Revenue Cycle Manager

LifeCare Memory Partners, Inc.; Wilmington (NC); On-site; USD 70,000 - 105,000; Full time

Job summary

LifeCare Memory Partners, Inc. in Wilmington, NC, is seeking a Revenue Cycle Manager to oversee billing, claims submission, payment posting, collections, accounts receivable follow-up, payer enrollment, and related activities.

This role directs a team and partners with providers and payers to optimize reimbursement. The ideal candidate will have at least 3 years of revenue cycle experience, proficiency with common EMR/billing systems, and strong leadership and communication skills to improve

Qualifications

• High School Diploma or GED required; bachelor's preferred.
• Experience: minimum 3 years in healthcare billing, collections, or revenue cycle.
• Proficient with Microsoft Office; Netsmart, Epic, or similar EMR/billing platforms desired.
• Strong interpersonal, leadership, and written/verbal communication skills.
• Ability to manage schedules, mentor staff, and meet deadlines.

Responsibilities

• Oversee patient financial services billing and AR workflows.
• Direct collections activities and monitor KPI trends (A/R days, denial rate, net collection).
• Supervise staff, training, performance appraisals, and problem resolution.
• Ensure payer enrollment, credentialing, and recredentialing processes are timely.
• Collaborate with clinical, finance, IT, and operations to ensure revenue integrity.

Skills

Billing accuracy

Accounts receivable

Process improvement

Leadership

Communication

Education

High School Diploma or GED

Bachelor's degree in business, accounting, healthcare administration, finance, or related field preferred

Equivalent combination of education and revenue cycle experience

CHAA

CHAM

3 years healthcare revenue cycle experience

Tools

Netsmart

Epic

EMR systems

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Revenue Cycle Manager

FTE 1.0 Management Wilmington, NC, US

1 Attachments

5 days ago Requisition ID: 2647

Revenue Cycle Manager

This is for an on-site position at the corporate office located in Wilmington, NC.

JOB SUMMARY

The Revenue Cycle Manager oversees assigned revenue cycle operations, including billing, claims submission, payment posting, collections, accounts receivable follow-up, payer enrollment, and payments to contracted facilities and consulting physicians. This role monitors and reports key performance indicators, including days in accounts receivable, clean claim rate, denial rate, net collection rate, aging balances, and cash collections; identifies trends; and implements process improvements to support accurate, timely reimbursement. The Revenue Cycle Manager plans, directs, supervises, and supports staff responsible for patient financial services and works collaboratively with departmental and agency staff, contracted providers, payers, and the Director of Revenue Cycle to resolve billing, collections, credentialing, enrollment, reimbursement, and compliance issues.

PRIMARY JOB DUTIES

1. Oversees, assigns, regulates, and verifies the accuracy of all activities within the patient financial services division to include patient account billing, verification of benefits and coverage for all patients, daily census information, statistical reporting requirements and general ledger and financial reporting.
2. Plans, directs, supervises, and performs collections of patient accounts receivable balances using appropriate actions and tools. Works collaboratively with departmental and agency staff to assist with collections and claims resolution to ensure collections of patient account balances. Identifies and develops measurement standards for the monitoring of balances and assessment of the operational effectiveness of collection activities.
3. Supervises division staff in accordance with agency policy and procedure. Responsibilities include training employees, planning, assigning, and directing work; appraising performance, rewarding, and disciplining employees; addressing complaints and resolving problems.
4. Obtains and maintains expert-level knowledge of Netsmart, Epic, and other revenue cycle, billing, reporting, and productivity systems used to support eligibility verification, claims submission, collections, accounts receivable follow-up, payer enrollment, reporting, and workflow management for the assigned division.
5. Oversees and regulates all communications with contracted agencies and consulting physicians, as related to billing and collections, to ensure accurate and timely flow of billing information and payments.
6. Completes, submits, tracks, and maintains initial and ongoing payer enrollment, credentialing, and recredentialing applications and supporting documentation to support timely billing and reimbursement.
7. Collaborates with clinical, finance, information technology, and operational teams to support accurate documentation, eligibility verification, charge capture, billing, claims submission, reimbursement, account follow-up, and revenue integrity. Serves as a resource for resolving complex billing, payer, coding, documentation, and reimbursement issues.
8. Organizes and performs work effectively and efficiently.
9. Maintains and adjusts schedule to enhance program performance and meet deadlines.
10. Demonstrates positive interpersonal relations in dealing with all members of the team.
11. Maintains and promotes customer satisfaction.
12. Effectively demonstrates the mission, vision, and values of Lower Cape Fear LifeCare daily.

JOB SPECIFICATIONS

1. Education: High School Diploma or GED required. Bachelor’s degree in business, accounting, healthcare administration, finance, or related field preferred; equivalent combination of education and directly related revenue cycle experience may be considered.
2. Licensure / Certifications: CHAA, CHAM, or other healthcare revenue cycle, billing, coding, or health information certification preferred.
3. Experience:Minimum of 3 years of healthcare billing, collections, accounts receivable, payer follow-up, denial management, or revenue cycle experience required; supervisory or lead experience preferred. Knowledge of Medicare, Medicaid, and commercial payer billing requirements required. Hospice and palliative care revenue cycle management experience preferred.
4. Essential Technical / Motor Skills: Proficient with Microsoft Office, especially Excel, and able to use revenue cycle, electronic medical record, billing, reporting, payer portal, and workflow management systems. Experience with Netsmart, Epic, or other EMR and billing platforms preferred.
5. Interpersonal Skills: Excellent interpersonal, teamwork, leadership, customer service, and written and verbal communication skills required for working effectively with agency staff, leadership, contracted providers, payers, patients, families, and other external contacts.
6. Essential Physical Requirements: Long periods of sitting or standing, walking, lifting, and carrying files and supplies, reaching, stooping, long periods of data entry/file updates.
7. Essential Mental Abilities: Strong prioritization, organization, analytical, problem-solving, and reasoning skills required. Ability to concentrate while managing high volumes of work, meet deadlines under pressure, exercise good judgment, follow procedures, work independently, respond to frequent interruptions, and identify trends or issues that affect billing, collections, reimbursement, and operational performance.
8. Essential Sensory Requirements: Visual acuity, touch, hearing.
9. Exposure to Hazards: Office environment, toner for office machines, high pitch of printers, screen glare.
10. Other - Hours of Work: Occasional need for flexible hours to meet system scheduling needs of staff and agency.
11. Population Served: Internal and external personnel.