Revenue Cycle Manager

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NIVA Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

🛡️ Insurance

⚕️ Healthcare Insurance

Consulting • Insurance • Healthcare Insurance

NIVA Health is a healthcare provider focused on natural pain relief and renewal through cutting-edge therapies. They specialize in a variety of treatments, including IV Vitamin Therapy, wound care, and solutions for conditions such as erectile dysfunction, joint pain, and neuropathy. With multiple locations, they aim to help patients avoid unnecessary surgeries and medications while promoting overall wellness and vitality.

📋 Description

• Oversee and optimize the full revenue cycle, including charge capture, coding, billing, accounts receivable follow-up, and collections • Ensure timely and accurate claim submission for Medicare and commercial payers • Monitor and improve revenue cycle metrics, including AR days, denial rates, and net collection rate • Lead denial management through root cause analysis, corrective action planning, and process improvement • Develop, train, and manage internal team members and/or external billing partners • Build scalable workflows and systems to support rapid organizational growth • Collaborate with clinical, operations, Records, and front office teams to improve alignment, efficiency, documentation, claim readiness, and financial outcomes • Maintain compliance with federal, state, and payer requirements • Oversee insurance and benefits verification processes • Manage prior authorizations • Coordinate single case agreements with payers when applicable • Monitor and manage PCP referrals and required approvals and documentation • Deliver accurate and timely monthly reporting • Contribute to financial strategy, operational performance, team development, and continuous improvement

🎯 Requirements

• 5+ years of healthcare revenue cycle experience, preferably in wound care, specialty care, or a similarly complex reimbursement environment • Strong knowledge of Medicare Part B billing, coding, reimbursement, and compliance • Proven ability to improve revenue cycle performance metrics and operational outcomes • Experience leading teams and/or managing third-party billing vendors • Strong analytical and problem-solving skills • Ability to work in a fast-paced, high-growth environment • Strong communication and cross-department collaboration skills • Builder’s mindset with willingness to improve systems, create structure, and drive accountability

🏖️ Benefits

• Performance-based Bonus Incentive Program • Health, dental, and vision benefits • Paid time off • Remote work flexibility • Opportunity for growth within a rapidly scaling organization