Druid City Vital Care
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System Revenue Integrity Manager
role at
Druid City Vital Care
Druid City Vital Care located in Northport, Alabama, is a leading home infusion therapy pharmacy dedicated to providing safe, convenient care for patients with acute and chronic conditions. We are recognized for excellence in sterile drug compounding and have earned top honors as the #1 franchise in the Vital Care network for 2023 and 2024.
About the Role The Revenue Integrity Manager oversees billing and collections across all franchise locations, ensuring timely and accurate reimbursement. This role manages reimbursement operations, maintains a shadow accounting system to validate billing performance, and ensures full reconciliation of claims, payments, and adjustments. The position promotes regulatory compliance, identifies discrepancies, and escalates issues to protect financial integrity. The Revenue Cycle Manager also cultivates strong relationships with franchise partners, payers, and revenue cycle teams while developing a high‑performing team to support efficient, customer‑focused revenue cycle operations.
Responsibilities
Create and maintain a real‑time shadow revenue cycle tracking system that mirrors billing and collections activities.
Ensure accurate mapping of the entire claim lifecycle – submission, adjudication, denials, appeals, payments, write‑offs, refunds, and patient responsibility – and establish automated reporting, reconciliation routines, and data validation processes to identify revenue leakage.
Support audit defense, contract validation, and financial due diligence activities.
Develop dashboards (daily, weekly, monthly) measuring collections, AR aging, denial trends, and cash posting variances, and prepare fiscal period performance review packages for leadership.
Analyze revenue cycle data to identify risks, trends, and opportunities for increased reimbursement and present findings to senior leadership, highlighting systemic issues and recommendations for improvement.
Ensure billing practices align with payer contracts, federal/state regulations, franchise agreements, and internal policies, and oversee secure handling of PHI/PII with HIPAA, CMS, and audit standards compliance.
Provide support to franchise locations to maintain compliant financial hardship, billing, and collection procedures.
Serve as the primary liaison with Vital Care billing leadership, outsourced billing partners, and third‑party RCM vendors; monitor service levels, claim turnaround times, denial management performance, and cash posting accuracy.
Escalate unresolved issues or high‑risk discrepancies to legal, compliance, or executive leadership.
Collaborate with intake, authorization, clinical, operations, system support, and finance teams to ensure data integrity from referral through cash application.
Deploy automation solutions (RPA, ETL, data integration tools) to streamline workflows, improve accuracy, and reduce manual burden.
Lead initiatives to improve claim accuracy, reduce days in AR, strengthen payer reimbursement, and minimize denials and adjustments.
Oversee franchise billing and collection staff, ensuring proper training, process adherence, and performance management.
Create, implement, communicate, and maintain SOPs for all revenue cycle functions and build a high‑performing team culture focused on accuracy, timeliness, compliance, and customer service.
Set departmental goals, monitor productivity, and hold team members accountable for operational targets.
Qualifications
Bachelor’s degree in finance, healthcare administration, accounting, or related field.
Minimum of 3‑5 years of healthcare revenue cycle experience.
Strong understanding of payer rules, EOBS/ERA posting, denial management, AR workflows, and reimbursement strategies.
Experience with Excel, SQL, Power BI/Tableau, or other analytics tools and demonstrated ability to build systems from scratch, audit financial flows, and challenge external assumptions with data.
Excellent communication and relationship management skills, especially with vendors and franchise partners.
Preferred
Master’s degree in finance, healthcare administration, accounting, or related field.
Healthcare revenue cycle management experience in specialty pharmacy infusion, DME, or home health.
Commitment to Diversity and Inclusivity At Druid City Vital Care, we believe that diversity and inclusivity are essential to delivering exceptional care and fostering innovation. We are committed to creating a workplace where every individual is respected, valued, and empowered regardless of race, ethnicity, gender identity, age, ability, or background.
Inclusive Hiring Practices : Ensuring equal opportunities for all candidates.
Ongoing Education : Providing training to promote cultural competence and eliminate bias.
Collaborative Environment : Encouraging diverse perspectives to strengthen patient care and organizational success.
By embracing diversity and inclusion, we aim to reflect the communities we serve and build a culture of belonging for our employees and patients alike.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Accounting/Auditing and Finance
Industries Hospitals and Health Care
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System Revenue Integrity Manager
role at
Druid City Vital Care
Druid City Vital Care located in Northport, Alabama, is a leading home infusion therapy pharmacy dedicated to providing safe, convenient care for patients with acute and chronic conditions. We are recognized for excellence in sterile drug compounding and have earned top honors as the #1 franchise in the Vital Care network for 2023 and 2024.
About the Role The Revenue Integrity Manager oversees billing and collections across all franchise locations, ensuring timely and accurate reimbursement. This role manages reimbursement operations, maintains a shadow accounting system to validate billing performance, and ensures full reconciliation of claims, payments, and adjustments. The position promotes regulatory compliance, identifies discrepancies, and escalates issues to protect financial integrity. The Revenue Cycle Manager also cultivates strong relationships with franchise partners, payers, and revenue cycle teams while developing a high‑performing team to support efficient, customer‑focused revenue cycle operations.
Responsibilities
Create and maintain a real‑time shadow revenue cycle tracking system that mirrors billing and collections activities.
Ensure accurate mapping of the entire claim lifecycle – submission, adjudication, denials, appeals, payments, write‑offs, refunds, and patient responsibility – and establish automated reporting, reconciliation routines, and data validation processes to identify revenue leakage.
Support audit defense, contract validation, and financial due diligence activities.
Develop dashboards (daily, weekly, monthly) measuring collections, AR aging, denial trends, and cash posting variances, and prepare fiscal period performance review packages for leadership.
Analyze revenue cycle data to identify risks, trends, and opportunities for increased reimbursement and present findings to senior leadership, highlighting systemic issues and recommendations for improvement.
Ensure billing practices align with payer contracts, federal/state regulations, franchise agreements, and internal policies, and oversee secure handling of PHI/PII with HIPAA, CMS, and audit standards compliance.
Provide support to franchise locations to maintain compliant financial hardship, billing, and collection procedures.
Serve as the primary liaison with Vital Care billing leadership, outsourced billing partners, and third‑party RCM vendors; monitor service levels, claim turnaround times, denial management performance, and cash posting accuracy.
Escalate unresolved issues or high‑risk discrepancies to legal, compliance, or executive leadership.
Collaborate with intake, authorization, clinical, operations, system support, and finance teams to ensure data integrity from referral through cash application.
Deploy automation solutions (RPA, ETL, data integration tools) to streamline workflows, improve accuracy, and reduce manual burden.
Lead initiatives to improve claim accuracy, reduce days in AR, strengthen payer reimbursement, and minimize denials and adjustments.
Oversee franchise billing and collection staff, ensuring proper training, process adherence, and performance management.
Create, implement, communicate, and maintain SOPs for all revenue cycle functions and build a high‑performing team culture focused on accuracy, timeliness, compliance, and customer service.
Set departmental goals, monitor productivity, and hold team members accountable for operational targets.
Qualifications
Bachelor’s degree in finance, healthcare administration, accounting, or related field.
Minimum of 3‑5 years of healthcare revenue cycle experience.
Strong understanding of payer rules, EOBS/ERA posting, denial management, AR workflows, and reimbursement strategies.
Experience with Excel, SQL, Power BI/Tableau, or other analytics tools and demonstrated ability to build systems from scratch, audit financial flows, and challenge external assumptions with data.
Excellent communication and relationship management skills, especially with vendors and franchise partners.
Preferred
Master’s degree in finance, healthcare administration, accounting, or related field.
Healthcare revenue cycle management experience in specialty pharmacy infusion, DME, or home health.
Commitment to Diversity and Inclusivity At Druid City Vital Care, we believe that diversity and inclusivity are essential to delivering exceptional care and fostering innovation. We are committed to creating a workplace where every individual is respected, valued, and empowered regardless of race, ethnicity, gender identity, age, ability, or background.
Inclusive Hiring Practices : Ensuring equal opportunities for all candidates.
Ongoing Education : Providing training to promote cultural competence and eliminate bias.
Collaborative Environment : Encouraging diverse perspectives to strengthen patient care and organizational success.
By embracing diversity and inclusion, we aim to reflect the communities we serve and build a culture of belonging for our employees and patients alike.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Accounting/Auditing and Finance
Industries Hospitals and Health Care
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