Revenue Operations Manager

Position summary

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Reporting to the Chief Financial Officer (CFO), the Revenue Operations Manager is the primary internal owner of the organization's fee-for-service revenue operations. This role oversees payment reconciliation, revenue data and reporting, and the relationship with the company's outsourced billing and revenue cycle vendor. The manager will build and maintain a centralized database of services, claims, collections, adjustments, and payments; identify and resolve variances; and provide reliable revenue information to leadership and physicians. The role operates independently and is accountable for creating scalable processes, controls, and reporting for this function.

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Key responsibilities

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Revenue database, reporting & data integrity

• Design, build, and maintain a centralized database for fee-for-service revenue, including services rendered, claims, payments, adjustments, collections, payer information, physician attribution, and customer or contract data.
• Create repeatable data-import, validation, and reconciliation processes using information from internal systems and the outside billing vendor.
• Establish and maintain data definitions, reporting methodologies, audit trails, and documentation to support consistent and reliable reporting.
• Develop dashboards and recurring reports showing collections, reimbursement trends, aging balances, denials, payment variances, and revenue performance by physician, payer, customer, and contract.
• Identify data quality issues and work with internal stakeholders and vendors to resolve incomplete, inconsistent, or inaccurate information.

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Revenue reconciliation & analysis

• Own the reconciliation of services rendered, claims submitted, payments received, contractual adjustments, denials, and outstanding balances.
• Validate payments against expected reimbursement and investigate underpayments, missing payments, unapplied cash, and other variances.
• Ensure revenue and collections are accurately attributed to the appropriate physician, payer, customer, and contract.
• Identify revenue leakage, collection delays, and process gaps, and coordinate corrective action.
• Provide accurate revenue information to support monthly financial close, forecasting, budgeting, and contract-performance analysis.

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Billing vendor management

• Serve as the primary internal contact and relationship manager for the outsourced billing and revenue cycle vendor.
• Establish clear deliverables, reporting standards, service expectations, and performance measures for the vendor.
• Lead recurring vendor review meetings, track open issues and action items, and escalate unresolved billing, payment, or collection matters.
• Review vendor output for timeliness, accuracy, and completeness, and hold the vendor accountable for agreed-upon performance.

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Physician payment support

• Calculate and validate physician payments when compensation is based on fee-for-service revenue or collections.
• Prepare clear supporting statements showing the revenue and payment activity used in physician payment calculations.
• Communicate with physicians regarding payment calculations and respond to questions about collections, attribution, timing, and adjustments.
• Research and resolve discrepancies affecting physician payments in coordination with Finance, Operations, and the billing vendor.

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Process ownership & cross-functional partnership

• Develop and maintain written procedures, internal controls, reconciliation standards, and reporting calendars for revenue operations.
• Partner with Finance, Operations, Contracting, Credentialing, and clinical leadership to address issues affecting billing or collections.
• Support audits, payer reviews, financial reporting requests, and other revenue-related analyses.
• Recommend and implement process and system improvements that increase accuracy, visibility, scalability, and collection performance.

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Qualifications

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Required

• Bachelor's degree in Finance, Accounting, Healthcare Administration, Business Analytics, Information Systems, or a related field, or equivalent relevant experience.
• Five or more years of experience in healthcare revenue operations, revenue cycle, healthcare finance, payment reconciliation, or data analytics.
• Demonstrated experience independently owning a complex reconciliation, reporting, or revenue process.
• Proven self-starter who takes ownership, independently investigates unfamiliar issues, identifies the information and resources needed, and develops practical solutions with limited direction.
• Experience working with or overseeing an outsourced billing or revenue cycle vendor.
• Strong understanding of healthcare fee-for-service claims, reimbursement, collections, adjustments, denials, and accounts receivable.
• Advanced Excel skills and demonstrated ability to organize, validate, analyze, and reconcile large datasets.
• Experience building or maintaining databases, structured data repositories, dashboards, or reporting systems.
• Strong written and verbal communication skills, including the ability to explain payment calculations and variances clearly to physicians and leadership.
• High degree of accuracy, discretion, ownership, and follow-through.

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Preferred

• Experience in physician practice management, behavioral health, or multisite healthcare services.
• Working knowledge of Medicare, Medicaid or Medi-Cal, and commercial payer reimbursement.
• Experience with SQL, Power BI, Tableau, relational databases, or similar analytics and business intelligence tools.
• Experience developing vendor performance metrics, revenue dashboards, or physician-level collection reporting.

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Measures of success

• Accurate and timely reconciliation of fee-for-service revenue and collections.
• A reliable, well-documented centralized revenue and payment database.
• Timely identification and resolution of payment discrepancies and data-quality issues.
• Clear visibility into revenue performance by physician, payer, customer, and contract.
• Effective oversight and accountability of the outsourced billing vendor.
• Accurate physician payment calculations supported by transparent, understandable reporting.
• Scalable processes and controls that support organizational growth.

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Role profile

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Level

Manager; independent owner of the function

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Primary focus

Fee-for-service revenue, reconciliation, data infrastructure, and vendor performance

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Key relationships

Finance, Operations, physicians, clinical leadership, and outsourced billing/RCM vendor

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Ideal orientation

Analytical, systems-minded, detail-oriented, accountable, and a proactive self-starter who independently figures things out and communicates financial information clearly