Revenue Cycle Manager

Nevada Orthopedic & Spine CTR.; Las Vegas (NV); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Competitive salary

Medical, Dental, and Vision Insurance

Paid Time Off

Paid Holidays

401(k) with Employer Match

Job summary

Nevada Orthopedic & Spine CTR. is seeking a Revenue Cycle Manager in Las Vegas to oversee the full revenue cycle from patient access through final payment. The role emphasizes reducing denials, optimizing cash flow, and ensuring coding compliance in a busy orthopedic practice.

You will lead the revenue cycle team, collaborate with physicians and payers, monitor KPIs, and implement process improvements to enhance financial performance while maintaining a positive patient financial experience.

Qualifications

• Bachelor’s degree or equivalent experience in healthcare admin/related field.
• Minimum 5 years of progressive medical revenue cycle experience.
• Minimum 3 years of management or supervisory experience.
• Experience in physician practice, orthopedic, surgical, or multispecialty settings preferred.

Responsibilities

• Oversee front-end and back-end revenue cycle functions including registration, verification, coding, billing, A/R, denials, and collections.
• Monitor billing accuracy, claim submission timeliness, reimbursement, and collections.
• Develop and implement revenue cycle policies, procedures, and workflows.
• Prepare and present revenue cycle reports and KPIs to leadership; drive action plans to improve financial performance.

Skills

Revenue cycle leadership

Analytical skills

Leadership & team management

Communication

Education

Bachelor’s degree in Healthcare Administration/Business/Finance

Certifications: CRCR/CPC/CPMA/HFMA (preferred)

Tools

Practice management systems

EHR proficiency

Job description

Description

Revenue Cycle Manager

Position Type: Full-Time

The Revenue Cycle Manager oversees the practice’s complete revenue cycle, from patient registration and insurance verification through billing, collections, and final payment. This position is responsible for maximizing reimbursement, reducing denials and A/R, ensuring billing and coding compliance, and improving revenue cycle efficiency. The Manager leads revenue cycle staff and collaborates with physicians, clinical teams, front office staff, and payers to support the financial performance of the practice and a positive patient financial experience.

Duties and Responsibilities

Revenue Cycle Management

• Oversee all front-end and back-end revenue cycle functions, including registration, insurance verification, authorizations, charge capture, coding, billing, payment posting, A/R, denials, and collections.
• Develop and maintain revenue cycle policies, procedures, and workflows.
• Monitor billing accuracy, timely claim submission, reimbursement, and collections.
• Identify opportunities to improve processes, increase revenue, and reduce billing errors and denials.

Billing & A/R

• Supervise billing, collections, payment posting, and related revenue cycle functions.
• Monitor A/R aging and establish collection and productivity goals.
• Oversee denial management, appeals, and underpayment recovery.
• Monitor key performance indicators, including A/R days, collection rates, denial rates, and clean claim rates.

Coding & Compliance

• Partner with coding staff to ensure accurate CPT, ICD-10, HCPCS, and modifier usage.
• Ensure compliance with Medicare, Medicaid, commercial payers, workers’ compensation, HIPAA, CMS, and applicable federal and state regulations.
• Coordinate coding and billing audits and implement corrective action when needed.
• Monitor changes in payer policies, coding requirements, and reimbursement regulations.

Financial Reporting

• Prepare and present revenue cycle reports and performance metrics to leadership.
• Analyze reimbursement and collection trends by provider, location, and payer.
• Develop action plans to improve financial performance.
• Assist with budgeting, forecasting, and revenue projections.

Leadership

• Hire, train, supervise, and evaluate revenue cycle staff.
• Establish productivity standards and promote accountability and continuous improvement.
• Conduct team meetings and provide ongoing training and education.
• Collaborate with physicians, practice administration, surgery scheduling, clinical staff, coding, and front office teams to resolve revenue cycle issues.
• Maintain effective relationships with insurance companies and other third-party payers and assist with escalated reimbursement issues.

Qualifications

Education & Experience

• Bachelor’s degree in Healthcare Administration, Business, Finance, Accounting, or related field preferred; equivalent experience may be considered.
• Minimum of 5 years of progressive medical revenue cycle experience.
• Minimum of 3 years of management or supervisory experience.
• Physician practice, orthopedic, surgical, or multispecialty experience preferred.
• Experience managing high-volume physician billing operations strongly preferred.

Knowledge, Skills & Abilities

• Strong knowledge of physician billing, reimbursement, coding, and A/R management.
• Knowledge of Medicare, Medicaid, commercial insurance, workers’ compensation, and other payer requirements.
• Proficiency with EHR/practice management systems and Microsoft Excel.
• Strong analytical, financial, organizational, and problem-solving skills.
• Excellent leadership and communication skills.
• Ability to manage multiple priorities in a fast-paced medical practice.
• High level of professionalism, confidentiality, and integrity.

Preferred Certifications: CRCR, CPC, CPMA, or HFMA certification preferred.

Physical & Work Requirements

• Primarily office-based with prolonged periods of sitting and computer use.
• Ability to communicate effectively in person, by phone, and electronically.
• Occasional standing, walking, and lifting up to 20 pounds.
• Occasional extended hours may be required based on operational needs.

Benefits

• Competitive salary
• Medical, Dental, and Vision Insurance
• Paid Time Off
• Paid Holidays
• 401(k) with Employer Match