Revenue Cycle Team Manager

Job Description

Job Description

Billing & Revenue Cycle Team Manager

Job Title : Manager, Billing and Revenue Cycle Management

Location : Grand Rapids, MI (Hybrid)

Department : Revenue Cycle Management

Reports to : Vice President, Finance & Strategy

Our client is a leading provider of comprehensive genetic testing, committed to helping families and healthcare providers make informed medical decisions through innovative diagnostic solutions. They are driven by a mission to deliver superior testing quality and empower their patients and partners with actionable insights. As a Revenue Cycle Team Manager, you’ll help ensure we’re paid accurately and efficiently—so we can continue advancing healthcare through science.

Position Summary

As the Manager of Billing and Revenue Cycle Management, you will play a key leadership role in ensuring that billing and reimbursement operations are compliant, efficient, and patient-centered. You will be responsible for overseeing day-to-day revenue cycle activities, managing external billing vendors, implementing performance KPIs, and partnering cross-functionally to ensure optimal reimbursement outcomes.

Responsibilities:

• Oversee end-to-end billing operations including payer credentialing, claims lifecycle (submission, follow-up, payment posting, denials, and appeals), and appropriate patient/provider communications
• Ensure timely, accurate, and compliant claim processing in alignment with CMS, commercial payer, and state and federal regulatory standards
• Lead and oversee billing vendor performance, ensuring adherence to payer requirements, quality controls, timely submissions, and effective issue resolution
• Analyze revenue cycle data and trends to drive insights and optimize reimbursement performance; communicate key findings to senior leaders including VP Finance, COO, and CEO.
• Collaborate cross-functionally with Sales, Finance, Customer Service, and Laboratory Operations teams to ensure a proactive, seamless billing process
• Track and report key performance indicators (KPIs) including Average Allowable Payment Rate, Average Sales Price, Days Services Outstanding (DSO), clean claim rate, denial rates, and collection trends
• Participate in payer audits, medical record reviews, and policy updates impacting reimbursement
• Lead or support implementation of new systems, tools, or process improvements to leverage automation and AI within the revenue cycle workflow

Requirements:

• Minimum 5 years of experience in healthcare billing or revenue cycle management, with at least 2 years in a managerial role
• Relevant certification in medical billing and/or coding (CPC, CPB, CBCS, CCA, etc.)
• Experience in diagnostics or laboratory billing strongly preferred (molecular or genetic testing a plus)
• Strong understanding of CMS guidelines, commercial payer billing practices, EDI processes, and medical coding (CPT, ICD-10, HCPCS)
• Proven experience working with and managing external billing vendors or service contracts
• Proficiency in data analytics and reporting tools; familiarity with EMR, LIS, and billing systems (XiFin or similar).
• Exceptional organizational, communication, and leadership skills, including the ability to explain billing processes to non-technical audiences and drive process improvements cross-functionally