Revenue Process Improvement Manager Remote
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Job Location:
Englewood, CO - USA
Yearly Salary:
$ 95000 - 125000
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Our Company
Amerita
Overview
The Revenue Process Improvement Manager is responsible for leading cross-functional revenue process improvement initiatives across applicable functions including but not limited to: Access Clinical Operations Pharmacy Operations and Nursing functions. This role serves as the primary liaison between Revenue Cycle Management (RCM) and Operations ensuring operational workflows consistently support clean billing denial prevention reduced bad debt and timely collections.
This role focuses on upstream process design adoption and accountability translation of payer rules authorization requirements and fostering RCM SOPs into operational behaviors that drive predictable financial outcomes. This role is a key hybrid role bridging OPS and Revenue functions in order to promote overall financial and process improvement.
Schedule:
Monday - Friday
8:30am - 5pm
We Offer:
Competitive Pay
Health Dental Vision & Life Insurance
Company-Paid Short & Long-Term Disability
Flexible Schedules & Paid Time Off
Tuition Reimbursement
Employee Discount Program & DailyPay
401k
Pet Insurance
Responsibilities
- Leads enterprise revenue process improvement initiatives focused on reducing denials bad debt and A/R aging.
- Serves as the primary RCM liaison to operational leadership teams.
- Translates payer rules authorization requirements and billing standards into operational workflows.
- Owns root-cause analysis of operationally driven denials and revenue leakage.
- Partners with operational leaders to redesign processes that prevent repeat issues.
- Ensures denial fixes are embedded upstream and sustained.
- Develops and maintain standardized workflows SOPs and job aids supporting revenue integrity.
- Establishs clear handoff standards between Operations and RCM.
- Ensures workflows are auditable repeatable and scalable.
- Defines and monitor process-level KPIs tied to revenue outcomes.
- Leads recurring performance reviews with operational leaders.
- Tracks and report financial impact of improvement initiatives.
- Drives adoption of new workflows in a results-oriented low-friction manner.
- Leads pilots and phased rollouts prior to enterprise scaling.
- Partners with Training and Leadership to embed changes into onboarding and ongoing education.
- Accountability in closing the loop (ensuring completion in effort made).
- Tracking trending monitoring of results (ensuring fruition in effort made).
- Partners with IT and Clinical Systems to improve charge capture documentation workflows and front-end accuracy.
- Serves as the RCM business owner for operational system enhancements impacting revenue.
- Prepares concise executive-level summaries of risks progress and financial impact.
- Escalates unresolved operational issues that pose material revenue risk.
- Supervisory Responsibility: Yes
Qualifications
- Bachelors degree or equivalent experience
- 5 years of experience in Revenue Cycle Healthcare Operations or Process Improvement
- Specialty pharmacy infusion home health or complex healthcare experience preferred
- Experience with payer authorization and reimbursement models preferred
- Lean Six Sigma or formal process improvement training preferred.
- Demonstrated success reducing denials write-offs or revenue leakage
- Strong cross-functional leadership and communication skills
- Data-driven mindset with ability to translate metrics into action
- Ability to drive consistent and effective change
**To perform this role will require frequently sitting and typing on a keyboard with fingers and occasionally standing and walking. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**
About our Line of Business
Salary Range
Required Experience:
Manager
Key Skills
- ASC 606
- Hotel Experience
- Hospitality Experience
- GAAP
- Accounting
- Revenue Management
- Pricing
- Analysis Skills
- Salesforce
- SOX
- ERP Systems
- NetSuite
About Company
Welcome to SpringHealth Behavioral Health & Integrated Care where we assist those we serve in reaching their highest level of independence.
