The Revenue Cycle Manager is responsible for leading and coordinating all aspects of the revenue cycle, ensuring accurate billing, efficient collections, and maximized reimbursement. The role oversees billing and collections operations, manages enrollment and credentialing staff, and supervises financial counselors to ensure timely communication of patient financial responsibilities.
Requirements
- Bachelor's Degree in Business Administration or Informatics
- Current knowledge of third-party payers, special programs, Sliding Fee Discount Program, and Chapter 9 and 16 of the Health Center Compliance Manual
- Maintains current knowledge of FQHC payment methodologies and general billing rules through participation in continuing education
- Possesses an extensive and detailed knowledge of medical terminology, procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing and of insurance policies and contracts for multiple insurance vendors
- Possesses advanced knowledge and proficiency in revenue cycle data analysis, including interpretation of key performance indicators (KPIs), trend analysis, root cause identification, and development of data-driven recommendations to improve billing and collections performance
- Able to evaluate, modify and optimize EHR and revenue cycle system configurations based on analytical findings and operational performance data
- Exhibits expertise in developing and delivering detailed revenue cycle reports, dashboards, and performance analyses used to support leadership decision-making, strategic planning, and revenue optimization initiatives
- Strong technical proficiency with revenue cycle reporting tools, data visualization platforms, and advanced Excel or business intelligence applications
Benefits
- Generous Paid Time Off
- 401k Matching
- Retirement Plan
- Health Insurance
- Dental Insurance
- Vision Insurance