Own and Strengthen the Revenue Cycle at a Fast Growing, AI-Forward Healthcare Brand
Join our patient-centered healthcare team as our Revenue Cycle Manager and become the single internal owner of revenue cycle performance across a fast-growing multispecialty practice. Well&You partners with outside vendors for day-to-day billing across its service lines while keeping ownership and accountability in-house — and this role is the connective tissue that makes that model work. Daily responsibilities include holding outside billing vendors accountable to their commitments, consolidating performance and data into one trusted source of truth, capturing every dollar the practice is owed, and partnering closely with providers and internal ops to keep the revenue cycle moving without friction.
What sets this opportunity apart?
This position offers hands-on ownership of a complex, multi-vendor revenue cycle spanning clinic, office-based lab (OBL), and ambulatory surgical center (ASC) settings — across cardiology, interventional pain and spine, wound and vascular care, and interventional radiology. As Revenue Cycle Manager, you’ll combine the rigor of a vendor auditor, the judgment of a reporting analyst, and the relationship skills of an internal-ops partner, all while working hands-on with AI-driven tools and platforms that Well&You builds and uses every day.
Why This Role is an Opportunity
- Build direct ownership over a revenue cycle spanning multiple specialties, vendors, and care settings as the practice continues to grow.
- Gain hands-on exposure to advanced procedural billing, payer policy, and compliance across clinic, OBL, and ASC environments.
- Work alongside leadership as the trusted voice on collections, denials, and revenue performance.
- Use and extend Well&You’s own AI-built reporting and automation tools, and oversee AI-driven vendor platforms.
- Position yourself for growth, profit-share, and equity upside as the practice expands into new specialties and facilities.
- Work in a culture that values accountability, intellectual curiosity, and professional growth.
Duties/Responsibilities
- Hold vendors to agreed billing turnaround times, chase stuck cases, and track providers who are slow to close notes so claims go out expeditiously.
- Serve as the main point of contact for each outside billing vendor, running regular check-ins and escalating anything at risk of slipping past deadline.
- Maintain an accurate master list of billing entities, provider NPIs, tax IDs, locations, and fee schedules; test and approve any new setup before the first claim goes out.
- Track every denied or partially denied claim, identify the root cause, assign accountability, and require vendors to fix and resubmit their own errors quickly.
- Oversee coding quality across vendors — confirming coder certifications, auditing coding regularly, and using pre-procedure checklists so documentation supports the codes billed.
- Manage a running log of denials and appeals with deadline tracking, flag problem insurer/procedure combinations early, and ensure the practice is paid the full contracted amount.
- Build and maintain one trusted set of reports across all vendors — collections, aging, denials, dollars at risk, procedure profitability, and a monthly “what changed and why” summary — and deliver it to leadership monthly.
- Serve as the single channel for coding questions between vendors and physicians, keeping them organized, documented, and summarized monthly for providers.
- Ensure Well&You delivers what vendors need on time — op notes, implant records, daily deposits, forwarded denials, approvals, and refunds — so internal delays never become a vendor’s excuse.
- Manage multiple systems, billing vendors, and related contracts to keep the revenue cycle seamless, clearly define vendor responsibilities, and prevent duplicate collection-based payments.
- Stay ahead of prior authorizations and medical-necessity requirements, working with billers to ensure documentation meets Medicare and commercial payer coverage rules.
- Prioritize patient and point-of-service collections — verifying responsibility up front, collecting at time of service where possible, and following up on high-deductible balances and procedure copays.
Required Skills/Abilities
- 5+ years in healthcare revenue cycle with hands-on billing, denials, and AR follow-up experience.
- Strong knowledge of physician/professional and facility (ASC) billing across clinic, OBL, and imaging settings, including payer rules, NCCI edits, modifiers, and contract allowables.
- Coding credential (CPC/COC) or close working knowledge of coding.
- Experience managing or auditing outsourced RCM vendors and holding them to SLAs.
- Proficiency with eClinicalWorks (eCW) and strong Google Sheets/spreadsheet skills.
- Familiarity with clearinghouse operations and payer enrollment/credentialing.
- Experience building and interpreting RCM reports (first-pass rate, AR aging, denial trends, net collection rate) and translating them into action and dollars.
- Comfortable using AI tools day-to-day to build reports, draft and automate routine work, and analyze billing data — and quick to learn new ones.
- Able to guide AI with clear, specific instructions, double-check its output, and oversee AI-driven vendor billing platforms with a trust-but-verify mindset.
Education and Experience
- Bachelor’s degree preferred, or equivalent professional experience in healthcare revenue cycle management.
- Multi-specialty experience strongly preferred — vascular, interventional cardiology, electrophysiology, pain & spine, wound care, podiatry, imaging, or remote patient monitoring.
- Prior experience at an ASC, hospital, or larger private clinical practice is ideal.
Physical Requirements
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift up to 15 pounds at times.
Core Values
We are seeking a candidate who embodies the following core values and traits that are essential to our team culture:
- Problem Solver: Proactive problem-solver with a solutions-oriented mindset.
- Agile: Creative and adaptable to a fast-paced, iterative environment.
- Accountable: Takes ownership of tasks; ensures quality and timeliness.
- Ambitious: Driven by progress and growth for organization, team, and self.
- Calm & Unflappable: Not overwhelmed by competing demands and multitasking.
- Clear Communicator: Strong, clear, and concise verbal and written communication, understood at all levels.
- Empathetic: Understands others’ perspectives, fosters meaningful connections.
- Driven to Excellence: Hardworking and gritty; driven to no less than excellence.
- Humility: Displays modesty in success, recognizes contributions of others.
- Integrity: Upholds highest personal integrity and personal/professional ethics.
- Intellectually Curious: Eager to learn new topics; resourceful and quick learner.
- Leader: Able to manage and lead internal stakeholders and outside vendors.
- Open-Minded: Welcomes new ideas and innovative and diverse thinking.
- Respectful: Treats all stakeholders at all levels with courtesy and dignity.
- Self-Starter: Action oriented; can operate with little direction and supervision.
- Strategic Thinker: Attentive to detail yet keeps the main goals and big picture in mind.
- Teamworker: Collaborates effectively with others and prioritizes team goals.
- Trustworthy: Strong, trusting relationships via dependability and consistency.
Benefits
- Standard practice benefits (details provided during the interview process)
- Performance bonus up to 10–15% of base, tied to revenue-cycle KPIs (net collection rate, days in A/R, first-pass clean-claim rate, denial/appeal performance, and charge lag).
- Eligibility for discretionary growth and profit-share bonus, plus equity as the practice expands.
- Health insurance
- Paid time off