Job Description

Job Title: Revenue Cycle Insurance Manager

Location: Sebring, FL (On-site)

Relocation Assistance: Available

Pay: $95,000 (plus a $1,000 monthly bonus, additional performance incentives tied to

collections, and paid medical benefits)

Sign-On Bonus: $30,000 sign-on bonus—$15,000 after 6 months and another $15,000 at the end of your first year.

This role is crucial for ensuring that aged insurance claims are processed accurately and efficiently, leading to timely payment. The ideal candidate will be a hands-on manager who oversees all workflows of aged insurance claims and denial management.

Key Responsibilities

• Lead, mentor, and develop teams to recover aged insurance claims and denials, setting clear expectations and accountability for performance metrics.
• Build a high-accountability culture focused on results, quality, compliance, and continuous improvement.
• Establish clear roles, productivity standards, and quality benchmarks for staff.
• Conduct regular performance reviews, corrective action, and succession planning for key revenue cycle roles.
• Serve as a trusted leader and subject matter authority for hospital insurance reimbursement and payer strategy.
• Analyze claims data to identify trends and adjust workflows accordingly.
• Act as the primary escalation point for payer disputes, underpayments, and systemic reimbursement issues.
• Lead payer strategy discussions and represent the organization in payer meetings and negotiations.
• Translate operational performance into executive-level insights, risks, and recommendations.
• Ensure insurance follow-up and appeals processes comply with CMS, payer contracts, and state and federal regulations.

Qualifications and Skills

• Education: Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field (or equivalent experience).
• Experience: 7+ years of progressive revenue cycle experience with significant hospital insurance claim leadership responsibility.
• Demonstrated success leading teams responsible for hospital collections, denials, and appeals.

Required Skills

• Strong leadership and organizational abilities
• Excellent communication and interpersonal skills
• Strong analytical and problem-solving skills

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