Backend Revenue Cycle Manager

Your future role at a glance

Location: Remote

Department: Revenue Cycle Administration

Schedule: Full-Time, Days

Salary: $99,863.85 - $135,109.91

Eligible for an annual bonus incentive

#LI-Remote

#InternalOps

How you'll make an impact in this role

• Strategic JOC Operations & Governance: Facilitate and document ~45 monthly Joint Operating Committee (JOC) executive sessions with key commercial and government payers, maintaining partnership agreements, translating revised contract provisions and policies into operational workflows does not apply to this role. The manager's responsibility is limited to sharing policy updates received during JOC meetings with the appropriate parties.

• Complex Denial Mitigation & High-Dollar Escalations: Act as the primary escalation lead and senior negotiator for complex, high-dollar claim disputes and denials across five multi-state regions, deploying advanced revenue integrity tactics to drive rapid variance resolution and maximum reimbursement.

• Log Architecture & Inventory Management: Direct the continuous auditing, triage, and monthly transmission of six specialized escalation logs, overseeing vendor communication streams (including R1 RCM) to ensure systematic inventory clearance and high-dollar account compliance with Ascension revenue standards.

• Team Supervision & Technical Mentorship: Direct and develop Senior Analysts by establishing rigorous review standards for claim denial inquiries, setting escalation documentation criteria, and managing daily task allocation across competing regional priorities.

• Payer Intelligence & Portfolio Analytics: Conduct structured monthly reviews on aged inventory (outstanding inventory escalated and discussed at the JOC meetings) to determine if items need to be sent to Legal or to the vendor R1 for next steps, while maintaining awareness of payer policy updates and contract provisions.

What minimum qualifications you'll need

Licensure / Certification / Registration:

• Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) preferred. Licensure required relevant to state in which work is performed.

Education:

• High School diploma equivalency with 3 years of cumulative experience OR Associate's degree/Bachelor's degree with 2 years of cumulative experience OR 7 years of applicable cumulative job specific experience required.
• 3 years of leadership or management experience preferred.

What additional requirements you'll need

• Advanced professional revenue cycle certification (e.g., CRCR, CSPR, or CSPPM preferred.

• Direct experience structuring and facilitating JOC or strategic payer-provider alignment frameworks.

• Deep subject-matter expertise with major national and regional payer environments (e.g., UHC, BCBS, Cigna, Aetna, Humana) and vendor ecosystem integrations (e.g., R1 RCM).

Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

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Benefits

Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.