill Medicare, oversee daily billing tasks, and supervise the business office staff on-site in Massachusetts. The role ensures timely claim processing, accurate AR aging analysis, and effective coordination with Intake, UR, and Medical Records to support policy compliance.

You will lead staff, improve processes, respond to management inquiries promptly, and participate in month-end close activities.

Qualifications

• Bachelor's degree in finance, accounting or related field.
• 5 years of healthcare billing, AR and collections experience required.
• 1+ year in revenue cycle management; healthcare experience preferred.

Responsibilities

• Bill Medicare claims and perform standard daily billing tasks.
• Monitor claim denials and ensure timely entry on denial logs; ensure regular staff follow up on denied claims.
• Analyze AR Aging and obtain staff updates on all past due accounts weekly.
• Review and direct staff on working self-pay, credit balances, unbilled charges, and other account groups.
• Assist staff with resolving complex claim rejections.
• Analyze contractual adjustments for accuracy and approve prior to posting.
• Lead monthly insurance calls on outstanding problem claims and maintain claim logs.
• Oversee accurate and timely completion of daily insurance verification and cash posting processes.
• Obtain single case agreements and assist staff with denial appeals.
• Prepare for and oversee any third-party payor audits and complete any third-party reports.
• Maintain reports and logs requested by the CFO for the month end close.
• Prepare weekly AR reports and attend weekly AR meetings.
• Collaborate with Intake, UR and Medical records department as needed to accommodate financial policies.
• Communicate new issues or trends to CFO promptly.
• Respond to inquiries from management and staff promptly.
• Update changes in contracted rates timely in the Contract Matrix system per communications from the corporate contracting department.
• Maintain close familiarity with payer contracts, rates, billing codes and guidelines.
• Review and approve write offs as appropriate; ensure all necessary documentation is provided.
• Monitor and implement business office policies and procedures as requested by the CFO.
• Monitor productivity, coordinate, and audit daily business office staff activities.
• Manage and develop business office staff.
• Use staff feedback and findings to implement process improvements.
• Administer annual performance reviews, and performance improvement plans and disciplinary actions, as needed.
• Complete one-time projects as assigned by CFO.

Skills

Healthcare billing

Accounts receivable

Revenue cycle management

Analytical skills

Education

Bachelor's degree in finance, accounting or related field

Job description

Fuller Hospital is seeking a Revenue Cycle Manager to bill Medicare, oversee daily billing tasks, and supervise the business office staff on-site in Massachusetts. The role ensures timely claim processing, accurate AR aging analysis, and effective coordination with Intake, UR, and Medical Records to support policy compliance.

You will lead staff, improve processes, respond to management inquiries promptly, and participate in month-end close activities.