Revenue Cycle Management (RCM) Operations Manager

Description

Job Purpose: Denova Collaborative Health is seeking an experienced and strategic Revenue Cycle Management (RCM) Operations Manager to lead and optimize revenue cycle performance across the organization. This is an exciting opportunity for a results-driven leader who is passionate about improving financial outcomes, enhancing operational efficiency, and developing high-performing team.

In this role, you will oversee insurance AR follow-up, denials management, patient collections, and claims oversight, with a strong focus on reducing preventable denials, improving first-pass yield, accelerating cash flow, and driving consistent revenue recovery results. You will turn data into action by identifying payer trends, analyzing root causes, and leading improvements across people, processes, and technology.

This is an exempt position reporting directly to the Director of Revenue Cycle Management.

What You Will Do:

Lead Revenue Cycle Operations

• Lead daily revenue cycle operations across insurance AR, denials, collections, and claims
• Ensure work queues are prioritized, balanced, and aligned with organizational goals
• Drive accountability for throughput, quality, and timely resolution of accounts
• Monitor workflows and performance to support operational consistency and strong results

Support and Develop Your Team

• Lead, coach, and develop supervisors and team members across a team of approximately 22 to 25 staff
• Establish clear performance expectations and hold team leaders accountable to productivity, quality, and outcomes
• Support hiring, onboarding, and retention efforts to build and sustain a high-performing team
• Promote a culture of accountability, consistency, and continuous improvement

Drive Denial Prevention and Process Improvement

• Analyze CARC and RARC denial trends to identify root causes and opportunities for improvement
• Implement denial prevention strategies that reduce rework, strengthen clean claim performance, and improve revenue recovery outcomes
• Translate insights into standardized workflows, SOPs, and system enhancements
• Lead continuous improvement initiatives that improve efficiency, accuracy, and overall performance.

Strengthen Financial Performance

• Own AR performance, denial resolution, and revenue recovery outcomes
• Monitor aging, cash trends, collection outcomes, and recovery metrics, escalating payer or process concerns as needed
• Reduce avoidable write-offs and delays while improving the speed and accuracy of collections efforts
• Communicate financial and operational risks, trends, and opportunities clearly to leadership.

Partner Across the Organization

• Collaborate closely with clinical, finance, compliance, and operations teams to support accurate documentation, billing, and claims submission
• Partner on system optimization, testing, and adoption of new workflows and technologies
• Share meaningful performance insights and actionable recommendations with leadership
• Support cross-functional alignment that strengthens overall revenue cycle performance.

What We Need From You:

• Bachelor's degree in healthcare administration, finance, or a related field preferred
• 10+ years of progressive revenue cycle experience, including denials and revenue recovery expertise
• 5+ years of leadership experience managing AR and/or denials teams, including experience leading larger teams
• Experience leading teams of 15 or more staff preferred
• Experience in behavioral health, psychiatry, primary care, AHCCCS, and Medicaid MCOs preferred
• HFMA CRCR certification required or obtained within 6 months of hire
• Strong understanding of denial management, AR follow-up, payer trends, and revenue recovery strategies
• Proven ability to identify root causes, improve financial outcomes, and drive operational improvements
• Strong leadership, analytical, problem-solving, and cross-functional collaboration skills
• Advanced Excel skills and experience analyzing AR, denial, and payer performance data
• Experience with EHR and practice management systems; AdvancedMD and Netsmart myAvatar preferred.

Your Work Schedule:

• Maintain a steady Monday through Friday schedule, 8:00 AM to 5:00 PM
• Work from Denova Headquarters (DHQ) during your introductory period
• After 90 days, enjoy the opportunity to transition into a hybrid schedule based on business needs.

Perks of Being Part of Denova:

• Competitive salary structure with potential for quarterly bonuses
• Comprehensive low-cost medical, dental, and vision insurance.
• Generous retirement plan with a 3.5% company match.
• Secure your future with both long and short-term disability options
• Enjoy holiday pay, PTO, and life insurance benefits.
• We offer an employee wellness program and fantastic discounts for all Denova team members.
• And there's so much more waiting for you!

Denova Collaborative Health LLC is an integrated primary care and behavioral health practice based in the Greater Phoenix metropolitan area. Our comprehensive virtual care services are available for residents throughout the entire state of Arizona.

We provide a "whole person" approach to health and promote collaboration among our team of primary care providers and specialists. Our unique service integration of primary care, behavioral health, addiction medicine, and wellness enables our team to provide better health outcomes.