Revenue Cycle Manager

About the job
About Us:

Hirestaff.ai is a leading global talent acquisition and staffing solutions provider, specializing in connecting businesses with top-tier professionals across various industries. We pride ourselves on our deep industry expertise, cutting-edge technology, and personalized approach to recruitment. At Hirestaff.ai, we're committed to building long-lasting relationships with both clients and candidates, ensuring the perfect match for every role. We foster a collaborative and supportive work environment where our team members are empowered to excel and make a real impact in the world of talent acquisition.

About the Role:

We are seeking a seasoned Revenue Cycle Manager to lead and optimize our revenue cycle operations. This onsite, night-shift role (7 PM – 4 AM PKT, aligned with U.S. Central Time) requires a strong leader with extensive experience in medical billing, insurance claims, accounts receivable management, payment posting, prior authorizations, credentialing, and verification.

The ideal candidate should have 6–8 years of experience in revenue cycle management, with at least 3 years in a leadership role managing client relationships and overseeing an onsite team across multiple functions, including credentialing, insurance verification, accounts receivable, medical billing, payment posting, and prior authorizations.

Key Responsibilities:

Provide strategic leadership to the revenue cycle team, ensuring smooth operations and process optimization.
Oversee the entire revenue cycle process, including charge capture, coding, billing, claims submission, payment posting, and denial management.
Ensure timely and accurate claims processing to minimize denials and maximize reimbursement.
Lead and manage an onsite team handling credentialing, verification, accounts receivable, medical billing, payment posting, and prior authorizations.
Develop and maintain strong relationships with clients, ensuring seamless communication and service delivery.
Monitor accounts receivable (A/R) and implement strategies to reduce outstanding balances.
Ensure compliance with HIPAA, Medicare, Medicaid, and other payer regulations.
Analyze revenue cycle performance metrics, identify areas for improvement, and implement corrective actions.
Work closely with healthcare providers, insurance companies, and internal teams to resolve billing issues and reimbursement delays.
Keep up-to-date with changes in medical billing codes (CPT, ICD-10), insurance policies, and industry regulations.

Qualifications & Skills:

Bachelor’s or Master’s degree in Finance, Accounting, Business Administration, ACCA, CA, or a related field.
6–8 years of experience in revenue cycle management, medical billing, or healthcare finance.
At least 3 years of leadership experience managing client relationships and an onsite team across multiple revenue cycle functions.
Strong understanding of U.S. healthcare billing systems, payer rules, and reimbursement methodologies.
Proficiency in EHR/EMR systems, medical billing software, and clearinghouses.
Knowledge of insurance verification, credentialing, prior authorizations, and denial management.
Strong leadership skills with the ability to motivate and manage a team.
Excellent analytical, problem-solving, and communication skills.
Certification in medical billing and coding (CPC, CPB, or similar) is a plus.