REVENUE CYCLE MANAGER

Orthopaedic Associates of Wisconsin; Village of Pewaukee (WI); On-site; USD 85,000 - 120,000; Full time

Job summary

Orthopaedic Associates of Wisconsin seeks a Revenue Cycle Manager to lead daily revenue cycle operations, including verification, coding, billing, posting, and denials management. The role requires strong leadership to improve performance and maximize reimbursement while ensuring a positive patient experience.

The candidate will analyze financial data, monitor payer trends, and collaborate with Finance and clinical teams to optimize processes and staff development.

Qualifications

• Bachelor’s degree in Business Administration, Healthcare Administration, Finance, Accounting, or a related field preferred; relevant education may be considered in lieu of a degree.
• 3–5 years of progressively responsible healthcare revenue cycle experience preferred.
• Previous supervisory or management experience strongly preferred.
• Experience in physician practice, ambulatory surgery, or similar healthcare environments preferred.
• Experience with practice management systems, EHRs, clearinghouses, payer portals, and revenue cycle reporting tools preferred.
• Proficient in Microsoft Office Suite.

Responsibilities

• Manage daily revenue cycle operations including insurance verification, coding, charge capture, billing, claims submission, payment posting, AR, denials, and collections.
• Analyze financial and operational reports to identify trends, risks, weaknesses, and opportunities for improvement.
• Monitor KPIs, AR, denials, collections, and payer trends; implement corrective actions and process improvements.
• Ensure compliant billing and reimbursement practices per payer, Medicare, Medicaid, and regulatory requirements.
• Develop, implement, and maintain revenue cycle policies, procedures, workflows, and internal controls.
• Lead, coach, and develop revenue cycle staff with clear expectations and accountability.
• Collaborate with Finance, clinical teams, providers, and leadership to resolve issues and support goals.
• Monitor payer activity and escalation of significant concerns; support payer contract analysis as needed.
• Optimize revenue cycle systems, clearinghouses, payer portals, and reporting tools to improve efficiency.
• Provide education and act as a resource to staff, providers, and leadership.
• Promote a positive patient experience by handling billing questions accurately and timely.
• Support staffing, resource management, and budgeting; foster accountability and continuous improvement.

Skills

Revenue cycle management

EHR systems

Payer portals

Reporting tools

Microsoft Office

Education

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

Tools

Practice management systems

Electronic Health Records (EHR)

Clearinghouses

Payer portals

Job description

Description

Summary of Role

The Revenue Cycle Manager is responsible for managing the day-to-day operations and performance of OAW’s revenue cycle functions. This position provides hands-on leadership to the revenue cycle team and ensures processes related to insurance verification, billing, coding, claims submission, payment posting, accounts receivable, denials, and collections are performed accurately, efficiently, and in accordance with applicable requirements.

The Revenue Cycle Manager establishes clear expectations, monitors performance, develops staff, identifies opportunities for improvement, and works collaboratively with leadership and other departments to support timely reimbursement, strong financial performance, and an exceptional patient experience.

Key Responsibilities

• Manage daily revenue cycle operations, including insurance verification, coding, charge capture, billing, claims submission, payment posting, accounts receivable, denials, and collections.


• Analyze financial and operational reports and identify trends, risks, weaknesses, and opportunities for improvement.


• Monitor key performance indicators (KPIs), accounts receivable, denials, collections, and payer trends; identify issues and implement corrective actions and process improvements.


• Ensure accurate, timely, and compliant billing and reimbursement practices in accordance with payer, Medicare, Medicaid, and applicable regulatory requirements.


• Develop, implement, and maintain efficient revenue cycle policies, procedures, workflows, and internal controls.


• Lead, coach, and develop revenue cycle staff while establishing clear expectations and ensuring accountability for productivity, quality, and departmental goals.


• Collaborate with Finance, clinical teams, providers, and operational leadership to resolve revenue cycle issues and support organizational goals.


• Monitor payer activity and reimbursement issues, escalating significant concerns and supporting payer contract and reimbursement analysis as needed.


• Optimize the use of revenue cycle systems, clearinghouses, payer portals, reporting tools, and technology to improve efficiency and collections.


• Provide revenue cycle education and serve as a resource to staff, providers, and leadership.


• Promote a positive patient experience by ensuring billing questions and escalated concerns are handled accurately, professionally, and timely.


• Support departmental staffing, resource management, and budget expectations while fostering a culture of accountability, teamwork, professionalism, and continuous improvement.


• Perform other duties as assigned.

Requirements

Qualifications

• Bachelor’s degree in Business Administration, Healthcare Administration, Finance, Accounting, or a related field preferred. Relevant education and significant revenue cycle experience may be considered in lieu of a degree.


• Minimum of three to five years of progressively responsible healthcare revenue cycle experience preferred.


• Previous supervisory, team lead, or management experience strongly preferred.


• Experience in physician practice, specialty medical practice, ambulatory surgery, or a similar healthcare environment preferred.


• Experience working with practice management systems, electronic health records, clearinghouses, payer portals, and revenue cycle reporting tools preferred.


• Proficient in Microsoft Office Suite