Senior Manager, Back End Revenue Cycle
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Manager, Back End Revenue Cycle based in the United States.
This is a high-impact leadership role at the intersection of healthcare operations, revenue cycle optimization, and scalable process design. You will be responsible for stabilizing and transforming back-end revenue cycle performance across claims, denials, AR, and collections in a fast-growing, complex payer environment. The role requires both strategic oversight and hands-on operational depth, particularly in denial management, AR aging reduction, and payer-specific workflows. You will lead and develop a high-performing team while building systems that improve cash flow accuracy, reduce aging balances, and strengthen reimbursement outcomes. Working cross-functionally with finance, engineering, and client success teams, you will help design end-to-end revenue cycle processes that scale with organizational growth. Success in this role means driving measurable improvements in AR performance, denial recovery, and collections efficiency while establishing durable operational excellence.
Accountabilities:
- Lead end-to-end back-end revenue cycle operations, including accounts receivable management, denial resolution, and collections, ensuring accuracy, efficiency, and strong financial performance.
- Establish and optimize claim receipt monitoring processes, including ANSI X12 277CA acknowledgment tracking, escalation workflows, and clearinghouse coordination to ensure clean claim submissions.
- Own AR aging performance, including structured follow-up workflows, SLA enforcement, and targeted reduction of over-180-day balances through systematic payer engagement and recovery strategies.
- Build and manage a structured denial management system, including work queues, root cause analysis, appeal workflows, and prioritization based on financial impact and filing deadlines.
- Develop and optimize collections processes across payer populations, including follow-up protocols, escalation paths, and employer group coordination for payment resolution.
- Partner cross-functionally with finance, operations, engineering, and client success to ensure accurate reconciliation of AR data across systems and resolve payer or eligibility-driven issues at the source.
- Recruit, train, and lead a high-performing back-end RCM team, establishing performance standards, operational rigor, and a culture of accountability and continuous improvement.
- 7+ years of experience in revenue cycle management with a strong focus on back-end operations, including AR follow-up, denial management, and collections.
- Deep expertise in payer behavior, denial reason codes, appeal workflows, timely filing requirements, and reimbursement processes across commercial insurance environments.
- Proven track record of reducing AR aging, improving denial overturn rates, and strengthening collections performance in complex healthcare billing ecosystems.
- Hands-on experience with revenue cycle platforms such as AthenaHealth or similar systems, particularly in AR and denial workflow management.
- Demonstrated leadership experience building, scaling, and managing revenue cycle or collections teams with measurable operational outcomes.
- Strong analytical and problem-solving skills, with the ability to interpret financial and operational data to drive process improvements.
- Ability to work cross-functionally in a fast-paced, remote-first environment with strong ownership and execution mindset.
- Comfort using AI tools to improve productivity, workflow efficiency, and operational decision-making.
- Competitive compensation package aligned with experience and location
- Comprehensive medical, dental, and vision insurance coverage
- Remote-first work environment with distributed teams across the US
- Flexible work culture focused on outcomes and impact
- Paid time off and parental leave benefits
- Retirement savings plan (e.g., 401(k) where applicable)
- Home office and ergonomic support benefits
- Opportunity to contribute to mission-driven healthcare transformation initiatives
- Collaborative, data-driven, and values-oriented company culture.