Job Description

About the OpportunityWe're a mission-driven healthcare benefits organization with a collaborative, people-first culture, and we're looking for a Revenue Cycle Manager to lead and modernize our billing and accounts receivable function. This is a rare chance to shape a function rather than simply maintain one. We recently transitioned to a new plan administration platform, and we need a leader who will question how things are done today, understand the reasoning behind every step, and help us build something better.Apply now, read the job details by scrolling down Double check you have the necessary skills before sending an application.The role begins with a comprehensive assessment of our current function, conducted in partnership with our CFO, and moves into designing and implementing a revenue cycle operation built on accurate billing, clean reconciliations, timely collections, reliable reporting, and strong internal controls.What We're Looking ForYou understand the "why" behind accounts receivable, not just the "how." You're comfortable rolling up your sleeves on day-to-day operations, but you're equally at home stepping back to evaluate processes, identify root causes, and lead improvement projects from assessment through implementation. You've challenged the status quo before and have results to show for it.Key ResponsibilitiesLead a full assessment of our existing billing and AR function alongside the CFO, then design and execute a roadmap to bring it in line with industry best practiceOwn process improvement initiatives as defined projects, with clear scope, milestones, and measurable outcomesOversee the monthly premium billing cycle end to end, including invoice generation, distribution, and cash application, ensuring billing aligns with eligibility and contracted ratesReconcile the AR subledger to the general ledger monthly across multiple reporting entities, with full supporting documentation within the close calendarProduce the monthly AR aging with written commentary on significant balances and collection actions takenEstablish collection procedures, escalation thresholds, and delinquency cycles aligned with contract grace period and termination termsRecommend the quarterly allowance for doubtful accounts using a documented, aging-based methodologyReview and approve adjustments, retroactive terminations, reinstatements, refunds, and payment reversals within delegated authorityDesign and maintain internal controls, including segregation of duties and documented compensating controls in a lean team environmentOwn billing configuration and revenue integrity within our plan administration system, validating rate loads, benefit setup, and eligibility-driven invoicing, and correcting defects at their sourcePartner with IT on data flows between the administration platform and general ledgerPrepare AR schedules, roll-forwards, and confirmations for the annual audit and regulatory reportingReport key metrics to the CFO, including DSO, aging distribution, collection results, unapplied cash, and open reconciling itemsSupervise, coach, and develop AR staff, setting clear performance standards and accountabilityCollaborate across Enrollment, Sales, Compliance, IT, and Accounting to resolve discrepancies at their originMaintain HIPAA compliance and confidentiality of member and company informationQualificationsBachelor's degree in accounting, finance, or business administration, or equivalent progressive experience5+ years of accounts xhyhwjd receivable, premium billing, or revenue cycle experience, including 2+ years directly supervising staffHealthcare experience required; background in health plans, insurance, or benefits administration strongly preferredDemonstrated track record of leading process improvement or transformation projects, not just managing day-to-day operationsStrong grasp of GAAP as it applies to premium revenue, receivables, and allowance estimationExperience with eligibility-driven billing, retroactive adjustments, and capitation arrangementsMulti-entity subledger to GL reconciliation experienceSolid understanding of internal controls over cash receipts and receivablesAdvanced Excel skills and experience with enterprise accounting and plan administration systemsAbility to think strategically and communicate effectively with executive leadershipAdditional DetailsHybrid role; candidates must reside in Washington StateAvailability during Pacific Time business hoursSecure home work environment meeting information security requirementsOccasional travel required

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