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Revenue Cycle Manager

1 month, 2 weeks ago
United States
Full-time
Senior
Sales Operations
Operations
Apply Now
NIVA Health

NIVA Health

NIVA Health offers innovative therapies to heal chronic pain and injuries, focusing on holistic and natural treatments to avoid surgeries and medications.

Health Care Providers & Services
11-50
View All Jobs 3

Description

  • Oversee and optimize the full revenue cycle, including charge capture, coding, billing, accounts receivable follow-up, and collections.
  • Ensure timely and accurate claim submission, with emphasis on Medicare and commercial payers.
  • Monitor and improve revenue cycle performance metrics such as AR days, denial rates, and net collection rate.
  • Lead denial management through root cause analysis, corrective action planning, and process improvement.
  • Develop, train, and manage internal team members and/or external billing partners.
  • Build scalable workflows and systems to support rapid organizational growth.
  • Collaborate cross-functionally with clinical and operations teams to improve efficiency and financial outcomes.
  • Maintain compliance with federal, state, and payer requirements.
  • Oversee insurance verification and benefits verification to ensure accurate coverage determination before services are rendered.
  • Manage prior authorizations, single case agreements, PCP referrals, and documentation readiness to support reimbursement and prevent delays.

Requirements

  • 5+ years of healthcare revenue cycle experience, preferably in wound care, specialty care, or a similarly complex reimbursement environment.
  • Strong knowledge of Medicare Part B billing, coding, reimbursement, and compliance.
  • Proven ability to improve revenue cycle performance metrics and operational outcomes.
  • Experience leading teams and/or managing third-party billing vendors.
  • Strong analytical and problem-solving skills with the ability to identify trends and drive corrective action.
  • Comfortable working in a fast-paced, high-growth environment.
  • Strong communication skills and the ability to collaborate effectively across departments.
  • A builder’s mindset with a willingness to improve systems, create structure, and drive accountability.
  • Experience with Medicare reimbursement and payer processes.
  • Experience in or exposure to national-growth healthcare operations (preferred).

Benefits

  • $75,000 base salary.
  • Bonus incentive program.
  • Health, dental, and vision benefits.
  • Paid time off.
  • Remote work flexibility.
  • Opportunity for growth within a rapidly scaling organization.

Interested in this position?

Apply directly on the company website

Apply Now

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