Revenue Cycle Manager

Posted today

tmf health quality instituteDenver (CO)

SENIORITY

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About the role

Company Description: TMF Health Quality Institute is a healthcare-focused organization dedicated to improving the quality, safety, and efficiency of care delivery. The institute partners with healthcare providers, payers, and communities to enhance clinical outcomes and patient experiences. TMF supports organizations in navigating complex regulatory requirements and adopting best practices in care management and operations. Team members contribute to impactful initiatives that drive healthcare performance improvement and sustainable change.
Role Description: The Revenue Cycle Manager is a full-time remote role responsible for overseeing end-to-end revenue cycle processes to ensure accurate, timely, and compliant reimbursement. This role includes managing billing, collections, and accounts receivable workflows, as well as monitoring claims, denials, and payment posting for assigned practices or programs. The Revenue Cycle Manager will analyze key performance indicators, identify process gaps, and implement strategies to optimize cash flow and reduce denials. Daily activities include coordinating with clinical and administrative staff, supporting coding and documentation accuracy, liaising with payers and managed care organizations, and preparing reports for leadership. The role also involves maintaining up-to-date knowledge of regulatory changes and payer requirements, and contributing to continuous process improvement initiatives.
Qualifications: Candidates should possess strong Revenue Cycle Management skills, including oversight of billing, collections, and accounts receivable. Candidates should possess Practice Management skills to coordinate workflows with clinical and administrative teams and support operational efficiency. Candidates should possess expertise in Denials management, including root cause analysis, appeal processes, and prevention strategies. Candidates should possess Medical Coding knowledge to ensure accurate documentation, coding compliance, and appropriate reimbursement. Candidates should possess familiarity with Managed Care, including payer contracts, fee schedules, and authorization requirements. Additional beneficial qualifications include experience in healthcare finance or administration, proficiency with EHR and practice management systems, strong analytical and reporting skills, and excellent written and verbal communication. Bachelor’s degree in healthcare administration, business, finance, or a related field, or equivalent work experience is preferred. Demonstrated ability to work independently in a remote setting, manage multiple priorities, and collaborate effectively with cross-functional teams.

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