Revenue Cycle Manager
Planned Parenthood League of Massachusetts
full-time
Posted on:
Location Type: Hybrid
Location: Boston • United States
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Salary
💰 $80,000 - $100,000 per year
About the role
- Serve as the primary point of contact between PPLM, CHN Revenue Cycle Team, and BetterHealth.
- Monitor revenue cycle functions and key performance indicators (KPIs), identify best practices, and communicate organizational needs.
- Lead financial analysis and reimbursement planning for new services and strategic initiatives.
- Maintain effective relationships with payer representatives to support contract performance and appropriate reimbursement.
- Report regularly on accounts receivable, KPIs, and trends to the CFO and Health Center leadership.
- Support the accounting team with revenue reporting, reimbursement tracking, and contractual reserve analysis.
- Provide insights and recommendations to improve financial performance and operational efficiency.
- Manage pricing, reimbursement, contract review, and EHR system configuration to optimize workflow and efficiency.
- Partner with health center staff to resolve billing issues and implement improvements.
- Document procedures and create standardized workflows.
- Monitor billing processes for specific programs including AB Funding, At Home STI Testing, and Telehealth Medication Abortion.
- Support compliance activities, including annual coding audits and quarterly audits related to MassHealth certification requirements.
- Stay informed on changes in medical billing standards, regulations, and payer policies.
- Engage regularly with health center teams to review KPIs, identify process barriers, and share best practices.
- Help staff connect operational practices with the organization’s revenue goals and financial sustainability.
- Support organizational productivity initiatives and complete additional tasks as assigned.
Requirements
- BA/BS degree **or** equivalent relevant work experience required.
- 8–10 years of experience in revenue cycle operations.
- Experience with Epic, AthenaNet, or comparable EHR systems.
- Proficiency with Microsoft Office 365 (Teams, SharePoint, Excel).
- Advanced knowledge of medical terminology, procedures, and billing practices.
- Strong understanding of HCPCS, CPT, and ICD‑9/ICD‑10 coding standards and collection regulations.
- Knowledge of state and federal billing requirements (including Title X) preferred.
- Strong analytical skills with comfort interpreting financial data.
- Excellent verbal communication, decision-making ability, and organizational skills.
- Commitment to maintaining patient confidentiality in accordance with HIPAA.
Benefits
- Generous Paid Time Off
- Medical, Dental, and Vision Insurance
- 403(b) Retirement Plan with employer match
- Life and Disability Insurance
- Professional Development Opportunities
- Commuter Benefits
- A mission-driven workplace that values equity, inclusion, and belonging
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
revenue cycle operationsfinancial analysisreimbursement planningbilling practicesmedical terminologyHCPCS codingCPT codingICD-9 codingICD-10 codingcontractual reserve analysis
Soft Skills
analytical skillsverbal communicationdecision-makingorganizational skillsrelationship managementproblem-solvinginsight generationprocess improvementteam collaborationconfidentiality maintenance
Certifications
BA/BS degreeHIPAA compliance training