Job Title: Revenue Cycle Insurance Manager
Location: Sebring, FL (On-site)
Relocation Assistance: Available
Pay: $75,000 + Bonus

Position Summary

Senior leader responsible for hospital insurance A/R and denials performance. Drives collections results, leads high-performing teams, ensures compliance, and partners cross-functionally to sustain cash flow and improve payer outcomes.

Key Responsibilities

Leadership & Accountability

• Lead and develop hospital insurance A/R and denials teams

• Set productivity, quality, and performance standards

• Conduct reviews, corrective actions, and succession planning

• Foster a results-driven, high-accountability culture

Hospital Insurance A/R & Denials

• Own A/R performance (aging, AR days, collections)

• Oversee denial prevention, appeals, and complex claims resolution

• Identify payer trends and implement corrective action plans

Payer Relations & Executive Communication

• Manage escalated payer disputes and underpayments

• Lead payer strategy and negotiations

• Present performance insights to executives

Cross-Functional Collaboration

• Partner with Coding, CDI, UR, Case Management, Registration, Compliance, and IT

• Lead initiatives to reduce denials and improve first-pass resolution

Financial & Compliance Oversight

• Monitor KPIs (AR aging, denial rates, appeal success, cash)

• Support budgeting and forecasting

• Ensure CMS and regulatory compliance; lead audits

Physician Billing (Secondary Oversight)

• Oversee professional insurance A/R alignment with hospital strategy

Qualifications

• Bachelor’s degree (or equivalent experience)

• 3–5 years hospital revenue cycle leadership experience

• Expertise in hospital reimbursement and payer regulations

• Proven team leadership and executive communication skills