Revenue Cycle Operations Lead - Hybrid in Colorado

Job SummaryThe Revenue Cycle Operations Lead is a hands-on role responsible for overseeing VSON’s revenue cycle workflows, coordinating with external billing partners, and ensuring accurate and efficient execution of all internal revenue cycle responsibilities.This role is critical in a hybrid model where select functions are supported by third-party vendors while core ownership, oversight, and accountability remain within VSON. The position requires strong technical expertise, operational ownership, and the ability to identify and resolve gaps in processes while maintaining financial accuracy and continuity across all revenue cycle functions.This is not a traditional “manager-only” role - this individual will actively engage in workflows, own outcomes, and serve as the internal subject matter expert and primary point of accountability for revenue cycle performance.This is a full-time position, Monday through Friday from 8a - 5p with some variances. This position offers medical, dental, and vision benefits, employer-paid long-term disability and life insurance, continuing education funds, paid holidays, potential monthly bonuses and employee discounts.This position may sit remote in Colorado, but weekly in person attendance at one of our three core locations (Edwards, Frisco, or Vail) is required.This position is open until filled.THE DETAILS OF THE JOBEssential Duties And ResponsibilitiesRevenue Cycle Oversight & PerformanceMaintain full visibility into revenue cycle performance including charge capture, coding coordination, claims submission, denials, and collectionsMonitor and analyze key performance indicators (AR days, denial rates, lag times, net collections)Identify trends, risks, and revenue leakage and implement corrective actionsEnsure work queues (internal and vendor) are actively managed and resolved timelyVendor Management (Operational Oversight)Serve as the primary operational liaison for external billing partners (e.g., Synergen, clearinghouse, workflow tools)Assign, monitor, and follow up on vendor work to ensure accuracy, timeliness, and accountabilityIdentify gaps or inconsistencies in vendor performance and escalate appropriatelyEnsure alignment between internal workflows and vendor processesParticipate in regular vendor meetings and performance reviewsFinancial Controls, Reconciliation & CloseOversee month-end close activities related to the revenue cycleReview and reconcile payments, adjustments, and accounts receivable balancesReconcile bank deposits, lockbox activity, and payment posting accuracyIdentify and resolve discrepancies between billing system, clearinghouse, and bank activityReview suspense accounts and ensure timely resolutionPartner with finance leadership to ensure reporting accuracy and revenue integrityInternal Revenue Cycle ResponsibilitiesOwn and manage all revenue cycle tasks that remain internal to VSON, including:Charge capture accuracy and follow-upCoding coordination and provider communicationWorkflow management across departments impacting billingPartner with clinical, front desk, and ancillary teams to ensure accurate and complete information flowDenials Management, AR & EscalationsOversee denial trends and root cause analysisApprove and guide appeal strategies for complex or high-value denialsOwn escalation of billing issues including denials, posting discrepancies, and payer challengesEnsure timely and effective AR follow-up (internal and vendor-driven)Charge, Coding & Documentation OversightEstablish and maintain standards for charge capture and revenue integrityPartner with providers and coding resources to ensure documentation quality and medical necessityIdentify trends impacting coding accuracy and reimbursementSupport clinical documentation improvement effortsProcess Improvement & Workflow OptimizationIdentify breakdowns in workflows and implement corrective actionsRecommend and implement process improvements to increase efficiency and reduce revenue leakageEnsure alignment of workflows across departments and vendor partnersPatient & Internal Issue ResolutionResolve complex patient billing issues and escalationsServe as the internal escalation point for revenue cycle-related concernsSupport front desk and clinical teams with billing-related questions and process clarityTraining, Support & CollaborationProvide guidance and training to staff on revenue cycle processes and expectations Support onboarding and education across departments impacting billingAct as internal subject matter expert for revenue cycle operationsPartner with leadership on reporting, performance improvement, and strategic initiativesRequirementsWHAT IT TAKES TO DO THE JOBKnowledge, Skills And AbilitiesStrong, hands-on experience in medical billing and revenue cycle operations (orthopedic or specialty practice preferred)Experience working with external billing vendors or hybrid RCM modelsDeep understanding of claims lifecycle, denials, coding coordination, and payer requirementsExperience with financial reconciliation, reporting, and revenue cycle controlsAbility to analyze data, identify trends, and drive process improvementStrong communication, organization, and problem-solving skillsExperience with eClinicalWorks (eCW) and clearinghouse systems preferredStrong analytical, reporting, and problem-solving skillsLeadership experience with ability to drive change and accountabilityEducation, Experience And CertificatesAssociates degree, preferably in business administration or related field; Bachelor degree preferred. 7+ years of medical insurance/healthcare revenue cycle experience will be considered in lieu of the degree.Minimum of 3 years medical insurance/healthcare billing and collections experience in a medical practice health system, with a deep understanding of medical billing rules and regulations. Orthopaedic preferred.Two years supervisory or management experience requiredOutstanding communication and leadership skills NOTICEThis job description is not intended to be a comprehensive list of activities, duties or responsibilities for this job. The duties, expectations and actions listed for this role may change at any time with or without notice.EEO STATEMENTWe believe diversity makes us stronger. Vail-Summit Orthopaedics & Neurosurgery provides equal employment opportunities to all employees and applicants without regard to sex, gender identity, sexual orientation, genetics, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.Salary Description $65,000 - $90,000