Revenue Cycle Manager

Welcome to Cherry Health - video about Cherry Health

Overview Of Position

The Manager of Revenue Cycle is responsible for leading and optimizing the organization’s revenue cycle processes to ensure financial efficiency, compliance, and exceptional patient service. This role involves overseeing billing, coding, collections, and reimbursement processes while driving operational improvements and implementing best practices to maximize revenue and minimize loss.

This is a full time, hybrid, benefit eligible position typically working Monday to Friday 8am-5pm.

Essential Duties And Responsibilities

• Demonstrate leadership and management skills that foster a culture of mentoring, coaching, motivating and engaging staff.
• Model and communicate key values in the community and to staff in a way that supports Cherry Health’s mission.
• Direct, supervise, train, evaluate competencies and address performance issues consistently, promptly, and appropriately to create a high-performing team.
• Generate regular revenue cycle performance reports, identifying trends and areas for improvement.
• Identify opportunities to streamline revenue cycle processes and implement technology solutions to improve efficiency and accuracy.
• Plan and facilitate meetings to communicate organization initiatives and updates to staff.
• Ensure compliance with all FQHC billing regulations, including HIPAA and Medicare guidelines.
• Assist in the development and monitoring of department/program budget.
• Assist and maintain reconciliation for annual cost reporting required by the Michigan Department of Health and Human Services (MDHHS).
• Other duties as assigned.
  
  

Skills / Knowledge / Abilities

• An understanding of insurance claim forms and the overall claims submission process
• Knowledge of CPT (Current Procedure Terminology) and current ICD (International Classification of Diseases), ADA (American Dental Association) coding, and the Healthcare Common Procedure Coding System (HCPCS)
• Solid knowledge of third-party payers including Medicaid and Medicare billing rules and requirements
• Solid knowledge of billing/coding terminology
• Ability to analyze data, identify trends, and implement data-driven strategies to improve revenue cycle performance.
• Experience managing and motivating a team to achieve revenue cycle goals.
• Excellent written and verbal communication skills to interact with patients, insurance companies, and internal stakeholders.
• Familiarity with FQHC regulations, Medicare/Medicaid guidelines, and HIPAA compliance requirements.
  
  

Competencies

• Customer Service
• Collaboration
• Integrity
• Respect
• Professionalism
• Learning
  
  

Experience Required

High School Diploma required.

Bachelor degree in health information management, healthcare billing/coding, or a similar field is preferred.

Must be certified by an accredited association. Examples include, but not limited to the following:

• Certified Professional Coder (CPC)
• Certified Professional Biller (CPB)
• Certified Coding Associate (CCA)
• Certified Coding Specialist (CCS)
• Certified Community Health Center Coding & Billing Specialist (CH-CBS)
• Certified Coding Specialist Professional (CCS-P)
• Registered Health Information Administrator (RHIA)
• Registered Health Information Technologist (RHIT)
• Certified Medical Reimbursement Specialist (CMRS)
• or an equivalent certification
  
  

In lieu of the specified education and experience requirements, a proven capability to perform the essential functions of the job, as demonstrated by an equivalent combination of education, training and/or relevant work experience may be considered.

Who We Are

Cherry Health, Michigan’s largest Federally Qualified Health Center (FQHC), operates in six counties across the state, is based in Grand Rapids. With a team of more than 800 health care professionals at 20 locations, Cherry Health focuses on removing barriers, expanding access, and delivering comprehensive quality health care services to underserved communities, regardless of an individual’s insurance status or ability to pay. We provide primary care, dental, vision, behavioral health, pharmacy services, substance abuse services, residential re-entry services, school-based health centers and more.

Our Mission

Cherry Health improves the health and wellness of individuals by providing comprehensive primary and behavioral health care while encouraging access by those who are underserved.

Our Vision

Our community will be healthier because we will seek out and welcome those who need our services. All will be treated as family with integrated, coordinated care to improve health and personal well-being.

Our Values

• Collaboration – Support the Cherry Health mission by encouraging teamwork to accomplish organizational goals.
• Customer Service – Serve internal and external customers in a welcoming manner with compassionate care.
• Diversity, Equity & Inclusion – Build a stronger culture through treating all patients and staff with respect, dignity and compassion.
• Innovation – Embrace creativity to improve patient care and workplace efficiency while remaining curious and open to learning.
• Integrity – Uphold the highest ethical standards by being honest and trustworthy.
• Professionalism – Create a positive work environment where we care accountable for our decision, our action and the results.
  
  

Benefits

Cherry Health has excellent benefit offerings dependent on employment status. Check out a sample of the benefits available to our team members below!

• Loan repayment through the NHSC and Michigan State Loan Repayment Program for select roles
• Medical, Dental and Vision Insurance for you and your family
• Generous Paid Time Off benefit – 4 weeks per year for full time
• Paid holidays - 8 full day paid holidays (Including Black Friday!) and 2 half day paid holidays!
• 403(b) Retirement Savings Plan with generous employer match - $ for $ match up to 5%
• MET and MESP 529 Savings Plans
• Pet Insurance!
• Employee Assistance Program
  
  

Our policy is to offer all employees and applicants for employment equal opportunity without regard to race, color, religion, gender, national origin, age, disability, genetic information, marital status, height, weight, sexual orientation, gender identity, or status as a covered veteran in accordance with applicable federal, state and local laws, or any other protected category.