Revenue Cycle Management

Required 5 Years Experience leading enterprise revenue cycle teams Required 5 Years Expertise managing KPIs such as A/R days, denial rate, clean claims, and net collections Required 5 Years Strong knowledge of CMS, HIPAA, state regulations, and payer policies. Required / Desired Skills Skill Required / Desired Amount of Experience Knowledge of full healthcare revenue cycle operations (patient access, HIM/coding, billing, A/R, denials).

Title: Revenue Cycle Management
Duration: 10/01/2026 - 04/01/2027
Location: 1915 Health Services Way, Raleigh, NC 27607
Position: Hybrid


Skills set:

• Knowledge of full healthcare revenue cycle operations (patient access, HIM/coding, billing, A/R, denials).
• Understanding of Medicaid, Medicaid Managed Care, Medicare, and commercial payer reimbursement.
• Experience leading enterprise revenue cycle teams with managers and specialized staff.
• Ability to develop and execute revenue cycle strategy aligned with financial and compliance objectives.
• Expertise managing KPIs such as A/R days, denial rate, clean claims, and net collections.
• Strong knowledge of CMS, HIPAA, state regulations, and payer policies.
• Skill in maintaining internal controls, audit readiness, and compliance frameworks.
• Proficiency with Epic revenue cycle systems (Prelude, Cadence, Resolute HB/PB) and workflow governance.
• Ability to lead technology optimization, analytics, automation, and reporting.
• Strong partnership and collaboration skills across finance, clinical operations, IT, compliance, and payer organizations.
• Executive communication ability to present complex financial, operational, and regulatory information.
• Financial acumen to evaluate trends, forecast cash, assess reimbursement risks, and drive improvements.
• Competence in leading organizational change, standardization, and continuous improvement initiatives.
• Understanding of revenue cycle considerations for behavioral health, psychiatric care, developmental disabilities, and state-operated facilities.

 

Required / Desired Skills Skill Required / Desired Amount of Experience   Knowledge of full healthcare revenue cycle operations (patient access, HIM/coding, billing, A/R, denials). Required 5 Years   Understanding of Medicaid, Medicaid Managed Care, Medicare, and commercial payer reimbursement. Required 5 Years   Experience leading enterprise revenue cycle teams Required 5 Years   Expertise managing KPIs such as A/R days, denial rate, clean claims, and net collections Required 5 Years   Strong knowledge of CMS, HIPAA, state regulations, and payer policies. Required 5 Years   Proficiency with Epic revenue cycle systems (Prelude, Cadence, Resolute HB/PB) and workflow governance. Required 5 Years   Executive communication ability Required 5 Years   Understanding of revenue cycle considerations for behavioral health, psychiatric care, developmental disabilities, and state-operated facilities. Required 5 Years