Backend Revenue Cycle Manager

How you'll make an impact in this role
Strategic JOC Operations & Governance: Facilitate and document ~45 monthly Joint Operating Committee (JOC) executive sessions with key commercial and government payers, maintaining partnership agreements, translating revised contract provisions/policies into operational workflows, and delivering concise yield and performance outcome reporting to executive leadership.

Complex Denial Mitigation & High-Dollar Escalations: Act as the primary escalation lead and senior negotiator for complex, high-dollar claim disputes and denials across five multi-state regions, deploying advanced revenue integrity tactics to drive rapid variance resolution and maximum reimbursement.

Log Architecture & Inventory Management: Direct the continuous auditing, triage, and monthly transmission of six specialized escalation logs, overseeing vendor communication streams (including R1 RCM) to ensure systematic inventory clearance and high-dollar account compliance with Ascension revenue standards.

Team Supervision & Technical Mentorship: Direct and develop Senior Analysts by establishing rigorous review standards for claim denial inquiries, setting escalation documentation criteria, and managing daily task allocation across competing regional priorities.

Payer Intelligence & Portfolio Analytics: Conduct structured monthly reviews on aged inventory using advanced analytics tools to identify root-cause denial trends, leverage payer portal platforms, and monitor payer policy shifts across major national accounts.

What minimum qualifications you'll need

Licensure / Certification / Registration:

Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) preferred. Licensure required relevant to state in which work is performed.

Education:

High School diploma equivalency with 3 years of cumulative experience OR Associate's degree/Bachelor's degree with 2 years of cumulative experience OR 7 years of applicable cumulative job specific experience required.
3 years of leadership or management experience preferred.