Senior Manager Professional Billing and Revenue Cycle

POSITION SUMMARY:

Under the direction of the Professional Billing Revenue Cycle Director, the Senior Manager, Professional Billing Operations provides operational leadership and oversight of professional billing functions, supporting physician revenue cycle performance across the organization. This role directs Professional Billing Managers and oversees third-party billing vendor performance to ensure timely charge capture, billing, claims resolution, and reimbursement from all payers.

The Senior Manager partners with the Director to develop and execute operational priorities, performance improvement initiatives, and revenue cycle strategies that optimize financial outcomes, enhance operational efficiency, and ensure compliance with regulatory and payer requirements. Serving as a key liaison among clinical operations leadership, physician practices, third-party billing vendors, and Revenue Cycle departments, the Senior Manager fosters collaboration, monitors key performance indicators, and drives continuous process improvement to support organizational revenue cycle goals.

Position: Senior Manager Professional Billing and Revenue Cycle

Department: Professional Billing

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

• Leads and Supervises Workforce Performance: Directs Professional Billing Managers and oversees comprehensive workforce management activities, including staffing, performance management and evaluation, employee development, coaching, succession planning, and engagement; establishes clear departmental goals, priorities, and metrics to ensure operational excellence and alignment with organizational standards.

• Manages Vendor Performance: Partners with third-party billing vendors to optimize billing operations, resolve barriers to reimbursement, improve collections performance, and maximize revenue opportunities.

• Drives Process Improvement: Leads and supports physician revenue cycle process improvement and transformation initiatives to drive operational efficiency, standardization, and financial performance.

• Monitors Revenue Key Performance Indicators (KPIs): Monitor revenue cycle performance, productivity, and metrics to ensure timely billing, prompt issue resolution, and achievement of established service levels and financial targets.

• Serves as Departmental Liaison: Functions as the primary liaison among physician practices, operational leaders, Revenue Cycle departments, and third-party vendors to ensure effective communication, collaboration, and alignment of revenue cycle objectives.

• Optimizes Workflow and Technology: Identifies, implements, and oversees process improvements, technology enhancements, and workflow optimization initiatives to improve quality, efficiency, compliance, and reimbursement outcomes.

• Evaluates Automation & Scaling: Identifies and implements automation opportunities, productivity improvements, and operational best practices that reduce administrative burden, improve scalability, and enhance overall revenue cycle performance.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

REQUIRED EDUCATION AND EXPERIENCE:

• Bachelor's Degree in Business, Healthcare Administration, or a related field and a minimum of 7 years of related professional experience, specifically including management of professional billing functions within an academic medical center; or an equivalent combination of education and experience.

PREFERRED EDUCATION AND EXPERIENCE:

• Experience in Physician Billing Organizations

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

• N/A

CERTIFICATES, LICENSES, REGISTRATIONS PREFERRED:

• N/A

KNOWLEDGE, SKILLS & ABILITIES (KSAs):

• System Proficiency: Technical proficiency in Epic and Epic Cubes, along with advanced skills in Windows-based business applications (Outlook, Word, PowerPoint, Excel).

• Regulatory & Billing Expertise: Comprehensive knowledge of patient billing policies, health insurance standards, and regulatory revenue cycle guidelines, including the ability to audit performance and train staff on these concepts.

• Data Analytics: Proficiency in collecting, organizing, and analyzing complex financial and operational data to produce actionable reports and strategic recommendations.

• Operational Optimization: Ability to improve revenue cycle performance, customer service baselines, and cross-functional operations within a complex healthcare delivery environment.

• Leadership & Delegation: Ability to manage multi-layered operations (including data warehouse functions), supervise supervisory staff, motivate teams, establish clear priorities, and delegate effectively under resource constraints.

• Strategic Stakeholder Management: Ability to establish an operational vision, motivate diverse stakeholders, and lead cross-departmental and cross-functional teams through project lifecycles.

• Communication Skills: Advanced written and verbal communication skills, with ability to translate complex technical billing concepts to non-technical operational and clinical audiences.

Compensation Range:

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.

NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.

Equal Opportunity Employer/Disabled/Veterans

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