Sr. Revenue Cycle Manager 💼
Location: Remote 🌎
Department: Finance
Reports to: VP Finance
Compensation: $80,000/year
Build the Revenue Engine Behind Mission-Driven Care 🚀
Backpack Medical Group is seeking an experienced Sr. Revenue Cycle Manager to lead and operationalize our end-to-end revenue cycle across a multi-state behavioral health organization.
This is a high-impact leadership role responsible for stabilizing, strengthening, and scaling billing operations that support care delivery to underserved Medicaid populations.
You will directly manage a team of 3–4 billing specialists and take full ownership of billing operations — from patient intake through claim resolution, posting, and collections.
Mandatory Requirement: Advanced experience with eClinicalWorks (ECW)
Strongly Preferred: Behavioral health and Medicaid experience
What You’ll Accomplish in the First 60 Days 🎯
You’ll immediately focus on stabilizing and strengthening our revenue cycle infrastructure by:
-
Stabilizing urgent revenue cycle gaps
-
Building foundational reporting infrastructure 📊
-
Correcting system mappings and configuration issues
-
Implementing controls to eliminate:
-
Aged claims
-
Posting errors
-
Patient and payer balance backlogs
-
This role is both strategic and hands-on — ideal for someone who thrives on fixing broken processes and building scalable systems.
Ideal Candidate Profile 👤
We’re looking for a leader who is:
-
A systems thinker who can stabilize complex workflows
-
Hands-on (not purely strategic)
-
Comfortable repairing inefficient or broken processes 🔧
-
Data-driven and audit-oriented
-
Highly organized and detail-obsessed
-
A strong communicator across finance, clinical, and technical teams
Purpose of the Role 🌟
This performance agreement outlines expectations and success metrics for the Sr. Revenue Cycle Manager/ Director at Backpack Medical Group.
This role is critical to:
-
Strengthening billing infrastructure
-
Improving collections performance
-
Accelerating cash flow 💰
-
Standardizing revenue cycle operations
-
Supporting scalable behavioral health services for underserved Medicaid populations
You will be accountable for end-to-end revenue cycle performance, team leadership, process standardization, and cash acceleration — directly aligning billing performance with organizational growth and mission delivery.
Scope of Responsibilities
Revenue Cycle Oversight 🔎
Provide operational ownership across the full billing lifecycle, including:
-
Eligibility and prior authorization verification
-
Claim creation, transfer, and submission through eClinicalWorks (ECW)
-
Payment posting, reconciliation, and deposit tracking
-
Patient balance follow-up and payer balance resolution
-
Denial management and aged accounts recovery
Ensure billing compliance across:
-
Credentialing status
-
Supervision requirements
-
CPT / ICD / POS combinations
-
Fee schedule mapping
-
Payer contract terms
Team Leadership & Operational Management 👥
-
Directly supervise and lead 3–4 billing specialists
-
Maintain productivity standards, quality audits, and KPI accountability
-
Develop and document SOPs and internal controls
-
Manage billing ticket prioritization to ensure timely responses to internal and external inquiries
Immediate Infrastructure & Stabilization (First 60 Days) 🏗️
Lead development and operationalization of key infrastructure:
-
Validate payer data across systems
-
Identify and correct posting errors
-
Lead team through existing Claim Denial Projects
-
Establish payer portal access across all payers
-
Conduct internal systems review and adjust settings:
-
Validate and correct supervision mappings
-
Confirm POS, payer ID, and fee schedule crosswalk accuracy
-
Resolve over-applied postings
-
Claims Management & Compliance ✅
-
Ensure timely claim submission
-
Validate coding combinations and billing readiness criteria
-
Track denials with documented root-cause analysis
-
Coordinate corrective actions across departments to prevent recurrence
Payment Posting & Reconciliation Oversight 💳
-
Cross-check bank deposits and patient payments for posting accuracy
Patient & Payer Balance Resolution 📬
-
Monitor patient statement generation and notification workflows
-
Coordinate balance resolution and write-off processes consistent with policy
Credentialing & Provider Lifecycle Alignment 🤝
-
Partner with Credentialing, HR, and Clinical leadership to confirm provider readiness prior to billing
-
Track supervision changes and effective dates
Reporting, Analytics & Strategic Initiatives 📈
-
Monitor A/R aging, denial trends, posting lag, and clean claim performance
-
Lead targeted initiatives to reduce aged payer and patient balances
-
Participate in strategic billing initiatives including reimbursement testing and workflow optimization
Qualifications
Soft Skills 🧠
-
Investigative mindset with strong root-cause problem-solving ability
-
Proven leadership capability with direct team management
-
Excellent cross-functional communication and stakeholder alignment
-
Results-oriented and data-driven decision maker
-
Mission-aligned with improving access to care for underserved populations ❤️
-
Long-term partnership orientation and commitment to organizational growth
Hard Skills 💻
-
Advanced eClinicalWorks (ECW) billing experience (mandatory)
-
MS Excel reporting proficiency (mandatory)
-
Payment posting expertise
-
Denial management and A/R recovery experience
-
Familiarity with Waystar, Availity, payer portals, and payment platforms
-
Strong CPT / ICD / POS validation knowledge
-
5+ years of healthcare revenue cycle leadership experience with direct reports
-
Behavioral health billing and Medicaid experience (preferred)
Why This Role Matters 🌍
This is more than a billing leadership role — it’s an opportunity to build operational excellence that directly expands access to behavioral health services.
If you’re a hands-on revenue cycle leader who thrives in complexity and wants to create scalable systems that support mission-driven care, we’d love to hear from you.