Director/Senior Manager of Revenue Cycle Management
C
Clarity PediatricsPediatric Health
Remote or Hybrid San FranciscoFull-TimeManager
Salary$140K - $180K
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Job Details
- Experience
- 5-7+ years of total revenue cycle experience, including 2-3+ years managing a team
Requirements
- 5-7+ years of total revenue cycle experience.
- 2-3+ years of experience managing a team in a billing, RCM, or operations function.
- Experience with payer contract negotiation and lifecycle management.
- Experience working across commercial, Medicaid, and self-pay payer types.
- Deep understanding of billing, denial, and collections practices for different payer types.
- Proficiency in building and maintaining reports to monitor collection rates, denial trends, and A/R aging.
- Ability to perform root-cause analysis across credentialing, contracting, and patient eligibility.
- Strong communication skills with the ability to explain complex reconciliation issues to various stakeholders.
- Proven track record of building and scaling operational foundations in a fast-paced environment.
Responsibilities
- Manage and develop the RevOps team, setting priorities and coaching on complex cases.
- Own payer contracting strategy, including rate negotiation, lifecycle management, and contract enforcement.
- Set the strategy and quality standard for the billing function, ensuring coding integrity and claim accuracy.
- Lead end-to-end denial management, performing root-cause analysis and driving cross-functional resolution.
- Manage reconciliation of payer remittances and oversee collections and A/R management.
- Support the Head of Finance with month-end close deliverables, A/R reporting, and collection risk analysis.
- Identify and implement process and tooling improvements to support scalability and audit compliance.
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