Revenue Cycle Manager (RCM) - Denials, System, & Quality

Description

SENTA Partners is a leading Management Services Organization (MSO) specializing in providing comprehensive support to ENT and Allergy private practices. Our mission is to help people Breathe better, Hear better, Live better. At SENTA, we focus on the operational efficiencies and financial performance of our partner practices, allowing physicians to focus on delivering exceptional patient care. We are committed to fostering a collaborative and supportive work environment where our employees can thrive and grow.

Position Summary

The Revenue Cycle Manager (RCM) - Denials, Systems, and Quality is responsible for leading a defined functional area within the RCM department. The Manager provides day-to-day leadership to their team, drives performance against key operational metrics, ensures compliance with payer and regulatory requirements, and partners closely with clinical, operational, and executive stakeholders. The ideal candidate will have a strong background in healthcare billing, excellent leadership skills, and a proven track record in improving revenue cycle metrics.

This position oversees denial prevention and recovery, revenue cycle data integrity, system configuration, and quality monitoring. The Manager serves as the analytical and systems subject-matter expert, leads cross-functional initiatives to improve first-pass rates, and provides enterprise-level visibility into denial trends and workflow performance.

This role is critical to SENTA's overall success in achieving its vision of becoming the industry leading organization for ENT & Allergy physicians.

Key Responsibilities

• Partner with finance, compliance, clinical leaders, and operational teams to align initiatives.
• Serve as a trusted advisor regarding denial trends, system performance, and quality outcomes.
• Develop and implement strategies to reduce payer denials and improve first-pass acceptance rates.
• Analyze trends, identify root causes, and implement corrective actions.
• Partner with clinical and operational teams to resolve systemic issues.
• Lead monthly Denials Task Force meetings with practices and leadership.
• Maintain denial dashboards and provide actionable reporting.
• Manage and optimize revenue cycle systems, including EHR, billing platforms, clearinghouse connections, EDI / ERA, and other integrations.
• Collaborate with IT and vendors on system upgrades, workflow enhancements, and issue resolution.
• Serve as system SME for RCM, providing training and guidance to staff and leaders.
• Maintain centralized logs of system edits, scrubs, and practice-specific configurations.
• Ensure system administration redundancy to support continuity.
• Establish quality standards for revenue cycle workflows and performance.
• Conduct audits, review accuracy metrics, and implement improvements.
• Maintain dashboards and KPIs tracking timeliness, accuracy, and productivity.
• Lead continuous improvement initiatives to reduce errors and enhance operational efficiency.

What We Offer

Requirements

Qualifications