Senior Manager, Revenue Integrity
About the Role Are you looking to join a fast‐growing, dynamic team? We're a collaborative, purpose‐driven group passionate about transforming healthcare from the inside out. This senior leadership position reports to the Director of Altais Medical Group Operations and Transformation and is responsible for the overall strategic and operational direction of the revenue cycle. Responsibilities Provide strategic oversight of all billing operations within the Athena platform, ensuring accuracy, compliance, and efficiency across multiple sites or business units. Inform the Director of Revenue Management of significant billing issues and trends, such as payer delays, backlog risks, and vendor performance, along with recommended solutions. Provide input on business cases for technology investments, automation opportunities, and compliance enhancements that improve billing accuracy and efficiency, including leveraging Athena's integrated tools. Partner with Finance, Operations, and IT leadership to align billing strategies with broader organizational goals and support strategic initiatives such as mergers, system transitions, or new service line development. Leverage data analysis and predictive modeling, including reporting tools within and connected to Athena, to identify performance trends and provide actionable insights to leadership. Oversee processing and transmission of charge entry and ensure timely completion of month‐end close within Athena. Direct account reconciliation, write‐offs, and collection processes within Athena, ensuring proper financial controls and documentation. Lead monthly and quarterly reviews of aging reports, productivity metrics, and collection outcomes using Athena dashboards and analytics. Manage performance metrics, dashboards, and key performance indicators (KPIs) for all billing functions; report on collection efficiency, aging, and denial trends from Athena data. Lead and mentor Revenue Integrity Manager, Senior Reimbursement Analyst, and Senior Coding & Documentation Educator, fostering professional development and accountability, particularly regarding Athena workflows. Ensure consistent training and cross‐training programs are developed for billing staff, focusing on proficiency in Athena. Serve as the primary liaison with vendors, payers, and external partners to address escalated billing or reimbursement issues within the Athena system. Confirm vendors apply approved policies for all revenue‐cycle activities, verified in Athena's configuration. Qualifications Bachelor's degree in Business, Finance, or Healthcare Administration. 10 years of progressive experience in medical billing or revenue cycle operations, including 5+ years in a leadership role with a multi‐physician group and responsibility for coding and business operations. Previous experience with Athena is preferred. Strong knowledge of insurance billing, collections, and reimbursement rules and requirements. Proficiency in medical terminology, ICD‐9/10, and CPT coding. Demonstrated success leading multi‐site or multi‐function revenue cycle operations. Expertise in data analysis, financial reporting, and performance improvement. Advanced leadership, coaching, and team‐development skills.Experience developing and implementing policies, procedures, and system enhancements. Strong communication and collaboration skills with the ability to partner across departments and with external stakeholders. Proficiency in EHR systems (e.g., Epic, Athena) and related billing applications. Compensation Base Salary: $110,000 – $140,000 per year. The compensation package reflects experience, credentials, and education, and includes a robust benefits program. Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, veteran status, or disability status, and any other classification protected under federal, state, or local laws. #J-18808-Ljbffr