Revenue Cycle Manager

We are seeking an experienced Revenue Cycle Manager to lead and optimize all aspects of the revenue cycle for a fast-paced retina practice. This role is responsible for ensuring financial performance through effective management of billing, coding, collections, payer relations, and compliance.

The ideal candidate brings strong ophthalmology/retina experience, a deep understanding of payer rules, and a proactive, data-driven approach to revenue cycle performance.

Key responsibilities

• Oversee end-to-end revenue cycle operations, including charge capture, coding, claim submission, payment posting, and accounts receivable follow-up
• Monitor KPIs such as days in A/R, denial rates, collection rates, and net revenue performance
• Implement workflows to improve cash flow and reduce revenue leakage
• Ensure accurate coding for retina and ophthalmology services, including surgical and in-office procedures
• Maintain compliance with Medicare, Medicaid, and commercial payer regulations
• Oversee and perform internal audits and coordinate external audits as needed
• Lead denial management strategy, including root cause analysis and corrective action plans
• Optimize processes for timely follow-up on outstanding claims and patient balances
• Collaborate with front office to improve eligibility, authorizations, and point-of-service collections
• Supervise billing, coding, and A/R staff
• Provide training, performance management, and ongoing development
• Foster a culture of accountability, accuracy, and continuous improvement
• Prepare and present monthly financial and operational reports
• Analyze trends and identify opportunities for revenue growth and process improvement
• Partner with leadership on budgeting, forecasting, and strategic planning