Revenue Cycle Insurance Manager

Job Title: Revenue Cycle Insurance Manager Location: Sebring, FL (On-site) Relocation Assistance: Available Pay: $75,000 + Bonus Position Summary Senior leader responsible for hospital insurance A/R and denials performance. Drives collections results, leads high-performing teams, ensures compliance, and partners cross-functionally to sustain cash flow and improve payer outcomes. Key Responsibilities Leadership & Accountability Lead and develop hospital insurance A/R and denials teams Set productivity, quality, and performance standards Conduct reviews, corrective actions, and succession planning Foster a results-driven, high-accountability culture Hospital Insurance A/R & Denials Own A/R performance (aging, AR days, collections) Oversee denial prevention, appeals, and complex claims resolution Identify payer trends and implement corrective action plans Payer Relations & Executive Communication Manage escalated payer disputes and underpayments Lead payer strategy and negotiations Present performance insights to executives Cross-Functional Collaboration Partner with Coding, CDI, UR, Case Management, Registration, Compliance, and IT Lead initiatives to reduce denials and improve first-pass resolution Financial & Compliance Oversight Monitor KPIs (AR aging, denial rates, appeal success, cash) Support budgeting and forecasting Ensure CMS and regulatory compliance; lead audits Physician Billing (Secondary Oversight) Oversee professional insurance A/R alignment with hospital strategy Qualifications Bachelor’s degree (or equivalent experience) 3–5 years hospital revenue cycle leadership experience Expertise in hospital reimbursement and payer regulations Proven team leadership and executive communication skills

Created: 2026-03-04