Revenue Cycle Optimization Manager Hybrid (w office hours in Nashua, NH)
Nashua, NH - USA
Job Summary
Come work at the best place to give and receive care!
Job Description:
- Own and drive performance of key AR metrics including days in AR aging by payer and financial class cash collections and denial resolution rates
- Oversee AR work queues and follow-up strategies to ensure timely and accurate resolution of outstanding balances
- Lead initiatives to reduce aged AR (90 days) and improve overall collection velocity
- Monitor and analyze payer-specific trends identifying systemic issues and escalation opportunities
- Establish track and enforce productivity and quality standards for AR staff and external vendors
- Lead denials management strategy including root cause analysis prevention appeals optimization and recovery tracking
- Develop and implement strategic initiatives to enhance operational efficiency across billing coding prior authorization claims follow-up and collections
- Apply Lean Six Sigma or similar methodologies to streamline workflows and reduce waste
- Identify and resolve systemic issues impacting cash flow including front-end errors documentation gaps coding inaccuracies and payer-related challenges
- Analyze revenue cycle data and KPIs to develop actionable improvement plans and performance dashboards
- Lead cross-functional revenue cycle projects from initiation through implementation and stabilization
- Manage multiple concurrent initiatives including enterprise-wide and vendor-led efforts
- Serve as a liaison among clinical operational financial IT teams and external partners
- Lead change management efforts including workflow redesign communication training and adoption strategies
- Oversee vendor performance and ensure adherence to service level agreements
- Ensure compliance with regulatory requirements payer guidelines and internal policies
- Bachelors degree in Healthcare Administration Business Administration Finance or a related field required
- An additional four (4) years of relevant experience may substitute for the bachelors degree
- Masters degree preferred
- Project Management Professional (PMP) certification required within six (6) months of hire
- PMP certification at time of hire preferred
- HFMA certification (CRCR CHFP) preferred
- AAHAM certification (CRCE CPAR) preferred
- Minimum of five to seven (57) years of progressively responsible experience in revenue cycle operations with a strong focus on AR management and optimization
- Seven to ten (710) years of healthcare revenue cycle leadership experience preferred
- Experience in an acute care or health system environment preferred
- Epic or similar revenue cycle system experience preferred
- Comprehensive knowledge of healthcare billing payer reimbursement AR follow-up and denials management
- Understanding of CPT and ICD-10 coding and charge capture processes
- Strong analytical skills with the ability to interpret complex financial and operational data
- Advanced proficiency in Excel and reporting tools
- Excellent written and verbal communication skills including executive-level presentations
- Ability to manage multiple priorities in a fast-paced environment
- Ability to translate data into actionable operational strategies
- Ability to lead cross-functional teams and drive accountability without direct authority
- Hybrid position with a minimum of one (1) on-site day per week
- Southern NH Medical Center is a 5-time Magnet designated hospital
- Health dental prescription and vision coverage for full-time & part-time employees
- Medical dental and vision coverage
- Life insurance
- Short- and long-term disability
- Flexible Spending Accounts (FSA)
- Competitive pay
- Tuition Reimbursement
- Nursing Student Loan Paydown Program
- 403(b) Retirement Savings Plan
- Education & Paid training courses for continued career progression
- & So much more!
SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation disability status veteran status or any other characteristic protected by law.
Required Experience:
Manager
About Company
Southern New Hampshire Health - Premier medical center and a network of over 400 providers in more than 50 convenient locations.