We are seeking a Revenue Cycle Manager to join the finance leadership team to provide hands-on operational leadership for our billing and revenue cycle function across Medicaid and commercial payers. This is a newly created role designed to formalize, standardize, and scale revenue cycle operations as the organization continues to grow.
The Revenue Cycle Manager will oversee day-to-day billing execution, manage a team of billers, and partner closely with the CFO to improve workflows, visibility, and performance. This role is intentionally designed as a working manager position—balancing hands-on billing with leadership, reporting, and process improvement responsibilities. This is a hybrid role based in our Raleigh office.
Key ResponsibilitiesRevenue Cycle Operations (Hands-On Leadership)
- Oversee daily billing operations across Medicaid and commercial payers
- Actively participate in billing activities to understand workflows and payer behavior
- Ensure timely claim submission, rejection resolution, denial follow-up, and payer communication
- Maintain organized work queues and prioritize activities
- Serve as the primary escalation point for billing-related issues
- Stay current on MCO and commercial payer billing changes
Team Leadership & Management
- Manage, coach, and support billing staff
- Set expectations for productivity, quality, and turnaround times
- Promote consistent practices and cross-training
Process Standardization & Improvement
- Partner with the CFO to document and improve workflows
- Develop and maintain SOPs for billing activities
- Identify recurring issues and implement improvements
Reporting & Visibility
- Produce regular operational reporting
- Track billing lag, denial trends, and AR aging
- Provide leadership with actionable insights
- In partnership with CFO, develop KPIs such as clean claim rate, first past payment rate, denial rate, denial turnaround, claims processed, staff error rate
Cross-Functional Collaboration
- Coordinate with clinical and operational teams
- Establish clear communication and escalation pathways
- Support timely operational adjustments
- Other responsibilities as needed
Hands-On Billing Expectation
This is a hands-on leadership role. During the initial onboarding period, the Revenue Cycle Manager will actively bill alongside the team to develop a firsthand understanding of existing processes, systems, and payer requirements.
As workflows become standardized and visibility improves, the role will transition to a primarily managerial and improvement-focused position. Ongoing billing responsibilities are expected to represent approximately 20–30% of the role.
What We’re Looking For
- Hands-on revenue cycle leader
- Builder and customer service mindset
- Collaborative partner with executive leadership
- Self‑learner who proactively keeps up with billing changes, payer updates, and operational impacts
Why This Role
This role offers the opportunity to shape a scalable, well-run revenue cycle function with direct executive partnership and meaningful ownership.
Qualifications- 4+ years of experience in healthcare billing or revenue cycle operations
- Hands-on experience with Medicaid and commercial payers. Behavioral health preferred but not required.
- Prior experience managing or leading billing staff
- Strong understanding of claims workflows, rejections, and denials
- Strong Excel and reporting skills
Skills Required
- 4+ years of experience in healthcare billing or revenue cycle operations
- Hands-on experience with Medicaid and commercial payers
- Prior experience managing or leading billing staff
- Strong understanding of claims workflows, rejections, and denials
- Strong Excel and reporting skills
What We Do
The Autism Society of North Carolina improves the lives of individuals with autism, supports their families, and educates communities.
