Revenue Cycle Manager
Job Description
Job Description
Revenue Cycle Manager – Phoenix, AZ
Heart & Vascular Center of Arizona (HVCA)
- Provide leadership and oversight of the entire revenue cycle process, including:
- Insurance verification and benefits eligibility
- Charge capture and claim submission
- Claims queue management and denial resolution
- Payment posting and reconciliation
- Patient billing inquiries and collections
- Accounts receivable (AR) management
- Develop and implement standardized billing procedures and revenue cycle workflows, ensuring scalability and efficiency as the organization grows
- Supervise, train, and mentor the billing and collections team to drive performance and professional development
- Monitor key performance indicators (KPIs) and revenue metrics to identify areas of opportunity and implement performance improvement initiatives
- Collaborate closely with clinical, coding, and operations teams to ensure accurate documentation and compliant billing practices
- Partner with the network access team to validate that contracts, fee schedules, payer enrollments, and automated rule sets are correctly configured and updated
- Maintain up-to-date knowledge of federal, state, and payer-specific billing regulations and compliance standards; serve as the internal subject matter expert
- Act as a liaison for external audits, payer communications, and third-party vendor relationships
- Prepare and present regular revenue cycle reports and dashboards to leadership, identifying trends, risks, and areas for strategic focus
- Develop and enforce processes that minimize billing errors and ensure compliance with all applicable payer, state, and federal guidelines
- Oversee the timely processing of claims and resolution of unpaid and overpaid accounts
- Regularly assess practice management system reports to refine workflows and achieve departmental and organizational goals
- Anticipate changes in payer requirements and proactively align internal processes to maintain compliance
- Bachelor’s degree in healthcare administration, finance, accounting, or a related field
- Minimum of 5 years of experience in medical billing and revenue cycle operations
- Proven experience with AthenaOne (EHR/EPM) is required
- Demonstrated leadership skills with experience managing and growing a revenue cycle team
- Strong understanding of CPT/ICD coding, payer billing guidelines, and reimbursement methodologies
- Experience in cardiology billing is highly preferred
- Advanced proficiency in Microsoft Excel and/or Google Sheets
- Excellent analytical, organizational, and problem-solving skills
- Effective communicator with the ability to collaborate across multidisciplinary teams
- Strong project management and process optimization background
HVCA offers a collaborative work environment , opportunities for growth, and a competitive benefits package including health, dental, vision, and retirement plan options.
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