[Hiring] Manager, Revenue Cycle CBO @University of Virginia

Role Description

UVA Health is seeking an experienced and strategic revenue cycle leader to join our Professional Billing organization as our Manager, Revenue Cycle. This role offers a unique opportunity to lead a specialized team focused on insurance denials, underpayments, payer policy analysis, and revenue recovery while helping drive a proactive denial-prevention strategy across the organization.

If you enjoy solving complex reimbursement challenges, partnering with operational and physician leaders, interpreting payer policies, and leading teams through process improvement, this is an opportunity to make a measurable impact on the financial health of a nationally recognized academic health system.

Key Responsibilities

• Lead and develop a team focused on denial management and underpayment resolution.
• Monitor and oversee underpayment and low-pay work queues.
• Research and resolve complex reimbursement and payer escalation issues.
• Analyze payer policies, reimbursement methodologies, and coding guidelines.
• Review payer contracts and identify operational impacts.
• Collaborate with Epic teams to ensure payer requirements and reimbursement changes are accurately reflected within system workflows.
• Partner with physician groups, operational leaders, and stakeholders across the health system.
• Represent the department in payer meetings and serve as an escalation resource.
• Drive accountability and follow-through on complex reimbursement initiatives.
• Support denial prevention efforts through proactive policy review and operational improvements.
• Identify opportunities to improve workflows, processes, and financial performance.

Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• Management and/or supervisory experience in healthcare or a similar customer-focused environment.
• Professional billing experience.
• Experience with insurance claims, denials, reimbursement, or revenue cycle operations.
• Demonstrated leadership and team development abilities.

Preferred Qualifications

• Certified Professional Coder (CPC) credential.
• AHIMA certification or equivalent coding certification.
• Professional Billing (PB) denial management experience.
• Epic experience.
• Experience researching payer policies and reimbursement guidelines.
• Experience reviewing payer contracts.
• Strong understanding of coding guidelines and claim adjudication processes.
• Revenue Cycle leadership experience.
• Prior collections experience.

What Makes Someone Successful in This Role?

• Self-motivated and highly accountable.
• Analytical and naturally curious.
• Comfortable working through ambiguity and complex payer issues.
• Skilled in root-cause analysis and problem solving.
• Patient and effective when leading experienced teams.
• Able to build strong relationships across departments and stakeholder groups.
• Focused on both identifying problems and driving resolution.
• Passionate about continuous process improvement and operational excellence.

Requirements

• Education: Bachelor’s Degree required or obtain within 4 years of hire date. Significant (4+ years) experience beyond the required experience indicated below may be accepted in lieu of the Bachelor's degree.
• Experience: 3-5 years of management and/or supervisory experience in healthcare or similar customer-oriented business. Prior collections’ experience preferred.
• Licensure: CPC or AHIMA Coding certification strongly preferred.

Benefits

• Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
• Generous Paid Time Off
• Retirement Savings
• Long-term and Short-term Disability
• Health Saving Plans, and Flexible Spending Accounts
• Certification and Education Support

Company Description

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures.

We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.

The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA’s commitment to non-discrimination and equal opportunity employment.