Senior Revenue Cycle and Claims Project Manager

🔥 4 hours ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

e4health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💼 Consulting

⚖️ Legal

📦 Logistics

Consulting • Legal • Logistics

e4health is a healthcare-focused services and technology firm that helps hospitals and health systems improve clinical data quality, coding accuracy, revenue integrity, and IT systems. They provide Health IT consulting, health information management (HIM), clinical documentation improvement (CDI), coding and auditing (including risk adjustment/HCC), legacy data migration and validation, interim staffing, and software and AI automation solutions. e4health serves more than 400 health systems with a mix of professional services, advisory engagements, and technology to optimize workflows, protect IT investments, and drive measurable outcomes.

📋 Description

• Lead complex revenue cycle and claims management projects from planning through implementation and post-go-live support. • Develop project plans, timelines, budgets, resource allocations, and risk mitigation strategies. • Analyze revenue cycle workflows, identify operational gaps, and implement process improvements. • Collaborate with billing, coding, patient access, HIM, finance, compliance, and IT departments to improve financial performance. • Monitor key performance indicators (KPIs), including clean claim rate, days in Accounts Receivable (A/R), denial rate, first-pass resolution rate, net collection rate, and cash collections. • Oversee balancing of A/R for organizations. • Oversee claims denial management initiatives and root cause analysis. • Coordinate payer contract implementation and reimbursement optimization projects. • Support system implementations, upgrades, and integrations involving Electronic Health Records (EHR), Practice Management Systems (PMS), and claims clearinghouses. • Ensure compliance with CMS regulations, HIPAA requirements, payer policies, and industry standards. • Facilitate project meetings, provide executive status reports, and communicate project milestones to stakeholders. • Develop policies, standard operating procedures, and training materials. • Mentor project team members and provide leadership across cross-functional initiatives. • Manage vendor relationships and coordinate external consulting resources when necessary. • Support audits and regulatory reviews related to revenue cycle operations.

🎯 Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Health Information Management, or a related field. • 7–10+ years of progressive experience in revenue cycle management, claims administration, and accounts receivable balancing and management. • 5+ years of project management experience leading enterprise-level initiatives. • Strong knowledge of: Medical billing and coding, Claims adjudication, Accounts receivable processing and balancing, Revenue cycle operations, Medicare, Medicaid, and commercial payer regulations, Revenue integrity, Denial management. • Experience with EHR and practice management systems (e.g., Epic, Cerner, Meditech, Athenahealth). • Proficiency with Microsoft Office Suite, particularly Excel, PowerPoint, and Project. • Strong analytical, organizational, communication, and leadership skills.

🏖️ Benefits

• 401(k) with company match • Medical insurance • Dental insurance • Vision insurance • Life insurance • Short/long term disability insurance • Paid time off