Revenue Cycle Manager

Position Summary:

Necco has an opportunity for a career as Revenue Cycle Manager. This role will add value to the organization by developing and managing strategic relationships with payers and organizations that influence payer decision-making and implementing an efficient and effective billings and collections process, including the effective and efficient utilization of the EHR.

You should be accurately described as:

A happy warrior who thrives on leading from the front with strategic thinking. A solid communicator in search of decisions that deliver real results. A problem-solver, financial steward, and one who excels at collaboration. Ridiculously passionate about the company’s success, growth, and program quality.

Revenue Cycle Operations

• Oversee the end-to-end revenue cycle to maximize billing efficiency, accuracy, and cash collection performance


• Partner with leadership to develop and execute organizational billing and collections strategy


• Collaborate with service line leadership to resolve claim denials, aging accounts receivable, and outstanding billing issues


• Provide strategic oversight of the Electronic Health Record (EHR) to ensure optimal functionality supporting billing, collections, and cash application processes


• Work collaboratively across departments to resolve billing challenges and improve revenue performance


• Ensure delivery of high-quality customer service to both internal stakeholders and external partners


• Maintain compliance with all Federal and State billing regulations and ensures appropriate diagnostic and procedural coding standards are followed


• Identify operational improvement opportunities to reduce uncompensated services and revenue leakage

Payer Relationships and Contract Compliance

• Provide direct oversight of payer contract negotiations and management of strategic payer relationships


• Collaborate with leadership to develop and implement payer contracting strategy aligned with organizational financial goals


• Monitor regulatory requirements, payer contracts, and vendor relationships to ensure compliance and performance


• Maintain collaborative partnerships with Managed Care Organizations (MCOs) and State/County representatives


• Maintain expert knowledge of insurance contracts, reimbursement methodologies, and appeals processes


• Ensure organizational compliance with Medicaid regulations, MCO requirements, and performance-based contracts

Systems and Processes

• Ensure staff are appropriately trained on revenue cycle policies, procedures, and best practices


• Lead continuous process improvement initiatives across all revenue cycle functions


• Refine billing workflows to improve efficiency, reduce cycle times, and accelerate reimbursement


• Establish productivity standards and monitors key performance indicators (KPIs) for revenue cycle staff


• Implement and maintains effective cash posting and cash management controls.


• Develop operational goals, standards, and policies aligned with organizational strategic plans


• Maintain procedures consistent with agency policies, regulatory requirements, and contractual obligations


• Collaborate with Safety & Compliance leadership to strengthen documentation practices within agency data systems


• Support accreditation readiness and ongoing compliance with COA standards and regulatory agencies through evaluation and refinement of operational processes

Corporate Citizen

• Practice Ruthless Pragmatism


• Engage in peer-to-peer feedback


• Know and Live the Necco Corporate Culture Principles


• Embody the 3 essential virtues of Humble, Hungry and Smart


• Drive your Individual Performance Scorecard


• Adhere to and contribute to the Necco meeting structure

Position Qualifications

• Bachelor’s degree from an accredited college


• Five (5) years’ experience in a Medicaid/fee for service environment


• Five (5) years’ experience in medical billings and collections


• Strong leadership, management, and problem-solving skills


• Strategic and fiscal planning skills and abilities


• A highly effective and skilled communicator


• Excellent written and verbal communication skills


• Great attitude and the ability to work well with others


• Valid driver’s license and state minimum auto insurance


• Successful completion of all required criminal background checks