Revenue Cycle Program Manager, Denials Prevention

Revenue Cycle & Billing
Remote
October 5, 2026
$110,000 - $130,000 / year
Contract Full Time Remote
Application ends: November 6, 2026

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Job Description

Location: Remote

We are seeking a Revenue Cycle Program Manager, Denials Prevention to lead a proactive, organization wide program that prevents denials at their source and strengthens reimbursement across the full revenue cycle. This position is a full-time, contract to hire opportunity based remotely. The role connects patient access, coding, clinical documentation, and contracting to turn denial data into lasting process improvements.

This role is well aligned for a revenue cycle professional who enjoys root cause analysis and building programs that create measurable, sustained results. The ideal candidate leads confidently through influence, builds strong partnerships with department leaders, and turns complex denial trends into clear actions that teams across the organization can own.

Responsibilities:

  • Lead the denials prevention program across the full revenue cycle
  • Categorize denials by root cause and trace each category to its originating department and workflow
  • Develop prevention initiatives focused on the highest volume and highest dollar denial categories
  • Partner with patient access, coding, CDI, and clinical departments to implement upstream process improvements
  • Monitor initial denial rate, overturn rate, and write-off trends by payer and category
  • Analyze changes in payer behavior and adjust prevention strategy accordingly
  • Support appeals strategy, including template quality and escalation of systemic denial patterns
  • Track payer performance against contract terms and refer variances for contracting review
  • Build department level reporting that gives clear visibility into denial ownership
  • Lead a cross functional denials committee with defined actions and accountability
  • Quantify the financial value of prevented denials and confirm improvements are sustained over time
  • Document processes and reporting to support long term program ownership

Qualifications:

  • Bachelor’s degree required
  • Minimum of 5 years of revenue cycle experience with a focus on denials management or prevention
  • Demonstrated experience performing denial root cause analysis across multiple revenue cycle functions
  • Working knowledge of payer policy, medical necessity denials, and appeal processes
  • Proven success leading process change across departments outside direct reporting authority
  • Certified Revenue Cycle Representative (CRCR) or equivalent credential preferred
  • Familiarity with managed care contract terms and payer performance monitoring preferred
  • Strong analytical skills with claims and denial data

Schedule:

  • Full-time, contract to hire position with conversion anticipated after the initial contract period
  • Remote position
  • Monday through Friday, standard business hours ([Time Zone])
  • 40 hours per week

Salary Range: The salary range for this position is approximately $110,000 – $130,000 annually ($52.88 – $62.50 per hour), based on experience and qualifications.

Interview Process:

Selected candidates will participate in a multi-step interview process, including an initial screening with TalentLNX followed by interviews with department leadership.

Equal Opportunity Employer: TalentLNX is committed to equal employment opportunity and a diverse, inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

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