Revenue Cycle and A/P Manager

About Us

Fanno Creek Clinic is state certified, tier 3 patient-centered primary care home located in Southwest Portland, Oregon. We serve a diverse adult patient population and offer high quality primary health care together with the convenience of on-site specialists, lab, X-ray, ultrasound, screening mammography, and echocardiology services. Owned by both the physicians and staff members, we collectively strive to create an environment that supports providing personalized, patient-centered health care.

Job Summary

The Revenue Cycle/AP Manager coordinates and supports day-to-day financial activities of the clinic in support of our overall mission and reports to the Clinic Administrator. Responsibilities include revenue management processes, pricing, negotiation of insurance payer and other vendor contracts, and overseeing the submission of patient charges for services. This position facilitates and supports the development and implementation of strategic initiatives focused on improving the profitability of the clinic.

Essential Functions:

Revenue Cycle Management:

· Responsible for overseeing patient billing, coding, accounts receivable, and collections processes for the billing department. Oversight includes the development, implementation, evaluation, and redesign (if necessary) of processes to ensure comprehensiveness and compliance with applicable standards and regulations.

· Ensures that financial controls are in place to minimize possibility of revenue loss.

· Collaborates with Billing Office Manager, Information Technology (IT), Patient Scheduling, Referral Department, and others to optimize revenue cycle processes and develop and track revenue cycle metrics.

· Performs and reviews contract negotiations with various insurance payers and other established vendors.

Financial Management:

· Performs and coordinates Accounts Payable processing including creation and review of vendor accounts, recordkeeping, and timely submission of payments in accordance with clinic financial policies.

· Ensures that Accounting Department requests are resolved and communicated in a timely manner to internal and external parties.

· Works closely with clinic management to ensure adherence to budget(s).

· Collaborates with clinic management to improve efficiency and cost-effectiveness of billing and financial operations.

· Works in collaboration with Clinic Administrator, Medical Director and clinic partners in development, specifications, requirements and financial models for contracted services with outside parties for products and services.

· Analyzes financial information and generates monthly, quarterly, and year-end reports as requested.

· Develops and maintains databases/reports on cost and profitability indicators to track and support program planning and assessment.

Other Administrative:

· Oversees and provides updates on provider credentialing process in conjunction with internal staff and outside vendors.

· Provides accurate and detailed management reporting, assists with information flow between the front office and billing office and supports organizational planning.

· Other miscellaneous administrative duties and projects as assigned.

Qualifications/Experience:

· Minimum of 3 years’ experience in Financial Management in a healthcare setting.

· Minimum of 3 years’ medical billing experience working with medical coding, insurance payers, contracts, and revenue management including Medicare billing.

· Previous experience with provider provisioning/credentialing.

· Intermediate or advanced computer skills and proficient in QuickBooks, Excel, Word, Outlook, Access, practice management software systems and electronic health records (EHR) systems.

· Exercises a high degree of initiative, judgment, discretion and problem-solving to achieve organizational objectives.

· Knowledge of the purposes, organization, and policies of the community's health systems sufficient to interact with other health care entities.

· Expert communicator, clear and direct in both verbal and written communication.

· Commitment to high professional and ethical standards, and a diverse workforce.

· Excels in a fast-paced work environment.

· Able to adapt to multiple demands and priorities and meet deadlines.

· Advanced time and priority management skills, maintains productivity with minimal supervision.

· Able to plan, research, and manage complex projects with multiple stakeholders.

· Open to direction and collaboration.

· BA/BS degree in business management, finance, organizational development and/or other related field.

· Experience in primary health care delivery systems preferred.

· Knowledge of Generally Accepted Accounting Principles (GAAP) and best practices.

· Understands and upholds HIPAA and patient confidentiality requirements.

Compensation:

$36.00-$44.00 hourly (DOE)

FLSA non-exempt status

Job Type: Part-time 20 hours per week

Benefits:

• 401(k) with 3% employer contribution
• Health insurance
• Dental insurance
• Disability insurance
• Employee assistance program
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Schedule:

• Choose your own hours
• Day shift
• No nights
• No weekends