Job Summary:
The Manager, Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate resolution of outstanding insurance claims.
This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow, reduce aging accounts, and ensure compliance with payer and regulatory requirements.
Responsibilities:
- Lead and manage the daily operations of the insurance follow-up team, ensuring productivity and quality standards are met.
- Monitor aging reports and key performance indicators (KPIs), including Days in AR, denial rates, and collection targets.
- Develop and implement processes to improve claim resolution timelines and reduce denials and underpayments.
- Provide training, mentorship, and performance evaluations for AR follow-up staff.
- Coordinate with billing, coding, and other departments to address claim issues and streamline workflows.
- Serve as the point of escalation for complex or high-dollar claims.
- Stay current with payer policy changes, compliance regulations, and industry best practices.
- Analyze trends in denials and rejections to recommend and implement preventive measures.
- Prepare and present reports to senior leadership on collection performance, trends, and areas for improvement.
- Participate in hiring, onboarding, and ongoing staff development initiatives.
- Handles other duties and projects assigned.
Qualifications:
- Bachelor’s degree in Healthcare Administration, Business, or related field preferred
- 5+ years of experience in medical billing and insurance follow-up, with 2+ years in a leadership or supervisory role preferred.
- Strong understanding of medical billing practices, payer guidelines, and reimbursement methodologies (commercial, Medicare, Medicaid).
- Proven leadership and team management abilities.
- Analytical mindset with the ability to interpret data and make strategic decisions.
- Excellent communication and interpersonal skills.
- Proficiency in billing and practice management software (e.g., Athena, G4 Centricity, etc.).
- Strong organizational skills and attention to detail.
- Knowledge of HIPAA regulations and healthcare compliance standards.
Anticipated salary range: $87,700 - $125,300 USD Annual
Bonus eligible: No
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
- Medical, dental and vision coverage
- Paid time off plan
- Health savings account (HSA)
- 401k savings plan
- Access to wages before pay day with myFlexPay
- Flexible spending accounts (FSAs)
- Short- and long-term disability coverage
- Work-Life resources
- Paid parental leave
- Healthy lifestyle programs
Application window anticipated to close: 10/02/2025 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
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