Revenue Cycle Management Manager

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EverCommerce

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

☁️ SaaS

🤝 B2B

📣 Marketing

💰 Private equity on 2019-08

SaaS • B2B • Marketing

EverCommerce is a provider of industry-tailored software that powers the service economy. It builds SaaS products to digitally transform daily operations for service professionals, including business management, electronic billing and mobile payments, omni-channel marketing, and customer engagement tools. EverCommerce focuses on verticalized solutions—not mass-market software—designed to modernize operations, marketing, and customer interactions for businesses that provide services.

📋 Description

• Lead, mentor, and develop the Claims Management Specialist team • Establish team goals, performance expectations, and professional development plans • Monitor productivity, quality, and service levels • Establish the strategic vision and priorities for the Claims Management Specialist team • Own revenue cycle performance and prioritize high-impact revenue recovery and operational improvement opportunities • Translate analytical findings into actionable business strategies and operational initiatives • Remove execution barriers and hold the team accountable for measurable improvements • Serve as the primary escalation point for complex reimbursement issues and systemic payer challenges • Develop and execute revenue cycle performance strategies across assigned client portfolios • Monitor organizational and client KPIs and implement corrective action plans • Provide strategic recommendations to senior leadership on revenue cycle optimization • Oversee complex claims resolution, denial root-cause analysis, payer trend analysis, workflow analysis, and revenue recovery • Oversee denial management strategy and denial prevention initiatives • Partner with Service Managers to improve client financial performance, client health, retention, and revenue optimization • Provide executive-level reporting and recommendations on revenue cycle performance • Provide leadership for BPO revenue cycle performance and ensure consistent claim resolution practices • Develop and monitor dashboards for key revenue cycle metrics • Lead continuous improvement initiatives and implement scalable workflow solutions • Collaborate with Technology and Product teams on reporting and automation • Standardize best practices and support new revenue cycle technologies and process enhancements • Ensure compliance with payer guidelines, HIPAA, CMS regulations, and organizational policies • Support audit readiness and quality assurance initiatives

🎯 Requirements

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (or equivalent experience) • 7+ years of Revenue Cycle Management experience • 3+ years of leadership experience managing revenue cycle or accounts receivable teams • Deep expertise in claims management • Deep expertise in denial management • Deep expertise in accounts receivable • Deep expertise in revenue cycle analytics • Deep expertise in payer reimbursement methodologies • Deep expertise in healthcare operations • Strong analytical, reporting, and problem-solving skills • Experience leading cross-functional initiatives and influencing stakeholders • Must be eligible to work without sponsorship in the United States • Preferred: experience working with outsourced (BPO) revenue cycle operations • Preferred: experience supporting multi-client healthcare organizations • Preferred: experience with healthcare analytics platforms, BI reporting, and revenue cycle dashboards

🏖️ Benefits

• Flexibility to work where/how you want within your country of employment – in-office, remote, or hybrid • Continued investment in your professional development • Day 1 access to a robust health and wellness benefits package, including an annual wellness stipend • 401k with up to a 4% match and immediate vesting • Flexible and generous (FTO) time-off • Employee Stock Purchase Program