Manager Hospital Revenue

he Manager of Hospital Revenue is responsible for overseeing all post‑billing insurance follow‑up activities for commercial payers to ensure timely, accurate, and complete reimbursement. This role provides strategic and operational leadership to a large, primarily remote team and ensures accounts progress from billing through final payment resolution. The Manager drives performance through KPI oversight, corrective action planning, and collaboration with internal stakeholders and external insurance partners.
Key Responsibilities
Revenue Cycle & Insurance Follow‑Up

Direct and manage post‑billing insurance follow‑up for commercial insurance payers, including major national plans (e.g., Blue Cross, United Healthcare) as well as regional and smaller payers across the United States.
Oversee the full lifecycle of insured accounts from post‑billing through zero balance, ensuring all accounts are approved and paid in full.
Maintain full responsibility for insurance‑related accounts only; this role does not include self‑pay or patient‑balance management.
Lead efforts to resolve payment variances, rejections, and denials by coordinating with insurance payers and internal hospital departments.
Ensure compliance with payer policies, billing regulations, and organizational standards.

Team Leadership & Development

Provide direct leadership for a department of approximately 30 staff members, including two Assistant Managers and multiple payer‑focused teams.
Supervise Patient Account Specialists responsible for daily variance resolution, rejection handling, and denial management.
Oversee Revenue Analysts who compile and analyze payer files and remittance data received from insurance companies.
Manage a fully remote workforce, with approximately 90% of team members located locally, ensuring productivity, engagement, and accountability.
Coach, mentor, and develop team members to improve performance, efficiency, and professional growth.

Performance Management & KPIs

Oversee departmental performance through key performance indicators (KPIs) related to insurance follow‑up, aging, denial resolution, and cash collections.
Partner with Assistant Managers who monitor and report KPI performance; receive escalated reporting and trends for strategic oversight.
Take ownership of corrective action planning and execution when KPIs fall below established targets.
Use performance data to identify root causes, implement process improvements, and drive sustained results.

Collaboration & Continuous Improvement

Serve as a primary liaison with commercial insurance payers to address systemic issues, escalations, and reimbursement barriers.
Collaborate closely with internal teams such as billing, coding, compliance, and clinical departments to resolve issues impacting reimbursement.
Identify workflow inefficiencies and lead initiatives to improve accuracy, turnaround time, and overall revenue cycle performance.
Support organizational revenue goals through proactive problem‑solving and strategic decision‑making

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5+ years of experience within Insurance Collections -Hospital or Physicia
3+ years of Experience Managing Direct Reports (10+)
EPIC Experience

Hospital Collections
Kronos
Clearing House- Availty and Change
Bachelors Degree

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.