Revenue Cycle Manager
MUST Have Healthcare Experience
Farmington Hills, MI
Do you love to help people? Do you want to be a part of something bigger than yourself? Do you wish your voice was heard at work?
If you answered yes to these questions, consider a career at Miller Vein.
Miller Vein
Finance & Revenue Cycle Manager Job Description Position Summary
The Finance & Revenue Cycle Manager is responsible for managing Miller Vein's day-to-day revenue cycle operations, including insurance verification, prior authorizations, medical billing, claims management, payment posting, denial management, accounts receivable, collections, and reimbursement.
This position requires healthcare experience and strong, hands-on revenue cycle management expertise within a medical practice. The Manager identifies opportunities to improve reimbursement, resolve complex billing issues, strengthen workflows, and support accurate and timely financial operations while providing direction to the billing and insurance team.
Revenue Cycle Operations
- Manage insurance verification and prior authorization processes to support timely patient care and reimbursement.
- Oversee accurate and timely medical billing, claims submission, payment posting, denial management, and follow-up.
- Monitor accounts receivable, aging balances, and collections to reduce outstanding accounts and improve cash flow.
- Investigate denied and underpaid claims, identify root causes, and implement corrective actions.
- Monitor revenue cycle performance, identify trends, and translate findings into practical improvements.
- Develop and maintain workflows that maximize reimbursement and improve efficiency.
- Manage payer relationships, participate in contract negotiations, and review reimbursement terms and payment accuracy.
- Work with providers, clinical teams, and administrative staff to resolve complex billing, authorization, and insurance issues.
- Serve as the internal resource for medical practice billing, payer requirements, and reimbursement questions.
Leadership & Team Management
- Supervise, coach, and support billing and insurance staff.
- Coordinate workloads, coverage, and training to meet productivity and accuracy expectations.
- Provide performance feedback and hold team members accountable for timely follow-up and quality work.
Compliance & Quality
- Ensure compliance with HIPAA, CMS, payer requirements, and applicable healthcare regulations.
- Participate in audits, compliance reviews, and corrective action planning.
- Maintain departmental policies, procedures, and internal controls.
- Monitor billing and insurance processes for accuracy, consistency, and compliance.
- Stay current on payer requirements and changes affecting billing and reimbursement.
Qualifications
- Healthcare experience required, including hands-on revenue cycle management and medical practice billing experience.
- Five or more years of healthcare revenue cycle experience preferred.
- Demonstrated expertise in medical billing, insurance reimbursement, claims processing, denial resolution, accounts receivable, and collections.
- Prior authorization and insurance verification experience required.
- Experience with payer negotiations, contracts, and reimbursement analysis.
- Experience with EMR and practice management systems.
- Ability to analyze revenue cycle and financial data, identify problems, and implement solutions.
- Supervisory or management experience preferred.
- Strong organizational, communication, and problem-solving skills.
- Ability to manage multiple priorities with accuracy and consistent follow-through.
- Bachelor's degree preferred.
