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Senior Revenue Cycle Management Project Manager – Systems, Reporting, SLA Experience
MicroHealthSenior Revenue Cycle Management Project Manager at MicroHealth leading enterprise-level financial initiatives. Overseeing revenue cycle programs and driving cross-functional team collaboration to optimize financial performance.
Tech Stack
Tools & technologiesSQLTableau
About the role
Key responsibilities & impact- Oversee complex, multi-faceted revenue cycle programs from end to end
- Apply formal project management methodologies (Agile, Waterfall, Hybrid) to manage scope, timelines, budgets, and risks across complex front-, middle-, and back-end revenue cycle programs
- Lead cross-functional teams including clinical staff, billing specialists, IT professionals, and executive stakeholders
- Develop comprehensive project charters, work breakdown structures, and communication plans
- Monitor project milestones and deliverables, ensuring alignment with organizational strategic goals
- Manage and report on Service Level Agreements (SLAs), ensuring compliance with contractual obligations and performance metrics
- Identify operational bottlenecks and inefficiencies across the revenue cycle continuum
- Design and implement standardized workflows to increase efficiency and reduce errors
- Deploy automation solutions to streamline repetitive tasks and improve accuracy
- Conduct process mapping and gap analysis to identify improvement opportunities
- Champion change management initiatives to ensure successful adoption of new processes
- Analyze claim rejection and denial trends to identify root causes and systemic issues
- Direct targeted strategies to improve clean claim rates and accelerate reimbursement cycles
- Collaborate with coding and billing teams to address documentation deficiencies
- Implement denial prevention programs and appeal processes
- Monitor payer-specific requirements and adjust workflows accordingly
- Track and report on core Key Performance Indicators (KPIs) including: Days in Accounts Receivable (A/R), Net collection rates, Clean claim rates, Denial rates and appeal success rates, Point-of-service collections, Cost-to-collect ratios
- Generate routine executive reports and dashboards for senior leadership
- Develop comprehensive reporting frameworks to support data-driven decision-making
- Conduct variance analysis and recommend corrective actions
- Present findings and recommendations to C-suite executives and board members
- Act as a strategic liaison between clinical, financial, and IT departments
- Facilitate regular meetings with stakeholders to ensure alignment on revenue goals
- Translate complex financial and technical concepts for diverse audiences
- Build consensus among competing priorities and resource constraints
- Maintain transparent communication channels with all project participants
- Ensure all billing and coding practices adhere to federal, state, and payer regulations
- Stay current on regulatory changes including CMS guidelines, HIPAA requirements, and payer policies
- Oversee internal and external auditing processes to ensure compliance and accuracy
- Coordinate with compliance officers to address audit findings and implement corrective action plans
- Develop and maintain compliance documentation and standard operating procedures
- Apply certification knowledge in coding, billing, and auditing to ensure best practices
- Demonstrate proficiency with Careview and InnovAlone platforms
- Optimize Electronic Health Record (EHR) system configurations to support revenue cycle workflows
- Collaborate with IT teams on system implementations, upgrades, and integrations
- Exhibit strong system savvy to quickly learn and adapt to new technologies and platforms
- Evaluate and recommend revenue cycle management software and tools
- Ensure data integrity across multiple systems and platforms
Requirements
What you’ll need- Bachelor’s degree in healthcare administration, Business, Finance, Health Information Management, or a related field required
- Minimum 10+ years of extensive hands-on management experience in healthcare revenue cycle management with demonstrated success leading large-scale projects or transformations
- Proven track record of managing enterprise-level revenue cycle initiatives from conception through implementation
- Experience with Careview and InnovAlone systems required
- Demonstrated expertise in reporting and managing Service Level Agreements (SLAs)
- Experience working in remote/distributed team environments
- Background in healthcare operations, finance, or health information management
- Certified Revenue Cycle Professional (CRCP), Certified Revenue Cycle Representative (CRCR), or similar revenue cycle certification required
- Certification in coding (CPC, CCS, or equivalent), billing, and/or auditing required
- Advanced proficiency with Careview and InnovAlone platforms (required)
- Exceptional system experience with ability to quickly master new technologies and software applications
- Proficiency in major Electronic Health Record (EHR) systems such as Epic, Cerner, Meditech, or Allscripts
- Advanced skills in data analytics tools including Tableau, Power BI, Microsoft Excel, or SQL
- Strong understanding of medical coding (ICD-10, CPT, HCPCS) and billing regulations
- Familiarity with claims processing systems and clearing houses
- Expertise in developing and managing reporting frameworks and dashboards
- Demonstrated ability to manage and monitor Service Level Agreements (SLAs)
- Change management expertise with proven ability to drive adoption of new processes and technologies
- Attention to detail and accuracy particularly in financial and compliance matters.
Benefits
Comp & perks- access to comprehensive and competitive benefits package
- retirement planning assistance
- opportunities for personal growth through spiritual or academic avenues
- time off to recharge and celebrate life's meaningful moments
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
project managementAgileWaterfallHybriddata analyticsmedical codingclaims processingreporting frameworksworkflow designprocess mapping
Soft Skills
leadershipcommunicationchange managementcollaborationproblem-solvingattention to detailstrategic thinkingconsensus buildingadaptabilitystakeholder management
Certifications
Certified Revenue Cycle Professional (CRCP)Certified Revenue Cycle Representative (CRCR)CPCCCS