Revenue Cycle Operations Manager

5 days ago

Nashville, Tennessee, United States The Wilshire Group Full time

Wilshire hires only the brightest and most experienced professionals in the healthcare revenue cycle management industry. Wilshire will take the time to get know you and your employment history. We will then place you in a role that will lead to a path of career success.

About The Wilshire Group

The Wilshire Group, a renowned boutique consulting firm in Los Angeles, specializes in revenue cycle optimization and fostering effective collaboration between operational and IT facets. With a robust track record of aiding over 100 healthcare systems nationwide, our team thrives on professionalism, efficiency, and adaptability.

Our core values- professionalism, efficiency, and flexibility- underscore our commitment to creating an inclusive and dynamic workplace. We embrace diverse narratives and believe in offering opportunities to exceptional individuals who bring their best to the table.

Join us at The Wilshire Group, a place where talented professionals find a home to showcase their skills and contribute meaningfully to the healthcare landscape.

This is a contracted position for 9+ months. $80-$90 per hour

Job Summary

We are seeking an experienced Revenue Cycle Operations Manager to oversee an outsourced hospital billing (HB) operation encompassing an acute facility, ambulatory surgery center (ASC), and multiple outpatient clinics. The ideal candidate will bring deep operational expertise in hospital billing and third-party vendor management to ensure accuracy, compliance, and efficiency across the revenue cycle.

Responsibilities:

  • Manage day-to-day HB outsourced operations across the hospital, ASC, and outpatient settings.
  • Serve as the liaison between internal finance teams and the outsourced billing partner.
  • Monitor KPIs, including DNFB, AR days, and clean claim rate; implement corrective actions as needed.
  • Oversee the integration of newly acquired entities and ensure alignment with organizational revenue cycle policies.
  • Identify process improvement opportunities and ensure adherence to payer compliance and regulatory standards.
  • Collaborate with leadership to optimize workflows and maintain financial integrity.

Qualifications:

  • 8+ years of hospital revenue cycle management experience (non-Epic systems preferred).
  • Proven success managing outsourced billing operations or vendor transitions.
  • Strong knowledge of HB processes, payer requirements, and reimbursement methodologies.
  • Exceptional communication and leadership skills with the ability to manage multiple priorities.
  • Master's Degree preferred

Wilshire is honored that you have taken the time to review/apply to our open position. We will now take the time to review your experience and be in touch with you soon.

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