Revenue Cycle Process Manager

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Description

Join a team thats transforming lives. RS Medical has empowered more than 1.5 million patients to live pain-free, active lives all from the comfort of their homes. We design and build prescription-grade medical devices that deliver effective pain relief and muscle rehabilitation, helping individuals with severe musculoskeletal conditions access safe, on-the-spot treatment when they need it mostright from home.

We are seeking an experienced Revenue Cycle Process Manager to serve as the strategic architect of our Durable Medical Equipment (DME) revenue cycle. In this role, you will design, build, and continuously optimize billing workflows to maximize reimbursement, ensure compliance, and improve operational efficiency.

Youll sit at the intersection of billing operations, regulatory requirements, and technologytranslating complex state and payer rules into scalable, system-driven processes that support our billing teams and business growth. While this role does not have direct reports, it requires strong influence and leadership across billing, operations, and IT teams.

• Candidates must reside in Vancouver, WA or Portland, OR metropolitan area. This is a hybrid position. Were excited to welcome local talent or those already planning a move; however, this position does not include relocation support*

What Youll Do

• Own the lifecycle of billing improvement initiatives, from identifying bottlenecks to post-implementation auditing.
• Architect end-to-end DME billing workflows, including prior authorization, claim submission, denial management, posting, and audit.
• Research and translate complex state-level and payor-specific rules into actionable system logic and protocols.
• Lead projects with IT to automate manual tasks and ensure the billing system is configured for optimal claim processing.
• Partner closely with the Billing Manager to design new processes, roll out new processes, provide technical documentation, and train the staff on procedural changes.
• Create and Monitor Key Performance Indicators (KPIs) and reports and analyze data to track billing efficiency and to identify issues.
• Ensure process are HIPAA compliant.
• Contribute to the companys success through excellent customer service and meeting or exceeding performance objectives.
• Perform other related duties as assigned.

Requirements

What Youll Bring

• Bachelors degree or equivalent combination of education and experience.
• At least 5 years of deep experience in Durable Medical Equipment billing, with at least two years in a process architect or other billing management role.
• Experienced working with all aspects of revenue cycle.
• A proven track record of leading cross-functional projects, particularly process improvement initiatives involving updates to IT billing systems.
• Ability to interpret and apply state-specific payor guidelines and regulations.
• High proficiency in billing software usage/configuration and a strong ability to communicate technical requirements to IT teams.
• Excellent verbal and written communication skills.
• Ability to collaborate and lead collaborations in a cross-team environment.
• Organized, self-motivated, dependable, flexible, creative thinker, and a problem solver.
• Strong desire to learn and succeed.

Highly Preferred Skills

• Ability to influence and train teams they do not directly manage, utilizing clear communication and subject matter expertise.
• Ability to use Visio or similar to make process diagrams for current and future state processes.

How Well Take Care of You

• Medical, dental and vision insurance
• 401k with company contribution
• Annual paid vacation starting at 3 weeks, sick time and paid holidays
• Life insurance, disability and FSA/HSA options
• Company-paid employee assistance program

Work Environment & Physical Requirements

The following requirements represent the essential functions of the role:

General office environment that will include frequent or continuous periods of talking, sitting, fingering, repetitive motions of the hands/wrists, reaching, grasping and handling. This position also requires occasional bending, squatting, standing, and walking. Pushing, pulling lifting and carrying of up to 20 lbs. is required on an occasional basis. Good general vision and hearing are needed.

Salary Description

110,000.00 - 125,000.00