Revenue Cycle Manager

POSITION SUMMARY: 

Under the direction of the Director of Billing Operations, the Revenue Cycle Manager provides day-to-day leadership and oversight of the Billing Department, ensuring billing, reimbursement, accounts receivable, and collection functions are performed accurately, efficiently, timely, and in accordance with company standards and applicable regulatory requirements.

The Revenue Cycle Manager serves as the primary leader and escalation point for the Billing Department, providing direction, decision-making, and resolution of complex billing, payer, reimbursement, and collection matters prior to escalation to the Director of Billing Operations.

The position provides leadership, training, and accountability to billing personnel and oversees processes including pre-billing, medical coding, chair car billing, specialized billing, insurance reimbursement, denial follow-up, accounts receivable, and patient and facility collections. The Revenue Cycle Manager is expected to exercise independent judgment, identify trends and systemic issues, and recommend process improvements to strengthen revenue recovery and departmental performance.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Billing Operations & Revenue Cycle

• Oversee the ambulance billing lifecycle, including pre-billing, coding, claim submission, payer follow-up, denials, payment posting, patient billing, and collections.
• Serve as the primary escalation point for complex billing, payer, reimbursement, patient, facility, and collection matters, independently resolving issues when appropriate and escalating matters to the Director of Billing Operations as necessary.
• Provide subject-matter expertise and direction regarding ambulance billing, including BLS, ALS, chair car, and specialized transportation services.

• Lead collection activities involving patients, facilities, insurance carriers, vendors, and other responsible parties. This may include but is not limited to; underpayments from insurance carriers, patient financial responsibility or facility/vendor follow-up.
• Review and resolve claim denials, underpayments, payer disputes, and reimbursement discrepancies.
• Monitor payment posting, reconciliation, and accounts receivable activity and ensure timely resolution of discrepancies.
• Assist with audits, revalidations, quality assurance reviews, and other compliance-related activities.
• Leadership & Staff Development
• Monitor employee productivity, workflow, quality, and adherence to departmental expectations.
• Coordinate onboarding and ongoing training and identify opportunities for employee development and process improvement.
• Provide performance feedback and participate in employee counseling and corrective action in collaboration with the Director of Billing Operations and Human Resources; as appropriate.
• Ensure staff follow company policies, procedures, billing requirements, and established departmental standards.
• Process Improvement & Departmental Support
• Lead and/or participate in billing projects, system implementations, workflow changes, and process improvement initiatives.
• Maintain knowledge of applicable ambulance billing regulations, payer requirements, coding practices, and industry standards.
• Provide the Director of Billing Operations with regular updates regarding departmental performance, significant issues, collection activity, and recommended actions.
• Company Standards
• Perform all duties in a safe, courteous, confidential and professional manner.
• Maintain a positive and professional image by being well groomed and properly attired at all times.
• Mentors, trains, and encourages fellow staff as needed, to help them attain their full potential.
• Complete all reports legibly, accurately, and on a timely basis.
• Maintain confidentiality of all customer and Armstrong information.

PATIENT PRIVACY

• Employees are expected to protect the privacy of all patient information in accordance with Company policies, procedures, and practices, as required by Law, and in accordance with general principles of professionalism as a health care provider.
  • Employees may access protected health information and other patient information only to the extent that it is necessary to complete job duties and may only share such information with those who have a need to know specific patient information to complete their job responsibilities related to treatment, payment, or other company operations.
  • Employees are encouraged and expected to report, without the threat of retaliation, any concerns regarding the company’s policies and procedures on patient privacy and any observed practices in violation of that policy to the designated management personnel.
    

Qualifications:

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

  Education and/or Experience:

  • Associate’s degree or higher preferred. 
  • Minimum of 5 years of medical billing or collections experience preferred. 
  • Minimum of two years of related supervisory/management experience required.
    

Knowledge, Skills, and Abilities

• Strong customer service orientation.
• Ability to communicate financial information clearly and respectfully.
• Excellent negotiation and problem-solving skills.
• Ability to work independently while managing multiple priorities.
• Strong attention to detail.
• Ability to maintain confidentiality and professionalism.

PHYSICAL REQUIREMENTS: 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The employee must:

• Occasionally lift carry, push and/or pull up to 20 pounds (i.e. office supplies).
• Frequent use of computers and telephones.
• Prolonged periods of sitting.

WORK ENVIRONMENT: 

The work environment is representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• This position is primarily performed in an office setting with extensive telephone and computer use.

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