Revenue Cycle and Finance Services Manager

Our mission is to Advance Alaska’s Wellness by being Community Health’s Best Friend. Our core customers are Alaska Community Health Centers (CHCs). We are a team of highly qualified and effective professionals in an array of community-minded and -focused areas of study who love to help communities improve access to health and healthcare.  

We strive to deliver high quality and tailored training and technical assistance to Community Health Centers and other community health providers in policy, workforce development, clinical care, financial sustainability, governance, and quality.  

Position Summary 

The Revenue Cycle and Finance Services Manager supports CHCs to enhance their revenue cycle management through assessment and analysis of CHC needs, development of recommended solutions, implementation of training and technical assistance plans for CHCs, and evaluation of those plans’ outcomes and impacts. This position will also be responsible for planning, coordinating, facilitating, and evaluating CHC peer networks related to finance. This position assists CHCs with improving financial performance, increasing financial oversight, improving compliance with HRSA grant requirements, promoting sustainability and quality improvement support to increase reimbursement.   

This position is responsible for credentialing services that support health centers and supervises staff who are responsible for that work. The incumbent, supports grant and project management, and provides input on relevant policy issues. 

Essential Duties and Responsibilities include the following: 

Other duties may be assigned, as necessary. 

Training and technical assistance 

• Develop and maintain subject matter expertise in healthcare industry coding, revenue cycle, claims, credentialing, eligibility, patient outreach, value-based care and payment, and state specific insurance/laws/regulations. 

• Network, build and maintain relationships with CHC staff, network partners and stakeholders to provide training and quality improvement for CHCs. 

• Develop, implement, and evaluate plans to address CHC revenue cycle management, claims, credentialing, eligibility, patient outreach needs and meet defined outcomes. 

• Assess and anticipate CHC needs for T/TA activities. 

• Coordinate and/or perform Fee Analysis services for Health Centers. 

• Support or lead Operational Assessments related to finance, including Sliding Fee Discount Program (SFDP), Contracts and Subawards, Conflict of Interest, Budget, Program Monitoring and Data Reporting Systems, and Billing and Collections. 

• Provide technical assistance to health centers around finance, billing, coding, patient outreach, credentialing, and revenue cycle management and other related areas with a systematic and analytic approach toward identifying and addressing needs. 

• Ensure review and resolution of CHC challenges and issues related to finance, billing, coding, revenue cycle management, patient outreach, credentialing, value based care and payment, and other related areas. 

• Coordinate, develop, and present presentations, resources, and other related content for health centers. 

• Maintain and facilitate peer learning groups as appropriate. 

• Participate in APCA and outside partner workgroups as requested to provide expertise in billing/coding/revenue cycle management areas to health centers. 

Credentialing Leadership and Supervision 

• Manage credentialing services and staff to provide timely and high-quality services to health centers 

• Provide servant leadership to program team. 

• Oversee the day-to-day duties of direct reports, provide program and project guidance, and delegate work appropriately. 

• Manage staff, workload, and funding resources efficiently towards successful outcomes and completion of APCA’s and the department’s strategic goals. 

• Cultivate a high-performing and skilled team through mentoring, coaching, counseling, and training to continuously improve self and staff expertise, productivity, efficacy, and performance. 

• Manage staff development and training opportunities to support growth and professional development within assigned programs. 

• Facilitate cohesion and effective collaboration of OPS team members to achieve shared objectives. 

• Model and ensure compliance with APCA and funders’ guidelines, policies, and procedures. 

Grant and Project Management 

• Plan, track, implement, and support reporting of assigned grant work plan or project deliverables. 

• Establish and prioritize tasks and objectives in order to manage time and resources appropriately. 

• Plan and organize Finance Summit content and other related events, anticipating the needs of Alaska health centers. 

• Provide input on grant workplans and budgets to support delivery of services to meet CHC needs, including recommending changes. 

Policy 

• Support and inform health policy activities as they relate to CHC finance, billing & coding, and revenue cycle management. 

Qualifications / Knowledge 

Required 

• Bachelor’s degree in Accounting, Health Care Financial Management, or related field; year for year experience may be substituted in lieu of education 

• 3 years’ experience in a medical billing and coding or revenue cycle management 

• Coding Certification(s): CCS-P through AHIMA, NCICS through NCCA, or CPC through AAPC.  

• 5 years’ experience in a healthcare related field 

• Experience in community health centers, the Alaska healthcare industry, primary care associations, or non-profit settings 

• Experience leading or managing staff 

• Knowledge of CPT, HCPCs, and ICD-10  

• Knowledge of anatomy, physiology, and medical terminology  

Preferred 

• CRC Certificate 

• CH-CBS Certificate 

• 5 years' experience with revenue cycle management or medical billing and coding 

Skills and Abilities 

• Ability to work effectively with a variety of professionals and organizations across social and cultural differences in diverse populations 

• Ability to work independently in a collaborative work environment 

• Ability to execute discretion, independent judgment, and maintain neutrality and confidentiality 

• Comprehensive and detailed understanding of underserved populations in Alaska, as well as the needs and opportunities within Alaska’s community health centers and communities. 

• Ability to effectively and efficiently manage and delegate work appropriately. 

• High degree of initiative, planning, organization, and independent judgment. 

• Excellent written and oral communication skills 

• Outcome driven and solution focused. 

• Knowledgeable and skilled in revenue cycle management 

• Excellent customer service skills 

• Ability to execute discretion and independent judgment 

• Ability to project and maintain a credible, professional image.   

• Proactive problem solving skills 

• Ability to work as a member of a team and be able to support organizational decisions. Incumbent must always promote the APCA in a positive light both internally among staff and externally among members and other stakeholders. 

• Discover new opportunities and solutions for problems by looking beyond current practices and using innovative thinking  

• Ability to accomplish objectives and goals by developing, organizing, and monitoring work processes and tasks. 

• Proficient in Microsoft Office Suite 

Supervisory Relationship 

• Received 

• Works under the direct supervision of the Health Center Operations Senior Manager. Performance is assessed through review of work, integration, and cooperation within the Department and APCA, communication with all stakeholders, quality and timeliness of deliverables and associated criteria.  

• Exercised 

• Supervises the Community Health Worker Instructor and OPS Support Specialist and assesses performance through review of work, integration, and cooperation within the Department and APCA, communication with all stakeholders, quality and timeliness of deliverables and associated criteria. 

Language Skills 

Required 

• Fluency in written and spoken English required.  

• Superior written and oral communication skills. 

Travel Required 

In-city travel by dependable transportation for meetings, tasks, and errands as needed. In-state travel may occur. Out-of-state travel may occur. Mileage is reimbursed per APCA policy.? 

Hours per Week 

This is a full-time position, 40 hours/week. Generally, hours are 8:00 a.m. to 5:00 p.m. 

Physical Demands 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.?Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

While performing the duties of this job, the employee is regularly required to sit,?talk,?and hear, and be able to operate a computer, printer, telephone,?computer/projector combination,?and photocopier. 

Work Environment 

Duties will generally be performed in an office setting with travel and associated accommodations throughout the local area, the state of Alaska, and the Lower 48 as needed. 

NOTE:?Any description of work is a picture of the major responsibilities of a position at a given point in time. Jobs are dynamic and assignments/priorities may change.?The primary purpose of this description is to outline and communicate key tasks and expectations for the position. This description does not imply or create a contractual relationship.?Alaska Primary Care Association is an at-will employer.? 

Alaska Primary Care Association provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.  

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.