Revenue Cycle Manager

Socket.dev

Clayton Charter Township (MI)

On-site

USD 110,000 - 160,000

Full time

6 days ago
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Job summary

Socket.dev is seeking a strategic Revenue Cycle Manager in Michigan to lead financial oversight, forecasting, automation, and performance optimization across the revenue cycle. You will partner with the Billing Team Lead to drive predictive, data-informed revenue performance and KPI visibility.

The role emphasizes financial analytics, forecasting, and long-term revenue integrity with collaboration across operational leadership to standardize workflows and implement automation tools, including AI

Qualifications

  • Bachelor’s degree in Finance, Healthcare Administration, Business, or related field.
  • 5+ years of healthcare revenue cycle experience.
  • Strong financial modeling and advanced Excel/data analysis skills.
  • Deep understanding of AR management, payer reimbursement, and denial trends.

Responsibilities

  • Develop predictive revenue models based on payer mix and CPT trends.
  • Forecast impact of payer fee schedule changes and monitor reimbursement trends.
  • Monitor post adjudication audit responsibility and estimates for accuracy.
  • Develop quality reconciliation and balance validation processes; shorten month-end close with automation.
  • Design and maintain real-time dashboards tracking net collections, days in AR, denial rates, and related KPIs.
  • Standardize and optimize refund, payment, and denial workflows; explore automation opportunities including AI.
  • Evaluate productivity metrics and staffing alignment; collaborate with leadership on performance improvements.
  • Oversee compliance and risk mitigation related to revenue integrity and documentation-to-bill.

Skills

Financial modeling
Advanced Excel
Data analysis
AR management
Payer reimbursement
Denial trends

Education

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

Tools

Excel

Job description

JOB SUMMARY

Regional Medical Imaging (RMI) is seeking a strategic and analytically driven Revenue Cycle Manager to lead financial oversight, forecasting, automation, and performance optimization across the revenue cycle.

As billing complexity continues to increase due to payer variability, imaging-specific reimbursement structures, and system integrations, this role will transform revenue operations from reactive processing to predictive, data-informed performance management.

This position partners closely with the Billing Team Lead, who oversees daily billing operations and staff supervision. The Revenue Cycle Manager focuses on financial analytics, KPI visibility, forecasting, automation, and long-term revenue integrity.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Other duties may be assigned.

Revenue Analytics & Forecasting
  • Develop predictive revenue models based on payer mix, CPT trends, and reimbursement shifts
  • Analyze and forecast the impact of payer fee schedule changes
  • Review Contracts for best performance
  • Monitor reimbursement trends and provide executive-level revenue insights
  • Monitor post adjudication audit responsibility and estimates for best accuracy and feedback
Month-End Close Optimization
  • Develop quality reconciliation and balance validation processes
  • Shorten month-end close cycle through automation and reporting controls
  • Ensure financial accuracy and compliance across revenue reporting
KPI & Performance Infrastructure
  • Design and maintain real-time dashboards tracking:
  • Net collections
  • Days in AR
  • Denial rates
  • Clean claim rates
  • Refund metrics
  • Bill-to-cash TAT performance
  • Translate data into actionable operational recommendations
Workflow & Automation Leadership
  • Work with operational leadership to standardize and optimize refund, payment, and denial workflows
  • Evaluate and implement automation opportunities, including AI where appropriate
  • Improve efficiency and accuracy within the systems in place or full system solutions.
Staffing & Efficiency Analysis
  • Evaluate productivity metrics and staffing alignment
  • Partner with operational leadership on accountability and performance optimization
Compliance & Risk Mitigation
  • Monitor documentation-to-bill integrity
  • Oversee the internal audit program
  • Partner with compliance on QPP/MIPS revenue implications
  • Reduce audit exposure risk
Qualifications
Required:
  • Bachelor’s degree in Finance, Healthcare Administration, Business, or related field
  • 5+ years of healthcare revenue cycle experience
  • Strong financial modeling and advanced Excel/data analysis skills
  • Deep understanding of AR management, payer reimbursement, and denial trends
Preferred:
  • MBA or Master’s degree
  • Radiology or imaging billing experience
  • Experience implementing KPI dashboards or automation tools
Core Competencies
  • Strategic and systems-level thinker
  • Data-driven decision maker
  • Process optimization mindset
  • Strong executive communication skills
  • Collaborative leadership approach
Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, walk, sit, and type information into the computer.

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