Revenue Cycle Manager

<p><strong><em>Revenue Cycle Manager</em></strong></p> <p><em>Remote</em></p> <p><strong>About Diana Health</strong></p> <p>Diana Health is a high growth network of modern women’s health practices. We are on a mission to set a new standard of care that inspires, empowers, and supports women to live healthier, more fulfilling lives.</p> <p>We partner directly with hospitals and align incentives across stakeholders using integrated care teams, smart technology, and a designed care experience that is good for patients and providers alike. The result is an individualized, comprehensive care program that puts women in the driver’s seat of their own health and provides them with the information and compassionate care they need to reach their health goals.</p> <p>We are an interdisciplinary team joined together by our shared commitment to transform women’s health. Come join us!</p> <p><strong>Role Description</strong></p> <p>We are looking for a mission-driven Revenue Cycle Operations Manager to lead day-to-day revenue cycle operations across multiple women’s health practices.</p> <p>This leader will oversee billing operations, coding workflows, accounts receivable follow-up, denial management, payment posting operations, operational reporting, and revenue cycle process optimization across Diana Health markets.</p> <p>The ideal candidate is highly operational, process-oriented, data-driven, and comfortable leading teams in a fast-paced, high-growth environment. This role partners closely with finance, operations, analytics, credentialing, product, and practice leadership teams to improve financial performance, reduce operational friction, and create a best-in-class patient financial experience.</p> <p>This role reports directly to Diana Health’s Director of Revenue Cycle Management.</p> <p><strong>What you’ll do:</strong></p> <h4><strong>Lead Revenue Cycle Operations</strong></h4> <ul> <li>Manage day-to-day revenue cycle operations across multiple markets and practice locations</li> <li>Oversee billing, coding, claims follow-up, denial management, appeals, payment posting, and accounts receivable workflows</li> <li>Monitor and improve operational KPIs including:</li> <ul> <li>Days in AR</li> <li>Aging >90 days</li> <li>Initial denial rates</li> <li>Charge entry lag</li> <li>Claims edit resolution</li> <li>Hold workqueues</li> <li>Payment plan performance</li> <li>Time-of-service collections</li> </ul> <li>Ensure timely and accurate claims submission to maximize reimbursement and minimize AR aging</li> <li>Oversee operational workqueues within Athena and ensure timely resolution of billing and claim issues</li> <li>Partner with finance and analytics teams to identify trends, gaps, and opportunities for operational improvement</li> <li>Support month-end close readiness and ensure claims are billed timely across all sites</li> <li>Serve as an escalation point for complex payer, operational, and billing issues</li> </ul> <h4><strong>Lead and Develop Revenue Cycle Team</strong></h4> <ul> <li>Lead and develop a team of billers, coders, AR specialists, and operational support staff</li> <li>Establish productivity expectations and accountability metrics across all functional areas</li> <li>Conduct regular workflow reviews and operational audits to identify bottlenecks and inefficiencies</li> <li>Provide coaching, mentoring, and performance feedback to team members</li> <li>Support onboarding, training, SOP development, and cross-functional education initiatives</li> <li>Foster a culture of collaboration, accountability, continuous improvement, and operational excellence</li> </ul> <h4><strong>Drive Process Improvement & Workflow Optimization</strong></h4> <ul> <li>Identify opportunities to improve operational efficiency, reduce denials, and streamline workflows</li> <li>Partner with operations, product, and engineering teams on workflow redesign and automation initiatives</li> <li>Support implementation and optimization of systems including AthenaOne, Collectly, Freesia, and related revenue cycle tools</li> <li>Assist in developing and maintaining revenue cycle playbooks, SOPs, and training materials</li> <li>Support implementation of automation, AI, and workflow optimization initiatives designed to improve scalability and operational performance</li> </ul> <h4><strong>Cross-Functional Partnership</strong></h4> <ul> <li>Partner with Practice Managers and operational leaders to improve front-end revenue cycle performance</li> <li>Collaborate with credentialing, contracting, finance, and clinical operations teams to resolve operational barriers</li> <li>Support implementation and refinement of patient financial workflows, payment plans, and collection strategies</li> <li>Assist in operationalizing payer requirements and workflow changes across the organization</li> </ul> <h4><strong>Success in This Role Looks Like</strong></h4> <ul> <li>Reduction in aging AR and unresolved hold volumes</li> <li>Improvement in denial prevention and claim throughput</li> <li>Timely month-end billing completion across all markets</li> <li>Increased operational accountability and workflow consistency</li> <li>Strong team engagement, development, and productivity</li> <li>Successful implementation of operational improvements and automation initiatives</li> </ul> <p><strong>Who you are:</strong></p> <ul> <li>Mission-driven and passionate about improving women’s healthcare</li> <li>Operationally minded with strong process management and problem-solving skills</li> <li>Experienced people leader with the ability to drive accountability and collaboration</li> <li>Comfortable managing in a fast-paced, high-growth environment</li> <li>Strong communicator with the ability to work cross-functionally across operational and executive teams</li> <li>Data-driven and comfortable using metrics to drive operational decisions</li> <li>Hands-on leader willing to jump into operational workflows as needed</li> <li>Positive, solution-oriented, and adaptable</li> </ul> <p><strong>Qualifications</strong></p> <ul> <li>Bachelor’s degree preferred</li> <li>5–7+ years of progressive healthcare revenue cycle experience</li> <li>3–5+ years of leadership or management experience within revenue cycle operations</li> <li>Strong understanding of physician billing, coding workflows, claims management, and AR operations</li> <li>Experience managing denial follow-up and accounts receivable teams</li> <li>Experience working within AthenaOne or similar practice management platforms strongly preferred</li> <li>Experience with multi-site physician practice operations </li> <li>OB/GYN or women’s health experience strongly preferred</li> <li>Experience supporting high-growth healthcare organizations preferred</li> <li>Multi-state healthcare operations (Tennessee, Florida, and/or Texas preferred)</li> <li>Strong Excel and operational reporting skills preferred</li> </ul> <p><strong>Benefits</strong></p> <ul> <li>Competitive compensation</li> <li>Medical, dental & vision plans, with an HSA/FSA option</li> <li>401(k) </li> <li>Paid time off</li> <li>Paid parental leave </li> </ul> <p><strong>Diana Health Culture</strong></p> <ul> <li>Having a growth mindset and striving for continuous learning and improvement</li> <li>Positive, can do / how can I help attitude</li> <li>Empathy for our team and our clients</li> <li>Taking ownership and driving to results</li> <li>Being scrappy and resourceful</li> </ul>

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