Senior Revenue Cycle Manager

Senior Revenue Cycle Manager – Plymouth, MA (Full-Time, Onsite)

A leading regional specialty healthcare organization is seeking an experienced and results-driven Senior Revenue Cycle Manager to oversee end-to-end revenue cycle operations across a high-volume, multi-site clinical environment. This full-time role (Monday through Friday, 8:00 am to 4:30 pm) is based onsite in Plymouth, MA.

About the Role
As the Senior Revenue Cycle Manager, you will lead all revenue cycle functions, including claims processing, denials and appeals, payer contract oversight, credentialing supervision, and prior authorization workflows. You will develop improved billing processes, optimize reimbursements, and ensure regulatory and coding compliance. This position requires both strategic thinking and hands-on leadership of a large billing and credentialing team.

Key Responsibilities

• Oversee the full revenue cycle, including claims submission, follow-up, denials, appeals, and payer contract management.
• Lead, mentor, and develop a large billing and credentialing team, ensuring accuracy, productivity, and compliance.
• Drive denial reduction initiatives, promote clean claim submission, and implement process improvements to increase revenue.
• Ensure accuracy and compliance in coding, including ICD-10 and CPT.
• Collaborate closely with physicians, insurance companies, and internal departments to resolve issues and improve operational outcomes.
• Develop, refine, and manage workflows for billing operations in a multi-site specialty practice.
• Track key performance indicators, analyze trends, and deliver actionable insights to leadership.
• Oversee high-volume claims processing, ensuring timely and accurate submissions.
• Conduct regular chart and claims audits to ensure documentation accuracy and regulatory compliance.
• Manage prior authorization processes for procedures and services across multiple payers.
• Analyze payer contract terms to ensure alignment with billing practices and reimbursement expectations.

Qualifications

• 5+ years of revenue cycle management experience, including at least 3 years in a leadership role.
• Strong expertise in claims, denials, appeals, and payer contract management.
• Healthcare experience required; specialty practice or ophthalmology experience is a plus.
• Proficiency with billing and EHR systems; certifications in revenue cycle or coding are preferred.
• Strong analytical skills, working knowledge of insurance coverage policies, and experience improving workflows in a high-volume environment.
• Proven ability to lead teams, set expectations, and drive performance.

Schedule & Work Environment

• Full-time, Monday–Friday, 8:00 am–4:30 pm.
• 100% onsite in a fast-paced, specialty clinical setting.
• Collaborative team culture focused on operational excellence and patient-centered care.

Compensation & Benefits

• Competitive salary commensurate with experience (typical ranges for similar roles fall between $90,000–$120,000).
• Medical and dental insurance beginning Day 1.
• 401(k) with company match.
• Generous paid time off and paid holidays.
• Additional employee eye care discounts and other benefits.