Sr. Manager, Revenue Cycle Management

This is a remote role seeking candidates located in the state of Florida. 

Under the direction of the VP of Revenue Cycle Management the Senior Manager Revenue Cycle Management is responsible for oversight and training of staff management of functions and processes and accountable for the team hitting performance quality and production metrics. In addition the Sr. Manager will support RCM Associate Directors with escalations and larger strategic projects as needed.

The Sr. Manager is responsible for ensuring that the Accounts Receivables are worked in accordance with best practices and that all Manager Holds Zero Pay Unapplied Unpostables and other Aged Accounts Receivable are reviewed reconciled and resolved in a timely and compliant manner.

Additionally the Sr. Manager will take steps necessary to resolve all claim issues or questions that escalate to the RCM team. Resolution of SalesForce cases and management of issues as well as management of the team resolving the cases is a key element in this role. We look for strong training and claims management skills along with a strict attention to detail a solutions focused mindset and a driving work ethic.

• Oversee the entire claims submission and followup process ensuring claims are submitted accurately and on time
• Lead and manage large payer projects and care center support projects updating leadership and affected stakeholders as needed
• Keep ADs abreast of opportunities for improvement in daily operations along with recommendations on process improvements
• Management of the teams accountable for the accounts receivable (AR) including analysis and resolution of the aged AR looking for root cause issues
• Utilize data to identify patterns in claim denials or delays and develop actionable solutions to address them
• Independent decision making regarding claim adjustments resubmission appeals and other claim resolution techniques
• Makes policy updates as needed to all RCM policies.
• Meets with the Performance Operations Implementation Sales and other Privia teams review escalated issues and discuss payer or claim concerns.
• Meets with Care Center leadership including the lead physician partners office managers and other staff to discuss complex claim or other revenue cycle matters
• Responsible for training internal teams (Operations Sales) as well as care center staff when appropriate
• Support care center go lives as needed which may include overnight travel
• Laser focused drive toward achievement of departments daily and monthly KPIs requiring a team focused approach to attainment of these goals
• Responsible for performing or assisting with duties related to staffing to include hiring termination coaching and training
• Provides ongoing feedback to subordinate staff regarding of performance throughout the year to subordinate staff
• Counsels employees in disciplinary matters and obtains assistance from human resources appropriately for disciplinary actions and/or employee termination process
• Other duties as assigned

Qualifications :

• High School Graduate Medical Office training certificate or relevant experience
• 5 years experience in managing physician revenue cycle
• 3 years experience in management of personnel
• Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims.
• Strong preference for experience working with athenaOne Trizetto and SalesForce
• Experience with Florida providers and payers preferred 
• Must comply with HIPAA rules and regulations

The salary range for this role is $75000 to $80000 in base pay and exclusive of any bonus or benefits (medical dental vision life and pet insurance 401K paid time off and other wellness programs). This role is also eligible for an annual bonus targeted at 15% based on the performance for the role and resricted stock units. The base pay offered will be determined based on relevant factors such as experience education and geographic location. 

Additional Information :

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers only not applicable for onsite/in office work):

In order to successfully work remotely supporting our patients and providers we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. Privia is a better company when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age color national origin physical or mental (dis)ability race religion gender sex gender identity and/or expression marital status veteran status or any other characteristic protected by federal state or local law.  

Remote Work :

Yes

Employment Type :

Fulltime