Revenue Cycle Manager

Eventus WholeHealth delivers an integrated model that provides holistic care for medically vulnerable adults achieving extraordinary outcomes for the people we serve. We do this through a value-driven framework of excellence, integrity, person-centeredness, stewardship and teamwork. This care is provided to adults who reside in skilled nursing, assisted living facilities and private residences through a network of healthcare providers including Physicians, Nurse Practitioners, Physician Assistants, Psychologists, Licensed Clinical Social Worker, and Clinical and Administrative Support Staff.  

The Revenue Cycle Manager is responsible for the day-to-day performance of Eventus WholeHealth’s
revenue cycle across its multi-state physician group, including Medicare provider enrollment and
credentialing, denial management, cash posting and collections, and third-party RCM vendor
oversight. This role owns the measurement and enforcement of vendor service-level agreements
(SLAs), produces monthly performance reporting for finance and operations leadership, and applies
hands-on data analysis to identify root causes of aging, denials, and underpayment. The manager
partners closely with the Senior Director of Revenue Cycle Management to drive net collections,
reduce days sales outstanding (DSO), and improve the integrity and completeness of the end-to-end
revenue cycle.

Qualifications: Education, Licensure and Certifications, Related Work Experience:

* Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field
preferred; equivalent revenue cycle experience considered
* Minimum 5 years of progressive healthcare revenue cycle experience, including at least 2
years in a supervisory or management capacity
* Expert-level knowledge of Medicare provider enrollment and credentialing (PECOS, CMS-
855 forms, PTAN maintenance, revalidations, reassignments, and MAC jurisdiction
requirements)
* Demonstrated experience in denial management, cash posting, and collections across
multiple payers and states
* NextGen Enterprise experience preferred

Other specialized skills and knowledge necessary to perform this job. (e.g., basic accounting principles,
computer skills and software, specific healthcare processes, interpersonal, communication, etc.

* Expert command of Medicare enrollment and credentialing workflows across MAC
jurisdictions (e.g., Palmetto GBA, WPS, CGS), including PECOS, revalidations,
reassignments, and practice-location changes

* Advanced data analytics and reporting, including Excel (pivot tables, SUMIFS,
lookups) and building recurring KPI dashboards and board-level reports

* Strong knowledge of denial management, payer contracts, net realizable value, and AR aging
analysis (velocity- and level-based)

*Proficiency with RCM and practice-management systems (e.g., NextGen Enterprise, ChartPath) and
GL integration; ability to calculate and audit vendor SLAs

Proficiency with RCM and practice-management systems (e.g., NextGen Enterprise, ChartPath) and
GL integration; ability to calculate and audit vendor SLAs

Essential Job Duties/Responsibilities:

* Own the measurement, monitoring, and enforcement of third-party RCM vendor service-level
agreements, including DSO, AR >90 days, and cash-collection targets; escalate performance gaps and
manage cure timelines
* Direct Medicare provider enrollment and credentialing activities, ensuring accurate and timely PECOS
submissions, revalidations, reassignments, PTAN maintenance, and new practice-location and entity
enrollments
* Manage denial prevention and appeals, analyzing denial trends by payer, reason code, and service line
to drive root-cause resolution and reduce preventable write-offs
* Oversee cash posting and collections, ensuring payments, adjustments, and contractual allowances are
applied accurately and timely and that unresolved balances are actively worked
* Prepare monthly revenue cycle performance reports for finance and operations leadership, including
KPI cards, trend and year-over-year analysis, and management narrative
* Perform hands-on data analysis across large claim and remittance datasets to identify aging drivers,
underpayments, and enrollment-related revenue leakage
* Reconcile cash-to-AR activity and support month-end close, partnering with accounting on revenue
recognition and accrual cutoffs
* Monitor AR aging using net realizable value frameworks and support the development of collection and
reserve strategies
* Develop, document, and continuously improve revenue cycle policies, workflows, and internal controls
to ensure compliance and operational efficiency

*Other related duties as assigned

Compliance Requirements

Adherence to Laws, Rules, Regulations, Standards, Guidelines, Policies and Procedures:

* Ensure compliance with all federal, state, and local laws, regulations, standards, guidelines, and
Eventus WholeHealth policies and procedures pertaining to the job.
* Remain informed of any changes to federal, state, and local laws, regulations, standards,guidelines,
and Eventus WholeHealth policies and procedures that impact the job and the company.
* Promptly report any non-compliant conduct and/or practices to Eventus WholeHealth’s Chief
Compliance and Risk Officer.

Ethical Conduct:

* Ensure adherence to Eventus WholeHealth's Code of Ethics and Business Conduct

*Perform the job duties with integrity and professionalism.
* Promptly report any unethical conduct and/or practices to Eventus WholeHealth’s Chief Compliance
   and Risk Officer. 

Patient Privacy and Confidentiality:

* Strictly protect patient information in accordance with all federal and state privacy laws and Eventus
   WholeHealth policies and procedures.
* Promptly report any violations of federal and state privacy laws and Eventus WholeHealth
  policies and procedures to Eventus WholeHealth’s Chief Compliance and Risk Officer

Documentation and Record Keeping:

* Maintain accurate and complete documentation when performing the job duties.
* Ensure that all Eventus WholeHealth information, data, documentation, and records are always
safeguarded and maintained confidentially.

Training and Education:

*Participate in all assigned training.
*Complete all assigned training by the deadline for completion

Risk Management and Incident Reporting:

*Engage in regular risk assessments to identify potential risks and work proactively with a supervisor
and Eventus WholeHealth’s Chief Compliance and Risk Officer to mitigate any identified risks.
* Promptly report any incidents (as defined in the “Incident Report Policy”) to the Chief Compliance
and Risk Officer 

Why Eventus WholeHealth?
• AI-Enabled Innovation: Work with cutting-edge technology that enhances care delivery and operational efficiency.
• Interdisciplinary Collaboration: Work closely with Advanced Practice Clinicians, Physicians, Behavioral Health professionals, and facility partners.
• Mission-Driven Impact: Help redefine long-term care and improve lives every day.
• Meaningful Impact: Your work directly enhances patient care, clinician experience, and facility partnership success. 

Competitive Benefits:
• Flexibility – no call, no weekends
• Paid Time Off and paid Holidays
• Medical Insurance, including HSA and FSA options
• Dental and Vision insurance
• Employer-paid employee life insurance
• Short-term / long-term disability options
• Voluntary Life and AD&D Coverage
• Employer 401(k) contributions
 

Equal Opportunity Employer Statement
We are an equal opportunity employer and are committed to creating an inclusive environment for all employees. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic in accordance with applicable laws.
Notice:
Eventus WholeHealth is aware of fraudulent activity in which imposters pose as recruiters claiming to represent our organization. Please be cautious of anyone requesting personal or financial information during the hiring process.
At Eventus WholeHealth, our Talent Acquisition team members are committed to helping candidates find the right career path that aligns with their skills and experience. We will never request sensitive information such as Social Security numbers, credit card details, or banking information via email. Additionally, our recruiters will not contact you using public email services such as Gmail, Yahoo, or Hotmail.
If you encounter a suspicious job posting or receive a questionable email referencing Eventus WholeHealth, we strongly encourage you to report it to the appropriate law enforcement authorities. To ensure you are viewing legitimate opportunities, please rely only on official Eventus WholeHealth career pages and verified communications from our team.