Manager, Payer Rules & Revenue Cycle Optimization

What Revenue Cycle Management (RCM) contributes to Cardinal Health Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management (RCM) is responsible for managing the financial lifecycle of patient accounts and ensuring timely and accurate payment for services provided. This job family is focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue in a manner that is compliant with payer rules and requirements. The revenue cycle shadows the entire patient care journey and begins with patient intake and ends when the patient’s account balance is zero. This team also encompasses a payer administration function that ensures we are successfully operationalizing payer rules and requirements as well as facilitating payer relations and escalation efforts. Position Summary The Manager, Payer Rules & Revenue Cycle Optimization leads the operational implementation and ongoing maintenance of payer rules and contractual requirements across the revenue cycle. The role oversees a team of three FTEs responsible for payer rule administration and related operational support, ensuring new and existing payer agreements, amendments, and policy changes are accurately translated into workflows, system configuration, and preventive controls. The Manager provides functional oversight of Brightree and InRule payer rules, partnering with Paye