Revenue Cycle Manager
About The Position
NIVA Health is seeking a strategic, hands-on Revenue Cycle Manager who can do more than oversee billing operations. This leader will build systems, develop people, improve performance, and help create the infrastructure needed to support national growth. This role is critical to optimizing revenue cycle operations as NIVA Health continues to scale. The ideal candidate brings strong expertise in healthcare billing, Medicare reimbursement, payer processes, and operational leadership, while also aligning with our culture and commitment to excellence. This is an opportunity for someone who thrives in a fast-paced, growth-oriented environment and wants to play a meaningful role in shaping the future of a nationally expanding healthcare organization.
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, with the ability to identify trends and drive corrective action
- Comfortable working in a fast-paced, high-growth environment
- Strong communication skills and the ability to collaborate effectively across departments
- A builder’s mindset, with a willingness to improve systems, create structure, and drive accountability
Responsibilities
- Oversee and optimize the full revenue cycle, including charge capture, coding, billing, accounts receivable follow-up, and collections
- Ensure timely and accurate claim submission, with a focus on Medicare and commercial payers
- Monitor and improve key revenue cycle performance metrics, including AR days, denial rates, and net collection rate
- Lead denial management strategy, including 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 cross-functionally with clinical and operations teams to improve alignment, efficiency, and financial outcomes
- Maintain compliance with all federal, state, and payer requirements
- Oversee insurance verification and benefits verification processes to ensure accurate coverage determination before services are rendered
- Manage prior authorizations efficiently and accurately to support seamless patient care and optimize reimbursement
- Coordinate and facilitate single case agreements with payers when applicable
- Monitor and manage PCP referrals to ensure all required approvals and supporting documentation are secured
- Partner with clinical, front office, and billing teams to minimize denials, prevent delays, and strengthen overall revenue cycle performance
- Collaborate with Records, Clinical, and Operations teams to ensure timely documentation completion, record accessibility, and claim readiness
Benefits
- Health, dental, and vision benefits
- Paid time off
- Remote work flexibility
- Opportunity for growth within a rapidly scaling organization
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
11-50 employees
