Manager, Revenue Cycle Management

Theoria Medical

Manager of Revenue Cycle Management overseeing billing and collections at Theoria Medical. Responsible for optimizing revenue cycle operations and communication with stakeholders.

Posted 6/4/2026full-timeRemote • 🇺🇸 United StatesSeniorLeadWebsite

About the role

Key responsibilities & impact

Lead and manage the revenue cycle operations, including but not limited to billing, holds/credentialing, denials, collections, and accounts receivable management.
Assist in developing and implementing KPIs and policies and procedures to ensure accurate and timely submission of claims, reduce denials, and increase collections.
Analyze trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff, third party vendors and revise policies and procedures.
Identify and resolve revenue cycle issues, including coding and billing errors, incomplete or inaccurate patient information, insurance prioritization and other issues that may impact revenue.
Monitor and analyze revenue cycle metrics, including accounts receivable aging, claim submission, payment turnaround times, and denial rates.
Analyze billing and claims for accuracy and completeness; follow up with RCM teams and third party vendors on work queues, pending claims and unpaid AR.
Spearhead the resolution of rejected or underpaid claims by conducting targeted appeals and payer negotiations.
Analyze and manage overpayments from payers as well as implementing policies to reduce denials and refunds.
Work with credentialing, billing and coding staff to ensure compliance with regulatory requirements, including HIPAA and other federal and state regulations.
Develop and maintain strong relationships with RCM Directors, HR, Clinical Operations and Credentialing departments to ensure a smooth revenue cycle operation.
Review and respond to various payor correspondence
Communicate with patients and clients

Requirements

What you’ll need

7+ years of experience in revenue cycle management in a healthcare setting
Advanced knowledge of the healthcare industry and a strong financial background
Clear understanding of billing and collection regulatory guidelines and requirements
Vast CPT and ICD-10 expertise
Vast knowledge in credentialing and payor management
Proficient background in reimbursements
Experience in monitoring clearinghouse activity, reports, and processes
Experience in setting up payors with EDI, ERA, and EFT processes
Experience in managing and leading a team of revenue cycle professionals
Strong analytical skills and attention to detail
Ability to work in a fast-paced environment and manage multiple projects simultaneously
Agility, strong leadership, problem-solving skills
Ability to maintain up-to-date knowledge of technology and software including but not limited to Monday, Slack, Google suite of Applications, spreadsheets (Excel), Zoom, MS Teams, eClinicalWorks

Benefits

Comp & perks

Competitive Compensation
401k with Employer Match
Health, Dental, and Vision Insurance
PTO and Holiday Pay
Employer Paid Life insurance Policy
Short and Long-Term Disability Insurance
Company Provided Equipment
Employee Assistance Program (EAP)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

revenue cycle managementbillingcredentialingdenials managementcollectionsaccounts receivable managementCPT expertiseICD-10 expertisereimbursementsEDI

Soft Skills

analytical skillsattention to detailleadershipproblem-solvingagilitycommunicationrelationship managementproject managementteam managementtime management