What are the responsibilities and job description for the Revenue Cycle Manager position at Health Ministries Clinic?
Revenue Cycle Manager
About Us:
We are a dynamic and patient-centered healthcare organization committed to delivering exceptional care to our communities.
Health Ministries Clinic (HMC) is seeking an experienced and results-driven Revenue Cycle Manager to lead our billing, coding, and revenue cycle operations. If you are a strategic thinker with a strong background in healthcare billing, coding, and revenue cycle management, we invite you to join our team and make an impact on both operational efficiency and patient care.
Position Overview:
The Revenue Cycle Manager is responsible for leading and managing the full spectrum of billing, coding, and revenue cycle operations within the organization. This includes overseeing the timely and accurate submission of claims, optimizing cash flow, managing accounts receivable, and ensuring compliance with all healthcare regulations. In this role, you will manage denial prevention, appeals, and underpayment recovery while collaborating with payer contracts and reimbursement models specific to Federally Qualified Health Centers (FQHCs). You will also play a key role in staff leadership, training, and process improvement to drive operational efficiency.
Key Responsibilities:
- Oversee timely claims submission and manage billing/collections for Medicare, Medicaid, commercial payers, and self-pay patients.
- Lead denial management, appeals, underpayment recovery, and monitor A/R aging reports to improve cash flow.
- Ensure compliance with Medicare/Medicaid regulations, FQHC policies, HIPAA, coding standards (ICD-10, CPT), and value-based care initiatives.
- Supervise, train, and develop the billing and revenue cycle team while setting performance benchmarks and monitoring KPIs.
- Drive process improvements to enhance revenue cycle efficiency and collaborate with clinical and finance teams to align financial and patient care strategies.
- Oversee sliding fee scale programs, financial assistance, and community support initiatives.
Qualifications:
- Education & Experience:
- Bachelor's or Master's degree in Healthcare Administration, Business, Finance, or a related field.
- 5 years of experience in healthcare billing, coding, or revenue cycle management, with a proven ability to drive results, (preferred).
- 3 years in a managerial role within Revenue Cycle Management, (preferred).
- Experience in Federally Qualified Health Centers (FQHCs) preferred.
- Knowledge & Skills:
- Strong knowledge of healthcare billing, coding (CPT, ICD-10, HCPCS), and AR management.
- Expertise in Medicare, Medicaid, managed care, and FQHC reimbursement models.
- Familiarity with eClinicalWorks or similar EHR systems.
- In-depth understanding of HIPAA, HITECH, CMS regulations, and value-based payment models.
- Excellent leadership skills and experience managing teams.
- Strong ability to multi-task, prioritize, and work independently in a fast-paced environment.
- Certifications (preferred):
- Certified Revenue Cycle Representative (CRCR) - HFMA
- Certified Professional Biller (CPB) - AAPC
- Certified Healthcare Financial Professional (CHFP) - HFMA
- Certified Medical Practice Executive (CMPE) - MGMA
What We Offer:
- Competitive salary and benefits package
- Professional development and training opportunities
- A supportive and collaborative work environment
- Opportunities to make a tangible impact on the healthcare experience of our patients and community
If you are an experienced and driven Revenue Cycle Manager ready to lead a dynamic team in a growing healthcare organization, we would love to hear from you. Apply today to take the next step in your career!
