POSITION SUMMARY:

We are seeking an experienced and detail-oriented Revenue Cycle Manager with a strong background in medical billing, collections, and payer negotiations to join our team. This role will focus heavily on reductions management—reviewing, negotiating, and resolving payer requests for reduced payments while ensuring compliance, maximizing revenue, and maintaining strong payer relationships.
The ideal candidate will have a solid understanding of the complete revenue cycle in a medical setting, excellent negotiation skills, and the ability to analyze trends to proactively reduce financial losses.

QUALIFICATIONS:

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field preferred.
• 5+ years of experience in medical billing, collections, or revenue cycle management.
• Strong knowledge of CPT, ICD-10, and HCPCS coding standards.
• Proven success in payer negotiations and reductions management.
• Exceptional communication and interpersonal skills.
• Proficiency in EHR and practice management systems.
• Detail-oriented with strong organizational skills and the ability to work in a fast-paced environment.

SKILLS & COMPETENCIES:

• Negotiation & conflict resolution
• Analytical & problem-solving skills
• Financial acumen & reporting
• Regulatory compliance knowledge
• Leadership & training abilities
  Job Type: Full-time
  Pay: $60,000.00 - $65,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Health insurance
• Paid time off
• Retirement plan

Work Location: In perso

• Reductions Oversight
• Review all payer reduction requests and supporting documentation.
• Negotiate reductions with insurance companies, attorneys, and other payers to maximize reimbursement.
• Identify opportunities to appeal or challenge reductions when appropriate.
• Revenue Cycle Management
• Oversee the entire revenue cycle process from charge capture through payment posting and collections.
• Monitor accounts receivable (A/R) aging and implement strategies to reduce outstanding balances.
• Ensure compliance with federal, state, and payer-specific regulations.
• Reporting & Analysis
• Track and report on reduction trends, denial patterns, and recovery rates.
• Develop actionable insights to improve reimbursement and reduce recurring issues.
• Present monthly financial and operational metrics to leadership.
• Team Collaboration
• Work closely with billing, collections, and legal teams to resolve disputes.
• Provide training and guidance to staff on best practices for handling reductions and negotiations.
• Maintain open communication with providers to ensure accurate documentation and coding that minimizes reductions.