Revenue Cycle Net Revenue Manager

Inova Health; Virginia (MN); Remote; USD 80,000 - 110,000; Full time

Job summary

Inova Health is seeking a Revenue Cycle Net Revenue Manager Lead to manage claims processing and oversee the Patient Accounting department. This full-time, remote position requires strong leadership and experience in revenue cycle management, focusing on quality and compliance. Join a leading healthcare provider dedicated to exceptional patient care and support.

Benefits

Medical, dental, and vision coverage

Retirement plan with a 5% match

$5,250 annually in education assistance

Free mental health coaching sessions

Paid time off, parental leave, flexible schedules

Qualifications

• Four years of experience in revenue cycle or related roles.
• Two years in leadership positions.
• Experience in clinic operations or denials management preferred.

Responsibilities

• Oversee timely processing of claims and manage operational functions.
• Ensure compliance with regulations and establish quality measures.
• Provide training and strategic planning for team performance.

Skills

Leadership

Revenue Cycle Management

Regulatory Knowledge

Financial Analysis

Education

Bachelor’s degree

Tools

Epic hospital billing modules

Microsoft Excel

Job description

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Inova Center of Personalized Health is seeking a dedicated Revenue Cycle Net Revenue Manager Lead to join our team. This is a full-time, remote position, Monday through Friday, 9:00 a.m. - 5:30 p.m.

Job Description

The Revenue Cycle Net Revenue Manager is responsible for ensuring the timely and accurate processing of claims by overseeing supervisors and staff, monitoring productivity, quality, and feedback. Responsibilities include ensuring claims meet processing criteria, follow-up on claims as per departmental and contractual requirements, and proper handling of payments and adjustments. The role supervises the operational and financial functions of the Patient Accounting department and collaborates with the Director of Patient Financial Services to resolve issues related to claims submission and payments, while ensuring compliance with regulations.

Inova is ranked as a national healthcare leader in safety, quality, and patient experience, and is recognized as a top employer in the D.C. metro area and nationally.

Benefits include:

• Medical, dental, and vision coverage, plus wellness programs
• Retirement plan with a 5% match starting on your first day
• Up to $5,250 annually in education assistance and $10,000 for student loans
• Free mental health coaching or therapy sessions for employees and their families
• Paid time off, parental leave, and flexible schedules

Key Responsibilities:

• Develop and enforce work standards, quality measures, and process improvements aligning with organizational goals.
• Review claims, identify and correct issues, and ensure proper follow-up and documentation.
• Maintain knowledge of government regulations, payer requirements, and system functionalities.
• Evaluate system upgrades, support implementation, and assess new system effectiveness.
• Manage billing, collections, posting, and auditing of a $1.5 billion receivable stream.
• Ensure timely follow-up using appropriate systems and reports.
• Provide training and feedback to staff, resolve pending claims, and oversee department performance, including hiring, training, and strategic planning.

Qualifications:

• Four years of experience in revenue cycle, clinic operations, credentialing, denials management, or related roles; two years in leadership.
• Bachelor’s degree or equivalent experience with additional years of relevant work.

Preferred Skills:

• Advanced knowledge of Epic hospital billing modules and third-party payer requirements.
• Proficiency in Microsoft Excel and team management experience within healthcare settings.

This position is eligible for remote work in specified states including VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, and WV.

About Us:

Inova is Northern Virginia’s leading nonprofit healthcare provider, with over 25,000 team members dedicated to delivering exceptional healthcare. We are committed to continuous improvement and fostering a compassionate future in healthcare.

Inova is an Equal Opportunity Employer, providing consideration for all applicants regardless of protected characteristics.