Revenue Cycle Manager

Job Description

Job Description

Benefits:

• 401(k)
• 401(k) matching
• Competitive salary
• Dental insurance
• Free food & snacks
• Health insurance
• Paid time off
• Tuition assistance
• Vision insurance

POSITION SUMMARY:

The Revenue Cycle Manager is responsible for the end-to-end revenue cycle for the multi-specialty internal medicine practice, including patient access, charge capture, coding oversight, billing, denials management, and collections across internal medicine, behavioral health, diabetic center, pulmonary, and sports medicine service lines. This role provides strategic and hands-on leadership to optimize reimbursement, reduce denials, ensure compliance with payer and regulatory requirements, and support the financial health of the provider-owned practice.

ESSENTIAL FUNCTIONS:

• Oversee the full revenue cycle from scheduling/registration and insurance verification through coding, billing, payment posting, denials, and patient collections for all specialties and locations.
• Develop, implement, and maintain standardized revenue cycle policies, procedures, and workflows, with specialty-specific parameters for behavioral health, diabetic services, pulmonary diagnostics, and sports medicine procedures.
• Monitor key performance indicators (e.g., days in A/R, denial and rejection rates, net collection rate, charge lag, no-response claims) and implement action plans to improve results.
• Analyze denial trends by payer, provider, and specialty; lead root-cause analysis and corrective actions, including provider education, front-end workflow changes, and edits within the practice management system.
• Oversee payer enrollment, EFT/ERA setup, and maintenance of fee schedules and contract terms in coordination with practice leadership.
• Partner with practice administrator on payer contract review, reimbursement trends, and revenue forecasts; provide regular financial and operational reports and recommendations.
• Ensure compliance with Medicare, Medicaid, and commercial payer billing regulations, as well as internal compliance policies; support internal and external audits and respond to record requests.
• Evaluate and optimize use of the EHR/PM system and clearinghouse tools, including automation of claim edits, work queues, and reporting dashboards.
• Lead or participate in revenue cyclerelated projects such as new service line implementation, location expansions, payor changes, and system upgrades.
• Monitor clearinghouse and payer rejections/denials for all lines of service; identify trends (e.g., prior auth, NCCI edits, behavioral health limitations) and implement process improvements.
• Work closely with front office, referral/prior auth staff, and clinical teams to resolve registration, insurance, documentation, and coding issues impacting reimbursement.

SUPERVISORY RESPONSIBILITIES

• Supervise billing staff (e.g., billing specialists, payment posters, A/R follow-up staff) across all specialties.
• Assign and balance workloads to ensure timely billing and follow-up for internal medicine, behavioral health, diabetic center, pulmonary, and sports medicine services.
• Monitor staff productivity and quality; provide regular feedback, coaching, and performance evaluations.
• Participate in hiring, onboarding, and training of new billing staff with specialty-specific workflows and payer rules.
• Promote a collaborative environment with clinical, front office, and management teams to support an efficient revenue cycle and positive patient experience.

SKILLS/ABILITIES:

• Strong leadership and staff development skills with the ability to mentor and hold staff accountable.
• High attention to detail and strong organizational skills, including managing multiple specialties and locations.
• Effective communication skills to work with providers, staff, patients, and external payers.
• Analytical skills to interpret A/R and denial reports, identify trends by specialty, and recommend corrective actions.
• Proficiency with spreadsheets and billing system reporting tools to track key metrics (e.g., denial reasons by specialty, days in A/R, credit balances).
• Ability to manage competing priorities in a fast-paced environment and adapt to payer and regulatory changes.
• Knowledge of computer programs and EHR Systems.

REQUIREMENTS:

• CPC and CRC Certification preferred
• Two to three years management experience
• Five years billing experience including primary care billing
• Experience with value-based care as well as ACO (Accountable Care Organization) preferred

WORKING CONDITIONS:

• Full-time role in a private multi-specialty internal medicine practice.
• Office-based with extensive use of computers and phones.
• Occasional extended hours during month-end, year-end, system changes, or audit periods.
• Requires sitting and standing associated with a normal office environment.
• Manual dexterity is needed for using a calculator and computer keyboard.
• This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve.

Cullman Internal Medicine, P.C. is an Equal Opportunity Employer.