Revenue Cycle Manager

ddrcco; Lakewood (CO); Sur place; USD 81 000 - 93 000; Plein temps

Avantages offerts par ce poste

Medical Insurance

Dental & Vision Insurance

Life Insurance

Flexible Spending Account

401(k) with 3% employer match

Vacation & sick time

Public Service Loan Forgiveness (PSLF)

Tuition reimbursement

Résumé du poste

DDRC is actively seeking an experienced Revenue Cycle Manager to lead and optimize our billing operations in Colorado. The role directs a three-person team, focuses on accurate reimbursement, denial management, and regulatory compliance, while driving continuous process improvements.

The ideal candidate brings strong Colorado Medicaid billing expertise, deep knowledge of the full claims lifecycle, and a passion for coaching staff and enhancing workflows to improve cash flow.

Qualifications

• Bachelor's degree required or relevant experience may substitute for education.
• At least three years of Colorado Medicaid billing experience.
• At least three years of experience leading, training, or mentoring billing staff.
• Strong knowledge of healthcare revenue cycle management, reimbursement methodologies, and claims lifecycle.
• Experience resolving denied, rejected, and failed claims.
• Advanced proficiency with Microsoft Office, particularly Excel.
• Strong analytical, organizational, and problem-solving skills.
• Excellent written, verbal, and interpersonal communication skills.

Responsabilités

• Lead revenue cycle operations, including claim creation, submission, follow-up, payment posting, reconciliation, and denial management.
• Develop and monitor revenue cycle procedures and performance measures.
• Ensure billing practices comply with Medicaid, state, federal, and organizational requirements.
• Analyze revenue cycle performance and identify opportunities to improve cash flow, reduce denials, and strengthen billing processes.
• Oversee claim preparation, submission, reconciliation, and resolution of denied, rejected, and underpaid claims.
• Identify system, workflow, and operational barriers affecting reimbursement and implement solutions.
• Partner with Finance to support accurate revenue recognition and financial reporting.
• Lead, coach, train, and manage the performance of billing staff.
• Work across departments to support accurate service documentation and billing practices.
• Utilize EHR systems and clearinghouse platforms to manage billing activities and reporting.
• Support audits, compliance reviews, billing documentation requests, and improvements to billing and EHR systems.

Connaissances

Colorado Medicaid billing experience

Leading billing staff

Healthcare revenue cycle management

Resolving denied claims

Excel proficiency

Communication skills

Formation

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

Outils

CareLogic EHR

Description du poste

Join a Mission That Matters

DDRC is seeking an experienced Revenue Cycle Manager to lead and strengthen our revenue cycle and billing operations. This position oversees the full revenue cycle process and provides leadership to a team of three employees, with a focus on accurate and timely reimbursement, effective denial management, regulatory compliance, and continuous improvement.

This is an excellent opportunity for someone who brings strong Colorado Medicaid billing expertise, understands the full claims lifecycle, and enjoys improving processes while developing and supporting a team.

Compensation:

$81,000 to $93,150 annually

Benefits

• Medical Insurance: Individual coverage for only $30/month, $750 deductible, 100% coverage after deductible
• Dental & Vision Insurance
• Life Insurance
• Flexible Spending Account
• 401(k) with 3% employer match
• Vacation & sick time begin accruing immediately
• Paid holidays
• Public Service Loan Forgiveness (PSLF) eligibility
• Tuition reimbursement

Location:

11177 West 8th Ave. Lakewood, CO 80215

Schedule:

Monday through Thursday 8:00 am to 5:00 pm

Essential Functions:

• Lead revenue cycle operations, including claim creation, submission, follow‑up, payment posting, reconciliation, and denial management.
• Develop and monitor revenue cycle procedures and performance measures.
• Ensure billing practices comply with Medicaid, state, federal, and organizational requirements.
• Analyze revenue cycle performance and identify opportunities to improve cash flow, reduce denials, and strengthen billing processes.
• Oversee claim preparation, submission, reconciliation, and resolution of denied, rejected, and underpaid claims.
• Identify system, workflow, and operational barriers affecting reimbursement and implement solutions.
• Partner with Finance to support accurate revenue recognition and financial reporting.
• Lead, coach, train, and manage the performance of billing staff.
• Work across departments to support accurate service documentation and billing practices.
• Utilize EHR systems and clearinghouse platforms to manage billing activities and reporting.
• Support audits, compliance reviews, billing documentation requests, and improvements to billing and EHR systems.

Qualifications and Skills:

• Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field. Relevant experience may substitute for education.
• At least three years of Colorado Medicaid billing experience.
• At least three years of experience leading, training, or mentoring billing staff.
• Strong knowledge of healthcare revenue cycle management, reimbursement methodologies, and claims lifecycle processes.
• Experience successfully resolving denied, rejected, and failed claims.
• Advanced proficiency with Microsoft Office, particularly Excel.
• Strong analytical, organizational, and problem‑solving skills.
• Excellent written, verbal, and interpersonal communication skills.

Preferred Qualifications

• Experience with CareLogic EHR.
• Medical Billing certification.
• Medicaid waiver billing experience.
• Experience in intellectual and developmental disability services, behavioral health, human services, or a similar healthcare environment.
• Experience working with multiple EHR systems, billing platforms, and clearinghouses.

Work Environment

This position is primarily based at DDRC's Central office in Lakewood, Colorado. The role requires comfort working in a highly regulated environment with detailed reports, documentation requirements, deadlines, confidential information, and changing organizational priorities. Some scheduling flexibility may be needed to support organizational, financial, audit, or training needs.

DDRC is an equal opportunity employer. DDRC employees and job applicants are protected from discrimination on basis of race, color, religion, sex, national origin, sexual orientation, gender identity, disability, protected veteran status, or any other status protected by applicable law. DDRC is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA).

This job description is not exhaustive and may be revised, with or without notice, based on funding, program needs, or organizational requirements. Additionally, job descriptions are subject to annual review and revision, as needed, to maintain accuracy, regulatory compliance, and alignment with operational requirements. Changes will not be discriminatory, retaliatory, or violate laws like the Americans with Disabilities Act (ADA).