Senior Manager – Revenue Cycle

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $80k - $120k / year

⏰ Full Time

🟠 Senior

💹 Revenue Operations

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Astrana Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Astrana Health is a healthcare company that operates community-focused clinics and a provider-facing technology platform to coordinate care across primary, urgent, and multi-specialty services. It supports providers and local communities by streamlining access to care, automating prior authorizations, and connecting patients with in-network clinicians. Astrana combines clinical services with doctor-built technology to improve patient experience and provider workflows.

📋 Description

• Lead end-to-end revenue cycle operations, including claims management, payment posting, denials and appeals, accounts receivable, and patient collections • Partner with clinical, finance, and risk adjustment teams to optimize cash flow, reduce revenue leakage, improve billing accuracy, and ensure regulatory compliance • Plan, organize, and influence department activities • Oversee day-to-day operations and billing process accuracy • Monitor budgets and utilize operational resources • Participate in billing process improvements to maximize reimbursement • Oversee charge capture and reconciliation, claims submission and editing, payment posting and reconciliation, denial management and appeals, A/R management and collection, and credit balance resolution • Evaluate and improve Athena hold rules • Provide oversight and direction to billing teams to ensure accurate and timely billing • Support accurate and timely month-end close activities • Report KPIs to finance and market leadership, identify trends and deficiencies, and implement corrective action plans • Monitor billing staff work accuracy and hold the team accountable • Maintain knowledge of hospital and government payer billing systems, laws, regulations, and reimbursement policies • Interpret contract terms to ensure appropriate payment • Develop and implement operating policies and procedures • Audit procedures to improve revenue cycle efficiency

🎯 Requirements

• Bachelor’s degree or equivalent education • 7+ years' experience in revenue cycle/healthcare • 3+ years' experience in a billing leadership role • Athena experience required • Excellent critical thinking, organizational, and time management skills • Strong attention to detail, accuracy, and follow-through • Proven ability to identify, resolve, and escalate issues affecting business outcomes • Complete understanding of billing and collection processes for resolving complex outstanding claims • Strong verbal, written, and interpersonal communication skills • Strong decision-making skills based on analysis, experience, and judgment • Ability to work collaboratively in a team environment • Strong knowledge of commercial and/or regulatory claims billing and relevant federal, state, and local laws and regulations • Strong knowledge of third-party reimbursement, government reimbursement regulations, third-party and patient billing, managed care agreements, account follow-up, account resolution, and cash applications • Extensive knowledge of EDI billing systems and third-party payor billing process management

🏖️ Benefits

• Remote position • Occasional travel to the Houston and Beaumont locations as needed • National target pay range of $80,000 - $120,000 per year