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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong leadership and people management skills while overseeing revenue cycle operations, ensuring compliance with billing regulations and payer requirements. Proficient in analyzing financial data and implementing process improvements to enhance team performance and operational efficiency.
Highest-signal resume keywords
LeadershipHealthcare ReimbursementBilling RegulationsDenial ManagementEMR Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Revenue Cycle ManagementFinancial Data AnalysisKPI DevelopmentClaims ResolutionAged Trial Balance ReviewDenial ResolutionPerformance EvaluationProcess ImprovementQuality AssuranceTraining Program Coordination
Soft Skills
CoachingCommunicationConflict ResolutionMentoringTeam Collaboration
Tools & Technologies
EMR SystemsClearinghouse PlatformsMedical Billing Systems
Industry Keywords
Insurance ARPayer RequirementsCompliance ReviewsRevenue Cycle OperationsHealthcare Standards
About the role
Key responsibilities & impact- Supervise Team Leads and Specialists, setting expectations and ensuring accountability for team performance
- Develop departmental goals and KPIs aligned with company objectives
- Provide guidance on complex or escalated claim issues
- Oversee insurance AR follow-up, denial resolution, and appeals
- Review Aged Trial Balance and Denial Reports and drive resolution strategies
- Monitor reimbursement turnaround times and payer trends and implement corrective action
- Approve and track staffing allocations across teams
- Ensure compliance with payer requirements, billing regulations, and internal policies
- Oversee quality assurance reviews on claims and documentation
- Lead internal audits and participate in external compliance reviews
- Mentor and develop Team Leads
- Approve and coordinate training programs
- Conduct performance evaluations and establish professional development plans
- Analyze AR metrics and produce reports for senior leadership with process improvement recommendations
- Act as primary contact for escalated payer issues and client concerns
- Collaborate with other managers to support smooth revenue cycle operations
Requirements
What you’ll need- Strong leadership, people management, and coaching skills
- Deep understanding of healthcare reimbursement, billing regulations, and denial management
- Ability to analyze financial and operational data, identify trends, and implement improvements
- Excellent communication and conflict resolution skills for internal staff and external payer/client interactions
- Proficiency in EMR, clearinghouse platforms, and medical billing systems
- High School Diploma/GED required
- 5–7 years of progressive experience in insurance AR/revenue cycle management, with at least 2 years in a supervisory or managerial role
- Ongoing education to stay current with billing regulations, payer requirements, and industry standards
- Ability to sit for extended periods, occasionally lift supplies/equipment, and move up to 15 pounds
- Must travel for onsite training and attend client meetings as needed
Benefits
Comp & perks- Ongoing education to stay current with billing regulations, payer requirements, and industry standards
- Professional development plans
- Training programs for new hires and ongoing staff education