Revenue Cycle Manager presso Midtown Community Health

Job Title: Revenue Cycle Manager

Starting Annual Salary: $82,700

Location: Ogden, UT

Schedule: Full-time, Mon-Fri between 8:00 am-7:00 pm

Benefits: Medical, Dental, Vision, matching 403(b) retirement, Paid Time Off, Paid Holidays, $100,000 Company Paid Life Insurance, and other Voluntary Benefits.

Position Supervised: Coders, Patient Accounts Representatives, AR Specialists

Reports to: Chief Operations Officer

General Description:

The Revenue Cycle Manager is responsible for overseeing the entire cycle of billing, coding, claims submission, collections, patient accounts receivable, and reimbursement processes. This role involves managing staff, implementing processes improvements, maintaining knowledge of healthcare regulations and billing practices to minimize claim denials ensures accurate, compliant billing, timely reimbursement, and efficient back-office operations that support patient care and financial sustainability.

Responsibilities:

• Lead and oversee end-to-end revenue cycle processes including but not limited to: patient registration, charge capture, coding, billing, insurance credentialing, billing and collections.
• Supervise, train, and mentor a team responsible for billing, claims submission, denial management, and AR follow-up.
• Monitor and maintain payer setup in EMR with consistency across Medicaid, Medicare, and commercial payers.
• Manage claim appeals, and optimize accounts receivable aging.
• Collaborate closely with other departments and clinical operations to resolve challenges and ensure proper workflow, authorization and documentation procedures.
• Promote revenue integrity through staff training, process improvements, and performance tracking.
• Manage compliance with federal/state regulations, coding standards (e.g., CMS, HIPAA, ICD-10, CPT) and payer policies.
• Analyze revenue cycle KPIs; prepare reports, and present actionable insights to leadership.
• Assists with initiation and oversight of chart audits for billing accuracy.
• Accurately reconciles and records daily incoming revenue. Appropriately safeguards cash by verifying daily deposits and un-deposited cash is secured.
• Completes month end within 10 working days of the last day of the month.
• Provides education and training for clinicians regarding billing practices in coordination with clinical leadership.
• Ensures all appropriate LIPs are enrolled and credentialed with appropriate insurance companies
• Coordinates training of front office staff, in collaboration with the operations team, ensuring accurate completion of patient registration.
• Develops and maintains standard operating procedures for the department, ensuring consistency in revenue cycle processes across the organization.

Minimum Qualifications:

Certified coder preferred. Bachelor's degree in business administration or related field preferred, may substitute education for 5-years related experience. Minimum 2 years of proven hands-on experience in related billing and healthcare revenue cycle management. Minimum 2-years supervisory experience required. License required, none.

Other Skills:

Proficient in MS Office. Effective time management skills, strong ethics and responsibilities. Demonstrates excellent verbal and written communication, coaching, and interpersonal skills. Deep understanding of healthcare regulations, payer requirements, and reimbursement methodologies. Expertise in medical and dental billing, coding (ICD-10, CPT, CDT), and revenue cycle management software. Strong analytical, problem solving and project management skills. Ability to work in a team-based environment with various levels of staff. Must maintain confidentiality. Possess excellent interpersonal and customer service skills.