Job Description

About the Opportunity

We're a mission-driven healthcare benefits organization with a collaborative, people-first culture, and we're looking for a Revenue Cycle Manager to lead and modernize our billing and accounts receivable function. This is a rare chance to shape a function rather than simply maintain one. We recently transitioned to a new plan administration platform, and we need a leader who will question how things are done today, understand the reasoning behind every step, and help us build something better.

The role begins with a comprehensive assessment of our current function, conducted in partnership with our CFO, and moves into designing and implementing a revenue cycle operation built on accurate billing, clean reconciliations, timely collections, reliable reporting, and strong internal controls.

What We're Looking For

You understand the "why" behind accounts receivable, not just the "how." You're comfortable rolling up your sleeves on day-to-day operations, but you're equally at home stepping back to evaluate processes, identify root causes, and lead improvement projects from assessment through implementation. You've challenged the status quo before and have results to show for it.

Key Responsibilities

• Lead a full assessment of our existing billing and AR function alongside the CFO, then design and execute a roadmap to bring it in line with industry best practice
• Own process improvement initiatives as defined projects, with clear scope, milestones, and measurable outcomes
• Oversee the monthly premium billing cycle end to end, including invoice generation, distribution, and cash application, ensuring billing aligns with eligibility and contracted rates
• Reconcile the AR subledger to the general ledger monthly across multiple reporting entities, with full supporting documentation within the close calendar
• Produce the monthly AR aging with written commentary on significant balances and collection actions taken
• Establish collection procedures, escalation thresholds, and delinquency cycles aligned with contract grace period and termination terms
• Recommend the quarterly allowance for doubtful accounts using a documented, aging-based methodology
• Review and approve adjustments, retroactive terminations, reinstatements, refunds, and payment reversals within delegated authority
• Design and maintain internal controls, including segregation of duties and documented compensating controls in a lean team environment
• Own billing configuration and revenue integrity within our plan administration system, validating rate loads, benefit setup, and eligibility-driven invoicing, and correcting defects at their source
• Partner with IT on data flows between the administration platform and general ledger
• Prepare AR schedules, roll-forwards, and confirmations for the annual audit and regulatory reporting
• Report key metrics to the CFO, including DSO, aging distribution, collection results, unapplied cash, and open reconciling items
• Supervise, coach, and develop AR staff, setting clear performance standards and accountability
• Collaborate across Enrollment, Sales, Compliance, IT, and Accounting to resolve discrepancies at their origin
• Maintain HIPAA compliance and confidentiality of member and company information

Qualifications

• Bachelor's degree in accounting, finance, or business administration, or equivalent progressive experience
• 5+ years of accounts receivable, premium billing, or revenue cycle experience, including 2+ years directly supervising staff
• Healthcare experience required; background in health plans, insurance, or benefits administration strongly preferred
• Demonstrated track record of leading process improvement or transformation projects, not just managing day-to-day operations
• Strong grasp of GAAP as it applies to premium revenue, receivables, and allowance estimation
• Experience with eligibility-driven billing, retroactive adjustments, and capitation arrangements
• Multi-entity subledger to GL reconciliation experience
• Solid understanding of internal controls over cash receipts and receivables
• Advanced Excel skills and experience with enterprise accounting and plan administration systems
• Ability to think strategically and communicate effectively with executive leadership

Additional Details

• Hybrid role; candidates must reside in Washington State
• Availability during Pacific Time business hours
• Secure home work environment meeting information security requirements
• Occasional travel required

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