Healthcare Revenue Cycle Manager (RCM)

About the position

The Healthcare Revenue Cycle Manager (RCM) is responsible for overseeing and optimizing all functions of the revenue cycle process within a healthcare setting. This role requires expertise in the NextGen platform and involves ensuring compliance with healthcare regulations while maximizing revenue. The RCM Manager will lead a team, analyze processes, and develop strategies to improve cash flow and efficiency in billing and collections.

Responsibilities

• Manage and oversee the entire revenue cycle, including patient registration, billing, claims processing, collections, and accounts receivable.
• Ensure accurate and timely submission of claims to Medicare, Medicaid, and commercial insurers.
• Analyze and improve revenue cycle processes to reduce denials and enhance efficiency.
• Monitor key performance indicators (KPIs) related to billing, collections, denial rates, and AR days.
• Develop strategies to improve cash flow and streamline billing processes.
• Lead and train the RCM team, ensuring compliance with industry standards.
• Collaborate with clinical and administrative staff to resolve billing issues and maintain accurate patient information.
• Stay current with healthcare regulations and payer requirements.
• Conduct audits to ensure accuracy and compliance in revenue cycle processes.
• Manage vendor relationships for RCM-related services and tools, including NextGen software.
• Act as a NextGen subject matter expert, providing guidance to staff.

Requirements

• Bachelor’s degree in Healthcare Administration, Business, or a related field.
• 5+ years of healthcare revenue cycle management experience, with 2+ years using NextGen.
• Proven ability to manage an RCM team in a multi-specialty medical group or similar environment.
• Strong knowledge of billing, coding (CPT, ICD-10), and collections processes.
• Deep understanding of healthcare regulations (HIPAA, Medicare, Medicaid).
• Excellent leadership and team management skills.
• Analytical skills to interpret financial data and make informed decisions.
• Exceptional communication and interpersonal skills.
• Ability to work onsite in Fort Worth, Texas.

Nice-to-haves

• Certification in Medical Billing and Coding (CMRS, CPC, or equivalent).
• Experience managing RCM for multiple specialties.
• Familiarity with healthcare AI tools and automation in revenue cycle processes.

Benefits

• Competitive salary based on experience.
• Comprehensive health, dental, and vision insurance.
• 401(k) plan with employer match.
• Paid time off (PTO) and holiday pay.
• Opportunities for professional development and growth.