Manager Revenue Cycle Audit

Job Description

Insight Global is seeking a Manager, Revenue Cycle Compliance and Audit for a top durable medical equipment client. This hands-on leader will oversee compliance reviews across the complete DME order-to-payment lifecycle, including intake, documentation, authorization, delivery, billing, appeals, and patient financial responsibility. The ideal candidate will independently design and execute risk-based audits, investigate complex Medicare and commercial patient complaints, coordinate external payer audits, and analyze claims and patient-account data. This individual will partner with operational leaders to identify root causes, develop practical controls, validate corrective actions, and communicate clear, actionable findings to Compliance leadership. This is an excellent opportunity for an experienced DME compliance professional to build sustainable audit processes and make a measurable impact on patient protection, billing integrity, and organizational readiness.

Skills and Requirements

• Bachelor’s degree in healthcare administration, accounting, finance, business, or a related field, or equivalent relevant education and experience
• At least five years of experience in healthcare compliance, reimbursement audit, or revenue integrity
• Direct Medicare DMEPOS experience
• At least two years independently leading audits, compliance reviews, or cross-functional improvement projects
• Practical knowledge of the DME order-to-payment lifecycle, including capped rentals, documentation, authorizations, payer requirements, patient financial protections, refunds, and overpayments
• Proven ability to design and execute audits from planning through findings, root-cause analysis, and corrective-action validation
• Experience supporting external payer audits and resolving complex compliance issues
• Advanced Excel skills, including data reconciliation, lookup functions, pivot tables, and exception analysis
• Ability to prepare clear written findings and concise leadership-level PowerPoint presentations
• Experience working for a national DME supplier •Strong investigative judgment, discretion, cross-functional communication, and hands-on attention to detail
• Medicare patient-complaint investigation experience
• Compliance-program development experience
• Public-company readiness experience
• CHC, CPMA, or another relevant compliance or auditing credential
• Experience with SQL, Power BI, Salesforce, compliance case-management platforms, or healthcare billing systems •Additional payer-audit experience

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.