Senior Manager

3 weeks ago


Philippines PatternEP - https:healthreconconnect.comsitemap.xml - om Full time

HealthRecon Connect provides technology-enabled Revenue Cycle Management solutions to US healthcare providers. The company leverages over 30 years of deep domain expertise, machine learning, AI, cutting-edge analytics, and automated workflows that help improve cash flow, patient outcomes and enable peace of mind for their clients. At HealthRecon Connect, day after day, we not only hold ourselves accountable for setting and maintaining high standards, but we also passionately strive for the highest achievement, customer delight and thrive on the challenge of high expectations and commitment to excel.

HealthRecon was certified a Great Workplace by Great Place to Work Sri Lanka for five consecutive years and was adjudged one of the 40 Best Workplaces in Sri Lanka in 2021. HealthRecon is also a participant of the United Nations Global Compact .

We are seeking an experienced Senior Manager / Assistant Vice President of Revenue Cycle Management with clinical insight to lead end-to-end RCM operations for a portfolio of healthcare clients. The ideal candidate brings deep knowledge of billing and reimbursement workflows, understands clinical documentation requirements, and has a track record of leading teams in a client-facing, compliance-driven environment.

Please review the criteria and other information listed below thoroughly prior to applying and pay specific attention to the work week, shift details and other features of the job. Due to the large volume of applications we receive, all applications will be reviewed in the order in which they were received and only the candidates short-listed for the first round of interviews will be contacted. Thank you for your understanding.

Job Vacancy:
Senior Manager / Assistant Vice President of Revenue Cycle Management

Work Week:
Monday to Friday

Shift Window:
US hours (Flexible to cater to leadership/client requirements)

Responsibilities:

  • Support new client onboarding, including EHR/PM system integrations, process documentation, and revenue cycle audits.
  • Oversee the full revenue cycle lifecycle for multiple healthcare clients, including patient access workflows, charge entry, coding, billing, AR follow-up, payment posting, and denial management.
  • Serve as a senior point of contact for client organizations (e.g., physician groups, behavioural health clinics, ambulatory networks), building trusted relationships with both administrative and clinical stakeholders.
  • Align internal RCM operations with each client’s unique care delivery model, documentation practices, and compliance obligations.
  • Monitor KPIs across clients and proactively identify revenue leakage, process inefficiencies, and denial patterns — delivering actionable insights and monthly executive reporting.
  • Provide subject-matter expertise on payer policy changes, Medicare/Medicaid regulations, and clinical coding best practices (ICD-10, CPT, HCPCS).
  • Collaborate with internal legal/compliance teams to ensure services meet HIPAA, CMS, OIG, and contractual obligations.
  • Lead operational improvement initiatives using automation, workflow optimization, and process redesign strategies.
  • Mentor and develop RCM leaders and teams, fostering a high-performance, client-first culture.

Qualifications/Criteria:

  • Bachelor’s degree in Healthcare Administration, Business, or Clinical field (Master’s preferred).
  • 7–10+ years of progressive leadership in revenue cycle management, preferably in an outsourced billing or healthcare consulting firm.
  • Clinical experience or licensure (e.g., RN, LPN, RT) strongly preferred.
  • Strong working knowledge of payer contracting, reimbursement methodologies, medical necessity, and documentation standards.
  • Proven track record managing multi-client revenue cycle portfolios with varying specialties and payer mixes.
  • Experience with RCM platforms (e.g., Kareo, AdvancedMD, Athena, NextGen, DrChrono, Epic), clearinghouses, and analytics tools.
  • Professional certifications such as CRCE, CPC, CHC, or CMRS are a plus.

Core Competencies:

  • Client relationship management and service delivery
  • Clinical and regulatory literacy
  • Operational leadership across multiple teams
  • Strategic revenue optimization
  • Data-driven decision making and reporting
  • Change management in a dynamic environment
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