Revenue Cycle Manager

Physicians Revenue Group Inc; United States; Presencial; USD 110.000 - 170.000; Jornada completa

Descripción de la vacante

Physicians Revenue Group Inc is seeking a Revenue Cycle Manager to oversee end-to-end RCM operations for physician group clients. You will optimize financial performance, manage proposals and performance improvements, and ensure payer/compliance alignment while coordinating with internal teams.

You will lead client meetings, present dashboards, and drive initiatives to reduce denials and increase net collection rates across multiple specialties.

Formación

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or related field.
• MBA, MHA or related advanced degree preferred.
• 10+ years of experience in Revenue Cycle Management (RCM).
• 6+ years in client-facing roles (account management, client services, consulting).
• Experience with physician group billing or healthcare revenue cycle environments.
• Experience with RCM platforms such as Athena, eClinicalWorks, Epic, or similar systems.

Responsabilidades

• Serve as the primary contact for assigned physician group clients regarding RCM services.
• Manage day-to-day client communications, issue resolution, and escalation of Revenue Cycle concerns.
• Analyze client revenue cycle performance and provide actionable insights and recommendations.
• Identify trends in denials, underpayments, claim rejections, and billing inefficiencies and coordinate corrective actions.
• Develop, monitor, and report on KPIs aligned with client goals and financial targets.
• Oversee and support revenue cycle workflows including eligibility, charge capture, coding, billing, payment posting, and collections.
• Lead regular client meetings, including Monthly and Quarterly Business Reviews (QBRs).
• Collaborate with clients and internal teams to translate evolving needs into revenue cycle strategies.

Conocimientos

RCM knowledge

Client management

Analytics

Excel

CRM systems

Presentations

Educación

Bachelor's degree in healthcare/related

MBA / MHA preferred

Herramientas

Athena

Epic

eClinicalWorks

Descripción del empleo

Physicians Revenue GroupPhysicians Revenue Group is a full-service healthcare revenue cycle management and practice management. PRG partners with healthcare providers nationwide to deliver end-to-end solutions that include medical billing, coding, credentialing, denial management, compliance support, and revenue cycle optimization. With over two decades of industry experience, PRG is committed to helping medical practices improve financial performance, streamline operations, and reduce administrative burden so providers can focus on delivering quality patient care. The organization supports a wide range of specialties and leverages technology-driven processes and experienced teams to enhance efficiency, transparency, and reimbursement outcomes across the healthcare revenue cycle.Position Summary / Job DescriptionThe Revenue Cycle Manager plays a critical role in overseeing end-to-end revenue cycle operations for assigned physician group clients. This position serves as the primary client liaison and is responsible for optimizing financial performance, improving revenue cycle workflows, and ensuring compliance with payer, client, and regulatory requirements. The Revenue Cycle Manager partners closely with internal teams and external stakeholders to enhance collections, reduce denials, and drive key performance indicators (KPIs) such as days in A/R, clean claims rate, and net collection rate.Essential Duties & ResponsibilitiesServe as the primary point of contact for assigned physician group clients regarding revenue cycle management (RCM) services.Manage day-to-day client communications, issue resolution, and escalation of revenue cycle concerns.Analyze client revenue cycle performance and provide actionable insights and recommendations for improvement.Identify trends in denials, underpayments, claim rejections, and billing inefficiencies and coordinate corrective actions with internal teams.Develop, monitor, and report on key performance indicators (KPIs) aligned with client contractual goals and financial targets.Oversee and support revenue cycle workflows including eligibility, charge capture, coding, billing, payment posting, and collections.Ensure RCM processes are executed within SLA timelines and meet client expectations and compliance standards.Lead and facilitate regular client meetings, including Monthly and Quarterly Business Reviews (QBRs).Present performance dashboards, operational insights, and strategic recommendations to clients and internal stakeholders.Collaborate with clients to understand evolving business needs and translate them into actionable revenue cycle strategies.Participate in contract discussions, renewals, and scope alignment conversations with clients.Partner with internal departments including Operations, Coding, Accounts Receivable, Implementation, and Product teams to resolve issues and improve performance.Act as a client advocate internally to ensure alignment between client expectations and operational execution.Collaborate with Sales and Client Success teams to identify expansion opportunities and service enhancements.Maintain accurate and timely documentation of client interactions, issues, and commitments within CRM systems.Prepare and deliver recurring and ad hoc reports for clients and internal leadership.Support billing and invoicing processes, including review and validation of service-related invoices.Perform additional duties as assigned.Education / CertificationsRequired:Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or related field (or equivalent combination of education and experience).Preferred:Advanced degree (MBA, MHA, or related field).ExperienceRequired:Minimum of 10+ years of experience in Revenue Cycle Management (RCM).Minimum of 6+ years of experience in client-facing roles such as account management, client services, consulting, or healthcare operations.Strong experience in physician group billing or healthcare revenue cycle environments.Preferred:Experience working with physician practices, billing companies, or health systems.Experience with RCM platforms such as Athena, eClinicalWorks, Epic, or similar systems.Experience leading client performance reviews, financial reporting, and operational improvement initiatives.Core CompetenciesDeep understanding of end-to-end revenue cycle operations (eligibility, charge capture, coding, billing, payment posting, collections).Strong financial and operational analysis skills with the ability to interpret complex data.Excellent client relationship management and communication skills.Strong problem-solving and critical thinking abilities.Ability to manage multiple high-priority client relationships simultaneously.Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word, Outlook).Experience with CRM systems and healthcare billing platforms.Strong presentation and executive communication skills.High attention to detail and accuracy in documentation and reporting.Ability to collaborate effectively across cross-functional teams.Strong organizational and time management skills in a fast-paced environmentEducation / CertificationsRequired:Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or related field (or equivalent combination of education and experience).Preferred:Advanced degree (MBA, MHA, or related field).ExperienceRequired:Minimum of 10+ years of experience in Revenue Cycle Management (RCM).Minimum of 6+ years of experience in client-facing roles such as account management, client services, consulting, or healthcare operations.Strong experience in physician group billing or healthcare revenue cycle environments.Preferred:Experience working with physician practices, billing companies, or health systems.Experience with RCM platforms such as Athena, eClinicalWorks, Epic, or similar systems.Experience leading client performance reviews, financial reporting, and operational improvement initiatives.Core CompetenciesDeep understanding of end-to-end revenue cycle operations (eligibility, charge capture, coding, billing, payment posting, collections).Strong financial and operational analysis skills with the ability to interpret complex data.Excellent client relationship management and communication skills.Strong problem-solving and critical thinking abilities.Ability to manage multiple high-priority client relationships simultaneously.Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word, Outlook).Experience with CRM systems and healthcare billing platforms.Strong presentation and executive communication skills.High attention to detail and accuracy in documentation and reporting.Ability to collaborate effectively across cross-functional teams.Strong organizational and time management skills in a fast-paced environment