Revenue Cycle Net Revenue Manager

Inova Health System; Maryland; Remote; USD 75,000 - 95,000; Full time

Job summary

Inova Health System is seeking a Revenue Cycle Net Revenue Manager Lead for a full-time, remote role. Responsible for overseeing claims processing, managing teams, and ensuring compliance with regulations, the ideal candidate will have a strong background in healthcare revenue operations. With comprehensive benefits and professional development opportunities, this position is essential to maintaining high-quality patient financial services.

Benefits

Medical, dental, and vision coverage

Tuition and Student Loan Assistance

Mental Health Support

Paid time off and parental leave

Flexible work schedules

Qualifications

• 4 years in Revenue Cycle, Clinic Operations or related roles.
• 2 years in a leadership capacity.
• Experience with Medicare, Medicaid and commercial payer regulations.

Responsibilities

• Supervise teams in claims processing and compliance.
• Ensure timely and accurate billing for a $1.5 billion receivable stream.
• Create and enforce quality measures consistent with organizational goals.

Skills

Leadership

Knowledge of billing regulations

Microsoft Excel

Education

Bachelor's Degree

Tools

Epic hospital billing modules

Job description

Inova Center of Personalized Health is looking for a dedicated Revenue Cycle Net Revenue Manager Lead to join the team. This role will be full-time day shift from Monday - Friday, 9:00 a.m. - 5:30 p.m. | Remote Position

The Revenue Cycle Net Revenue Manager is responsible for the timely and accurate processing of claims by assigned supervisors and staff monitored through productivity measurement, quality review and feedback. Ensures that all claims meet clearinghouse and/or payer processing criteria, are followed up on in accordance with departmental/contractual requirements and that payments/adjustments are handled properly. Supervises the operational and financial functions of the Patient Accounting department. Provides the Director of Patient Financial Services with issues and potential resolutions regarding problems with the claims submission and payment process. Ensures regulatory compliance enforcement with policies and procedures.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

• Committed to Team Member Health:offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement:Inova matches the first 5% of eligible contributions – starting on your first day.
• Tuition and Student Loan Assistance:offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support:offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance:offering paid time off, paid parental leave, and flexible work schedules
  
  Revenue Cycle Net Revenue Manager Job Responsibilities
  
• Creates and enforces work standards, quality measures, and process improvements that are consistent with the organization's goals and objectives. Ensures regulatory compliance with Medicare and state authorities, Generally Accepted Accounting Principles and any external governing authority.
• Assures claims are reviewed, corrections are identified/made or resolutions are initiated while ensuring all follow-up claims/actions are submitted via the appropriate medium and with all required attachments.
• Maintains knowledge of government regulations, payer requirements, UB-04 standards, information system functionality (i.e. Hospital, clearinghouse, payer), hospital policies/procedures and departmental SRGs.
• Evaluates the impact of new or upgrades to existing systems/tools while performing testing of system changes, providing technical/operational support during implementation and evaluating the success of new systems/tools.
• Ensures timely/accurate billing, collection, posting, servicing, and/or auditing of the $1.5 billion receivable stream.
• Ensures follow-up is completed utilizing TRAC work lists, QMS, or other systems/reports according to department policy/procedure, SRG, or industry best practice standards.
• Demonstrates a working knowledge of CareMedic systems, DSS electronic billing systems, Syntellect IVR systems, HealthQuest 2000, QMS, and Premis electronic billing systems.
• Provides feedback and training to supervisors and staff. Provides resolution for pended (WIP backlog) claims within allowable timeframes (as defined for appropriate deficiency) and/or ensures billed claims receive timely and appropriate follow up based on established protocol or SRG.
• Oversees assigned department or functional area to ensure it is performing effectively, which may include but not limited to, hiring and training team members, creating and implementing business strategies, managing performance of team members, and delegating tasks.

Revenue Cycle Net Revenue Manager Requirements

Work Schedule - 8-hour shift (Monday - Friday days, 9:00 a.m. - 5:30 p.m.) | Remote Position

Experience - Four years of experience in Revenue Cycle, Clinic Operations, Credentialing, Denials Management and/or HB/PB Operation roles; Two years in leadership roles

Education - Bachelors Degree or lesser educational degree with four additional years of experience

Revenue Cycle Net Revenue Manager Preferred Requirements:

• Advanced working knowledge of Epic hospital billing modules (HB/PB), including claims processing, follow-up work queues, denial management, and reporting tools.
• Deep understanding of third-party payer requirements, billing regulations (Medicare, Medicaid, and commercial payers), and proven success in overseeing complex billing and follow-up workflows to ensure timely and accurate reimbursement.
• Strong proficiency in Microsoft Excel, including the use of pivot tables, VLOOKUP, formulas, and data visualization tools to identify trends, monitor KPIs, and support performance improvement initiatives.
• Experience managing and mentoring teams within a hospital or healthcare system setting, with a track record of driving productivity, maintaining quality standards, and fostering a culture of accountability and excellence.

Remote Eligibility: This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV

About Us

We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 25,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.

Inova Health System is an Equal Opportunity employer. All qualified applicants will receiveconsideration for employment without regard to age, color, disability, gender identity orexpression, marital status, national or ethnic origin, political affiliation, pregnancy (includingchildbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation,veteran status, genetic information, or any other characteristics protected by law.