Backend Revenue Cycle Manager

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $99.9k - $135.1k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔙 Backend Engineer

🚫👨‍🎓 No degree required

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Ascension

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🤝 Non-profit

Healthcare • Non-profit

Ascension is one of the nation’s leading non-profit Catholic health systems focused on delivering compassionate, personalized care with special attention to vulnerable populations. In FY2025 Ascension reported providing $1. 7 billion in care for persons living in poverty and other community benefit programs plus $1. 8 billion of unreimbursed care for Medicare patients. Operating across 16 states and the District of Columbia, its network includes about 97,300 associates, 25,300 aligned providers, 90 wholly owned or consolidated hospitals and ownership interests in 29 additional hospitals; Ascension also operates 22 senior living facilities and a variety of other care sites (including home health and health clinics). Its specialties include medical services, nursing, health system operations, and healthcare technology, all grounded in its faith-based mission to bring health, healing and hope to all.

📋 Description

• Facilitate and document approximately 45 monthly Joint Operating Committee (JOC) executive sessions with key commercial and government payers • Maintain partnership agreements • Share policy updates received during JOC meetings with appropriate parties • Act as the primary escalation lead and senior negotiator for complex, high-dollar claim disputes and denials across five multi-state regions • Deploy advanced revenue integrity tactics to drive rapid variance resolution and maximum reimbursement • Direct continuous auditing, triage, and monthly transmission of six specialized escalation logs • Oversee vendor communication streams, including R1 RCM, to ensure systematic inventory clearance and high-dollar account compliance with Ascension revenue standards • Direct and develop Senior Analysts • Establish review standards for claim denial inquiries and escalation documentation criteria • Manage daily task allocation across competing regional priorities • Conduct structured monthly reviews on aged inventory discussed at JOC meetings • Determine whether items should be sent to Legal or R1 RCM for next steps • Maintain awareness of payer policy updates and contract provisions

🎯 Requirements

• Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) preferred • Licensure required relevant to state in which work is performed • High School diploma equivalency with 3 years of cumulative experience OR Associate's degree/Bachelor's degree with 2 years of cumulative experience OR 7 years of applicable cumulative job specific experience required • 3 years of leadership or management experience preferred • Advanced professional revenue cycle certification (e.g., CRCR, CSPR, or CSPPM) preferred • Direct experience structuring and facilitating JOC or strategic payer-provider alignment frameworks • Deep subject-matter expertise with major national and regional payer environments, including UHC, BCBS, Cigna, Aetna, and Humana • Experience with vendor ecosystem integrations, including R1 RCM

🏖️ Benefits

• Eligible for an annual bonus incentive • Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options • Employer-matched 403(b) • Planning and hardship resources • Disability and life insurance • Pro-rated paid time off (PTO) and holidays • Ascension-paid tuition (Vocare) • Tuition reimbursement • Ongoing professional development and online learning • Employee Assistance Program • Counseling and peer support • Spiritual care and stress management resources • Parental leave • Adoption assistance and family benefits • Optional legal and pet insurance • Transportation savings