Revenue Cycle Manager

CAPE FEAR RETINAL ASSOCIATES, PC; Wilmington (NC); On-site; USD 90,000 - 140,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k) with employer contribution

Paid time off

Job summary

Cape Fear Retina Associates, PC is seeking an experienced Revenue Cycle Manager to lead the revenue cycle for a fast-paced retina practice. You will oversee billing, coding, collections, payer relations, and compliance to improve financial performance.

The ideal candidate has ophthalmology/retina experience, strong knowledge of payer rules, and a data-driven approach. You will supervise staff, optimize workflows, and prepare monthly reports to guide budgeting and strategic planning.

Qualifications

• Experience managing revenue cycle in healthcare.
• Previous leadership or supervisory role.
• Strong knowledge of medical billing, coding, and reimbursement methodologies.
• Experience with EHR/PM systems (ModMed, NextGen, Epic or similar).
• Ophthalmology/retina exposure is preferred.
• Certifications CPC/CPB/CRCR/OCS/OCSR are a plus.

Responsibilities

• Oversee end-to-end revenue cycle operations including charge capture, coding, claim submission, payment posting, and accounts receivable follow-up.
• Monitor KPIs such as days in A/R, denial rates, collection rates, and net revenue performance.
• Lead denial management strategy and corrective action plans.
• Coordinate with front office to improve eligibility, authorizations, and collections.
• Prepare monthly financial and operational reports; support budgeting and strategic planning.
• Train and supervise billing, coding, and A/R staff.

Skills

Leadership

Analytical skills

Communication

Attention to detail

Education

CPC

CPB

CRCR

OCS/OCSR

Tools

ModMed

NextGen

Epic

Job description

We are seeking an experienced Revenue Cycle Manager to lead and optimize all aspects of the revenue cycle for a fast-paced retina practice. This role is responsible for ensuring financial performance through effective management of billing, coding, collections, payer relations, and compliance.

The ideal candidate brings strong ophthalmology/retina experience, a deep understanding of payer rules, and a proactive, data-driven approach to revenue cycle performance.

Key Responsibilities

Revenue Cycle Oversight

• Manage end-to-end revenue cycle operations including charge capture, coding, claim submission, payment posting, and accounts receivable follow-up
• Monitor KPIs such as days in A/R, denial rates, collection rates, and net revenue performance
• Implement workflows to improve cash flow and reduce revenue leakage
• Ensure accurate coding for retina and ophthalmology services (including surgical and in-office procedures)
• Maintain compliance with Medicare, Medicaid, and commercial payer regulations
• Oversee and perform internal audits and coordinate external audits as needed

Denial Management & Collections

• Lead denial management strategy, including root cause analysis and corrective action plans
• Optimize processes for timely follow-up on outstanding claims and patient balances
• Collaborate with front office to improve eligibility, authorizations, and point-of-service collections
• Supervise billing, coding, and A/R staff
• Provide training, performance management, and ongoing development
• Foster a culture of accountability, accuracy, and continuous improvement

Reporting & Analytics

• Prepare and present monthly financial and operational reports
• Analyze trends and identify opportunities for revenue growth and process improvement
• Partner with leadership on budgeting, forecasting, and strategic planning

Qualifications

Required:

• Revenue cycle management experience in healthcare
• Experience in a leadership or supervisory role
• Strong knowledge of medical billing, coding, and reimbursement methodologies
• Experience with EHR/PM systems (e.g., ModMed, NextGen, Epic, or similar)

Preferred:

• Experience in ophthalmology or retina specialty practice
• Certification such as CPC (Certified Professional Coder), CPB, or CRCR and/or OCS/OCSR
• Familiarity with retina-specific procedures (e.g., injections, OCT, laser, vitrectomy billing)
• Strong analytical and problem-solving skills
• Detail-oriented with high level of accuracy
• Excellent communication and leadership abilities
• Ability to thrive in a fast-paced, high-volume environment
• Competitive salary based on experience
• Health, dental, and vision insurance
• Paid time off and holidays
• 401(k) with employer contribution
• Continuing education and certification support