Revenue Cycle Management (RCM) Manager

Insight Global is seeking an experienced Revenue Cycle Management (RCM) Manager to lead and optimize the revenue cycle operations for a high-volume healthcare walk in center. This role requires a strong strategic mindset, deep expertise in Medicaid insurance programs, and a hands-on, problem-solving approach. With approximately 80% of the payer mix being Medicaid, this individual will play a critical role in ensuring financial sustainability, compliance, and operational efficiency. General responsibilities could include:
• Oversee and manage the end-to-end revenue cycle, with a primary focus on back-end functions including eligibility, credentialing, claims, coding, billing, collections, and light denial management
• Lead and manage a team of 7-10 individual contributors within the back-end revenue cycle, providing accountability and performance management
• Ensure coding accuracy (including appropriate use of modifiers), and step in as needed to resolve complex coding or billing issues
• Oversee Quality Assurance across revenue cycle components, including credentialing, payer selection, eligibility verification, and claims submission
• Monitor team and practice-level productivity metrics and KPIs, ensuring targets related to cash flow, AR days, and first-pass claim acceptance are met
• Serve as the subject matter expert for governmental payers, specifically Medicaid
• Analyze trends in payments and payer behavior
• Act as a strategic, high-level problem solver, partnering with clinical leadership, operations, and finance to align revenue cycle processes with patient care delivery

Salary will range between $70-90k with a 10% bonus. Benefit plans, holidays, and time off will be offered by the client directly.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

• 5-10+ years of progressive experience in Revenue Cycle Management
• Strong, demonstrated experience with governmental insurance programs, especially Medicaid
• Advanced knowledge of healthcare billing regulations, compliance standards, and payer reimbursement methodologies
• Experience with and competence in medical coding
• Experience managing RCM staff and/or third-party billing vendors
• Hands-on working experience with NetSmart EHR (implementation experience preferred)
• Kipu experience preferred, not required
• Strategic thinker; will need to direct and give strategy as opposed to constantly get into the work for their team
• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field preferred, not required

Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.