Senior Revenue Cycle Management Project Manager (Systems, Reporting, SLA experience)

MicroHealth is seeking an experienced and strategic Senior Revenue Cycle Management Project Manager to lead enterprise-level financial initiatives within healthcare organizations. This senior-level position requires a dynamic leader with extensive hands-on management experience (10+ years minimum) who can drive cross-functional teams to streamline patient access, billing, and collections processes while optimizing technology platforms and ensuring regulatory compliance to maximize cash flow and minimize claim denials.Position OverviewThe Senior Revenue Cycle Management Project Manager oversees complex, multi-faceted revenue cycle programs from end to end. This role demands a strategic thinker who can balance operational excellence with financial performance, leveraging data analytics and process improvement methodologies to achieve measurable results. The ideal candidate will serve as a key liaison between clinical, financial, and IT departments to align revenue goals with broader organizational objectives.Location: RemoteWork Hours: Eastern Standard Time (EST)Position Type: Full-timeKey Responsibilities

• Apply formal project management methodologies (Agile, Waterfall, Hybrid) to manage scope, timelines, budgets, and risks across complex front-, middle-, and back-end revenue cycle programs
• Lead cross-functional teams including clinical staff, billing specialists, IT professionals, and executive stakeholders
• Develop comprehensive project charters, work breakdown structures, and communication plans
• Monitor project milestones and deliverables, ensuring alignment with organizational strategic goals
• Manage and report on Service Level Agreements (SLAs), ensuring compliance with contractual obligations and performance metrics

• Identify operational bottlenecks and inefficiencies across the revenue cycle continuum
• Design and implement standardized workflows to increase efficiency and reduce errors
• Deploy automation solutions to streamline repetitive tasks and improve accuracy
• Conduct process mapping and gap analysis to identify improvement opportunities
• Champion change management initiatives to ensure successful adoption of new processes

• Analyze claim rejection and denial trends to identify root causes and systemic issues
• Direct targeted strategies to improve clean claim rates and accelerate reimbursement cycles
• Collaborate with coding and billing teams to address documentation deficiencies
• Implement denial prevention programs and appeal processes
• Monitor payer-specific requirements and adjust workflows accordingly

• Track and report on core Key Performance Indicators (KPIs) including:
  • Days in Accounts Receivable (A/R)
  • Net collection rates
  • Clean claim rates
  • Denial rates and appeal success rates
  • Point-of-service collections
  • Cost-to-collect ratios
• Generate routine executive reports and dashboards for senior leadership
• Develop comprehensive reporting frameworks to support data-driven decision-making
• Conduct variance analysis and recommend corrective actions
• Present findings and recommendations to C-suite executives and board members

• Act as a strategic liaison between clinical, financial, and IT departments
• Facilitate regular meetings with stakeholders to ensure alignment on revenue goals
• Translate complex financial and technical concepts for diverse audiences
• Build consensus among competing priorities and resource constraints
• Maintain transparent communication channels with all project participants

• Ensure all billing and coding practices adhere to federal, state, and payer regulations
• Stay current on regulatory changes including CMS guidelines, HIPAA requirements, and payer policies
• Oversee internal and external auditing processes to ensure compliance and accuracy
• Coordinate with compliance officers to address audit findings and implement corrective action plans
• Develop and maintain compliance documentation and standard operating procedures
• Apply certification knowledge in coding, billing, and auditing to ensure best practices

• Demonstrate proficiency with Careview and InnovAlone platforms 
• Optimize Electronic Health Record (EHR) system configurations to support revenue cycle workflows
• Collaborate with IT teams on system implementations, upgrades, and integrations
• Exhibit strong system savvy to quickly learn and adapt to new technologies and platforms
• Evaluate and recommend revenue cycle management software and tools
• Ensure data integrity across multiple systems and platforms

Required Qualifications

• Bachelor’s degree in healthcare administration, Business, Finance, Health Information Management, or a related field required

• Minimum 10+ years of extensive hands-on management experience in healthcare revenue cycle management with demonstrated success leading large-scale projects or transformations
• Proven track record of managing enterprise-level revenue cycle initiatives from conception through implementation
• Experience with Careview and InnovAlone systems required
• Demonstrated expertise in reporting and managing Service Level Agreements (SLAs)
• Experience working in remote/distributed team environments
• Background in healthcare operations, finance, or health information management

• Certified Revenue Cycle Professional (CRCP), Certified Revenue Cycle Representative (CRCR), or similar revenue cycle certification required
• Certification in coding (CPC, CCS, or equivalent), billing, and/or auditing required

Technical Skills

• Advanced proficiency with Careview and InnovAlone platforms (required)
• Exceptional system experience with ability to quickly master new technologies and software applications
• Proficiency in major Electronic Health Record (EHR) systems such as Epic, Cerner, Meditech, or Allscripts
• Advanced skills in data analytics tools including Tableau, Power BI, Microsoft Excel, or SQL
• Experience with revenue cycle management software and billing systems
• Strong understanding of medical coding (ICD-10, CPT, HCPCS) and billing regulations
• Familiarity with claims processing systems and clearing houses
• Expertise in developing and managing reporting frameworks and dashboards
• Demonstrated ability to manage and monitor Service Level Agreements (SLAs)

• Change management expertise with proven ability to drive adoption of new processes and technologies
• Attention to detail and accuracy particularly in financial and compliance matters

Salary: $110,000-$120,000Physical Demands:While performing the duties of this job, the employee is regularly required to sit. The employee frequently is required to walk; use hands to finger, handle or feel; reach with hands and arms; and talk or hear. The employee is occasionally required to stand. The employee may lift or move objects up to 5 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, and the ability to adjust focus.MicroHealth will recruit, hire, train, and promote persons in all job titles, and ensure that all other personnel actions are administered without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, disability, or status as a protected veteran and ensure that all employment decisions are based only on valid job requirements.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.If you need reasonable accommodation due to a disability for any part of the employment process, please send an e-mail to hr@microhealthllc.com with your request and contact information.

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