Senior Revenue Cycle Management Project Manager – Systems, Reporting, SLA Experience

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MicroHealth

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

🏛️ Government

Healthcare Insurance • Government • IT Services

MicroHealth is a veteran-owned small business specializing in delivering comprehensive IT solutions, particularly in the federal space. Based in Vienna, Virginia, the company offers a range of services including agile project management, advanced cybersecurity, innovative software development, IT infrastructure management, data analytics, and specialized healthcare IT services. They provide support across government agencies, ensuring seamless integration, compliance, and operational efficiency. MicroHealth is recognized for its commitment to diversity, outstanding company culture, and leading IT solutions and services. The company also emphasizes community engagement through its annual giving season and support for veterans.

📋 Description

• Oversee complex, multi-faceted revenue cycle programs from end to end • Apply formal project management methodologies (Agile, Waterfall, Hybrid) to manage scope, timelines, budgets, and risks across complex front-, middle-, and back-end revenue cycle programs • Lead cross-functional teams including clinical staff, billing specialists, IT professionals, and executive stakeholders • Develop comprehensive project charters, work breakdown structures, and communication plans • Monitor project milestones and deliverables, ensuring alignment with organizational strategic goals • Manage and report on Service Level Agreements (SLAs), ensuring compliance with contractual obligations and performance metrics • Identify operational bottlenecks and inefficiencies across the revenue cycle continuum • Design and implement standardized workflows to increase efficiency and reduce errors • Deploy automation solutions to streamline repetitive tasks and improve accuracy • Conduct process mapping and gap analysis to identify improvement opportunities • Champion change management initiatives to ensure successful adoption of new processes • Analyze claim rejection and denial trends to identify root causes and systemic issues • Direct targeted strategies to improve clean claim rates and accelerate reimbursement cycles • Collaborate with coding and billing teams to address documentation deficiencies • Implement denial prevention programs and appeal processes • Monitor payer-specific requirements and adjust workflows accordingly • Track and report on core Key Performance Indicators (KPIs) including: Days in Accounts Receivable (A/R), Net collection rates, Clean claim rates, Denial rates and appeal success rates, Point-of-service collections, Cost-to-collect ratios • Generate routine executive reports and dashboards for senior leadership • Develop comprehensive reporting frameworks to support data-driven decision-making • Conduct variance analysis and recommend corrective actions • Present findings and recommendations to C-suite executives and board members • Act as a strategic liaison between clinical, financial, and IT departments • Facilitate regular meetings with stakeholders to ensure alignment on revenue goals • Translate complex financial and technical concepts for diverse audiences • Build consensus among competing priorities and resource constraints • Maintain transparent communication channels with all project participants • Ensure all billing and coding practices adhere to federal, state, and payer regulations • Stay current on regulatory changes including CMS guidelines, HIPAA requirements, and payer policies • Oversee internal and external auditing processes to ensure compliance and accuracy • Coordinate with compliance officers to address audit findings and implement corrective action plans • Develop and maintain compliance documentation and standard operating procedures • Apply certification knowledge in coding, billing, and auditing to ensure best practices • Demonstrate proficiency with Careview and InnovAlone platforms • Optimize Electronic Health Record (EHR) system configurations to support revenue cycle workflows • Collaborate with IT teams on system implementations, upgrades, and integrations • Exhibit strong system savvy to quickly learn and adapt to new technologies and platforms • Evaluate and recommend revenue cycle management software and tools • Ensure data integrity across multiple systems and platforms

🎯 Requirements

• Bachelor’s degree in healthcare administration, Business, Finance, Health Information Management, or a related field required • Minimum 10+ years of extensive hands-on management experience in healthcare revenue cycle management with demonstrated success leading large-scale projects or transformations • Proven track record of managing enterprise-level revenue cycle initiatives from conception through implementation • Experience with Careview and InnovAlone systems required • Demonstrated expertise in reporting and managing Service Level Agreements (SLAs) • Experience working in remote/distributed team environments • Background in healthcare operations, finance, or health information management • Certified Revenue Cycle Professional (CRCP), Certified Revenue Cycle Representative (CRCR), or similar revenue cycle certification required • Certification in coding (CPC, CCS, or equivalent), billing, and/or auditing required • Advanced proficiency with Careview and InnovAlone platforms (required) • Exceptional system experience with ability to quickly master new technologies and software applications • Proficiency in major Electronic Health Record (EHR) systems such as Epic, Cerner, Meditech, or Allscripts • Advanced skills in data analytics tools including Tableau, Power BI, Microsoft Excel, or SQL • Strong understanding of medical coding (ICD-10, CPT, HCPCS) and billing regulations • Familiarity with claims processing systems and clearing houses • Expertise in developing and managing reporting frameworks and dashboards • Demonstrated ability to manage and monitor Service Level Agreements (SLAs) • Change management expertise with proven ability to drive adoption of new processes and technologies • Attention to detail and accuracy particularly in financial and compliance matters.

🏖️ Benefits

• access to comprehensive and competitive benefits package • retirement planning assistance • opportunities for personal growth through spiritual or academic avenues • time off to recharge and celebrate life's meaningful moments