Manager of Revenue Cycle Vendor Operations

Position Purpose

The Manager of Revenue Cycle Vendor Operations is responsible for the strategic oversight and operational management of external vendors that support the hospital’s revenue cycle functions. This role ensures vendor services contribute to accurate billing, timely reimbursement, regulatory compliance, and overall financial performance. The position serves as the primary point of coordination for vendor selection, onboarding, performance monitoring, and issue resolution, while ensuring alignment with organizational policies, payer requirements, and operational goals.

Nature and Scope

This position is a shared services position that reports to the Director of Patient Revenue and supports all of Revenue Cycle. The incumbent works within the Revenue Cycle Leadership team to oversee all activities related to vendor operations and reporting needs.

The Manager of Revenue Cycle Vendor Operations must have expert knowledge of federal, state, and third-party billing, reimbursement and regulatory requirements. Ability to provide technical information to peers, subordinate staff, and ancillary departments to support positive vendor relationship outcomes.

Key responsibilities and activities include the following:

Vendor Management and Relationship Oversight

• Serve as the primary liaison for vendors supporting revenue cycle functions, including patient access, coding, billing, collections, denial management, and revenue cycle technology.

• Establish and maintain collaborative, performance-driven vendor relationships aligned with organizational standards and financial objectives.

• Facilitate regular communication to ensure expectations, deliverables, and escalation processes are clearly defined.

Contracting and Procurement

• Lead vendor selection in accordance with hospital policies and applicable regulations.

• Negotiate contracts, in partnership with Supply Chain, providing clearly defined service-level agreements (SLAs), performance metrics, and financial accountability measures.

• Oversee vendor onboarding, credentialing, and system access coordination in collaboration with IT, Compliance, and Information Security.

Performance Monitoring and Financial Outcomes

• Monitor vendor performance using established revenue cycle KPIs, including days in A/R, denial rates, net collection rate, clean claim rate, and productivity measures.

• Utilize reporting from Epic and other financial systems to validate vendor performance and identify trends or risks.

• Implement corrective action plans, in partnership with Supply Chain, when vendors fail to meet contractual, financial, or compliance standards.

Cross-Functional Collaboration

• Partner with Revenue Cycle Leadership, Finance, Compliance, HIM, Patient Access, and IT teams to ensure vendor services integrate effectively with hospital workflows.

• Provide input to budgeting, forecasting, and revenue optimization initiatives related to vendor-supported services.

• Prepare reports, scorecards, and summaries for leadership regarding vendor performance, risks, and improvement opportunities.

Compliance and Risk Management

• Ensure vendors comply with applicable billing, coding, privacy, and payer regulations, including HIPAA and CMS requirements.

• Conduct periodic risk assessments to identify potential revenue leakage, compliance exposure, or operational dependency.

• Manage vendor-related incidents, including billing errors, payer audits, or service disruptions, ensuring timely resolution.

Continuous Improvement

• Evaluate vendor capabilities against industry benchmarks and organizational needs.

• Identify opportunities to improve efficiency, reduce costs, or enhance revenue performance through vendor optimization or process improvement.

• Support initiatives to standardize workflows and improve revenue cycle effectiveness.

This position does not provide patient care

Disclaimer

The foregoing description is not intended to be, and should not be construed as, an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications

Requirements - Required and/or Preferred