Manager, Revenue Cycle Accounting

Description

Location: PMC Corporate 

Job Type: Full-Time

Department: Finance / Revenue Cycle

Reports To: Controller

Salary: up to 85k/yr. 

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Position Summary:

We are seeking a highly skilled and strategic Senior Accountant with deep expertise in healthcare finance, specifically in revenue cycle operations, managed care billing, and payer reimbursement. This role is pivotal in maintaining the financial health of our organization by ensuring accuracy in healthcare revenue accounting and leading efforts to streamline collections, billing, and vendor performance.

As a senior member of the Finance team, you will lead revenue-side accounting functions, manage relationships with insurance payers, third-party vendors, and billing contractors, and oversee a team responsible for day-to-day revenue cycle operations. This position is ideal for someone who is both analytically rigorous and people-oriented, capable of diving into billing intricacies while also driving cross-functional collaboration.

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Key Responsibilities:

Healthcare Revenue Cycle Management

• Oversee the entire healthcare revenue cycle: charge capture, claims submission, insurance reimbursement, patient billing, self-pay collections, and AR reconciliation.
• Collaborate with the billing and coding teams to ensure compliance with CMS, Medicare/Medicaid, and commercial payer rules.
• Investigate and resolve denials, underpayments, unapplied cash, and payment discrepancies.
• Manage complex insurance billing workflows including ERAs/EOBs, contractual adjustments, and patient payment plans.
• Own the monthly close process for revenue, including journal entries, accruals, and account reconciliations tied to patient services.
• Ensure revenue is recognized in accordance with GAAP and healthcare-specific guidance (e.g., ASC 606).

Vendor Management

• Serve as the primary liaison with third-party billing vendors, collection agencies, and clearinghouses.
• Monitor contract performance and SLAs related to revenue cycle operations.
• Oversee vendor handling of aged AR, self-pay accounts, and balance resolution; intervene as needed to realign strategies.
• Conduct regular collection calls and vendor reviews to track effectiveness, recoveries, and timeliness.
• Collaborate with vendors to implement process improvements, ensure proper cash application, and reduce days in AR.

People Leadership

• Supervise, coach, and support a small team of billing and revenue cycle specialists.
• Establish performance standards, oversee workload allocation, and drive accountability within the team.
• Provide ongoing training on new billing procedures, payer updates, and compliance expectations.
• Foster cross-departmental collaboration with clinical operations, front desk, and IT teams to resolve billing or documentation issues.

Requirements

Required Skills & Qualifications:

Technical Expertise

• Strong knowledge of healthcare accounting and billing practices, including payer contracts, copay/deductible tracking, and revenue recognition models.
• Proficiency in preparing journal entries, account reconciliations, and financial reports tied to healthcare operations.
• Experience with healthcare billing systems (e.g., Epic, Athenahealth, Cerner, Kareo) and general ledger platforms (e.g., NetSuite, Sage Intacct, QuickBooks).
• Understanding of healthcare revenue metrics (e.g., days in AR, net collection rate, denial rates) and ability to analyze financial KPIs.
• Ability to understand, manage direct resources in performing business-to-business billing and revenue recognition and Accounts Receivable processes.
• Ability to perform all aspects of the business-to-billing and accounts receivable functions in the absence of a subordinate resource.
• Ability to understand root causes of errors and inefficiencies and in the business-to-business billing and revenue recognition functions to continuously improve the processes.

Interpersonal & Leadership Strength

• Confident communicator with an extroverted, solutions-focused approach—capable of managing vendor relationships and working cross-functionally with non-financial staff.
• Comfortable conducting collection calls with vendors and/or patients and resolving escalated billing issues.
• Demonstrated leadership experience managing a small team or department with measurable outcomes.

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Preferred Experience:

• Bachelor’s degree in Accounting, Finance, or Healthcare Administration (required)
• 5+ years of progressive accounting experience in a healthcare environment
• 3+ years of direct experience in revenue cycle operations, insurance billing, and vendor oversight
• CPA, CMA, or HFMA certification (preferred, not required)

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Work Environment & Benefits:

• Hybrid work environment
• Competitive compensation 
• Full benefits package (medical, dental, vision, 401k, PTO)
• Professional development and CEU reimbursement
• Mission-driven organization with a focus on community healthcare delivery