Revenue Cycle Manager – Full Cycle / Sensei Environment

•  Key Metric Tracking: Monitor full-cycle RCM performance, analyzing key metrics (DSO, denial rates, AR aging, net collections) to identify trends and execute corrective action plans
• Claims & Collections: Ensure timely claim follow-up and payment posting while executing strategies to minimize denials and accelerate cash flow
• Discrepancy Resolution: Resolve complex billing discrepancies and escalated denials in coordination with insurance carriers, practice teams, and patients
• Vendor Oversight: Oversee offshore/nearshore vendor performance, auditing daily payment posting across all practices and providing ongoing education on posting discrepancies

• SOP Development: Develop, implement, and maintain Standard Operating Procedures (SOPs) for RCM workflows within the Sensei environment
• Team Training & Mentorship: Train and mentor the in-house Sensei team on billing best practices, AR follow-up, documentation, and revenue integrity
• System Rollout Leadership: Lead cross-functional alignment and provide operational direction to ensure a smooth, timely rollout of the Sensei EMR/PMS platform
• Strategic Projects: Execute targeted projects as directed by the Senior Director of RCM and senior stakeholders tied to the Sensei initiative

• Documentation Integrity: Work with clinical and practice teams to enforce proper documentation and coding practices that support clean claim submission
• Month-End Close: Manage deliverables for the month-end close process, including detailed variance analysis
• Finance Partnership: Partner with the MAX Finance and Accounting team on operating policies, AR collectability, bad debt, and refund management
• Refund Approvals: Review and approve patient and insurance refund requests
• Surgeon AR Reviews: Participate in monthly Surgeon AR review meetings alongside the Senior Director of RCM and CFO
• Payer Relations: Build and maintain positive payer relationships, negotiating payment resolution and navigating complex payer requirements
• Departmental Support: Perform additional duties, special projects, or legacy system RCM oversight as assigned to drive overall departmental performance
• Communication & Deadlines: Manage time effectively to meet deadlines and maintain clear, proactive communication across all internal and external stakeholders
• Perform any and all other duties as assigned

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or a related field or a minimum of 10 years of healthcare management experience
• 5+ years of hands-on experience in healthcare revenue cycle management with a proven track record of process optimization
• Proven experience in medical billing and a deep understanding of health insurance payers and reimbursement structures
• Proficiency in medical office software and EMR/PMS systems (experience with Sensei EMR/PMS strongly preferred)
• Advanced proficiency in Microsoft Office Suite (Excel, Word, Outlook)
• Strong leadership, organizational, and time-management skills
• Outstanding interpersonal, verbal, and written communication skills
• Excellent customer service orientation and ability to resolve high-priority inquiries diplomatically
• Ability to thrive, adapt, and drive results in a fast-paced, high-growth environment

Established in September 2022 as the Northeast region’s first oral and maxillofacial surgery-only specialty platform, MAX Surgical Specialty Management is a surgeon-led management services organization developed with clinical and surgeon autonomy at its core. Today, MAX supports surgeons across New Jersey, New York, Pennsylvania, Vermont and Connecticut, enabling practices to channel resources, skills and knowledge within the oral surgery specialty, leading industry advancements and delivering the highest standard of patient care. Surgeons have access to a curated network that allows them to collaborate with and work alongside a diverse pool of highly skilled peers who are leaders in their specialty. MAX safeguards surgeons’ independence while offering robust support systems, access to advanced technology and opportunities for financial growth.

Integrity-driven. Patient-focused. Experience the difference at www.max-ssm.com.