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Revenue Cycle Net Revenue Manager

Revenue Cycle Net Revenue Manager

Inova Health SystemFairfax, VA, United States
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Inova Health is looking for a dedicated Net Revenue Manager Lead to join their Revenue Cycle - Financial team. This remote role will be full-time day shift from Monday - Friday, 9 : 00 a.m. - 5 : 30 p.m.

We are seeking a Revenue Cycle Net Revenue Manager with a strong background in finance and analytics to drive revenue cycle performance and net revenue optimization. The ideal candidate brings advanced Excel skills, proven experience in financial modeling and reporting, and the ability to translate complex data into actionable insights that support strategy, process improvement, and payer contract success.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits :

  • Committed to Team Member Health : offering medical, dental and vision coverage, and a robust team member wellness program.
  • Retirement : Inova matches the first 5% of eligible contributions - starting on your first day.
  • Tuition and Student Loan Assistance : offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
  • Mental Health Support : offering all Inova team members, their spouses / partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
  • Work / Life Balance : offering paid time off, paid parental leave, and flexible work schedules

Revenue Cycle Net Revenue Manager Job Responsibilities :

  • Creates and enforces work standards, quality measures, and process improvements that are consistent with the organization's goals and objectives. Ensures regulatory compliance with Medicare and state authorities, Generally Accepted Accounting Principles and any external governing authority.
  • Assures claims are reviewed, corrections are identified / made or resolutions are initiated while ensuring all follow-up claims / actions are submitted via the appropriate medium and with all required attachments.
  • Maintains knowledge of government regulations, payer requirements, UB-04 standards, information system functionality (i.e. Hospital, clearinghouse, payer), hospital policies / procedures and departmental SRGs.
  • Evaluates the impact of new or upgrades to existing systems / tools while performing testing of system changes, providing technical / operational support during implementation and evaluating the success of new systems / tools.
  • Ensures timely / accurate billing, collection, posting, servicing, and / or auditing of the $1.5 billion receivable stream.
  • Ensures follow-up is completed utilizing TRAC work lists, QMS, or other systems / reports according to department policy / procedure, SRG, or industry best practice standards.
  • Demonstrates a working knowledge of CareMedic systems, DSS electronic billing systems, Syntellect IVR systems, HealthQuest 2000, QMS, and Premis electronic billing systems.
  • Provides feedback and training to supervisors and staff. Provides resolution for pended (WIP backlog) claims within allowable timeframes (as defined for appropriate deficiency) and / or ensures billed claims receive timely and appropriate follow up based on established protocol or SRG.
  • Oversees assigned department or functional area to ensure it is performing effectively, which may include but not limited to, hiring and training team members, creating and implementing business strategies, managing performance of team members, and delegating tasks.

    • Minimum Qualifications :

  • Experience : Four years of experience in Revenue Cycle, Clinic Operations, Credentialing, Denials Management and / or HB / PB Operation roles; Two years in leadership roles
  • Education : Bachelors Degree or lesser educational degree with four additional years of experience

    • Preferred Qualifications :

  • Bachelor's degree in Accounting, Finance, or related field preferred; advanced degree or certification a plus.
  • Strong proficiency in Microsoft Excel (advanced formulas, pivot tables, financial modeling, dashboards).
  • Proven experience in financial analytics, reporting, budgeting / forecasting, and revenue cycle performance metrics (Net Revenue, AR, Denials, Cash).
  • Demonstrated ability to support managed care contract strategy, including payer trend analysis, financial modeling, and negotiation support.
  • Skilled in process improvement, workflow streamlining, and ensuring accuracy, timeliness, and completeness of financial data.
  • Strong communication and presentation skills with experience translating complex data into actionable insights for leadership.

    • Remote Eligibility : This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV

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    Revenue Cycle Manager • Fairfax, VA, United States

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