Revenue Cycle Manager

Job Title: Revenue Cycle Manager

Reports to: Chief Financial Officer

Job Purpose:

Oversees all functions of the revenue cycle for Harmony Health Medical Clinic and Family Resource Center (HHMCFRC), a Federally Qualified Health Center (FQHC), ensuring accurate billing, timely reimbursement, regulatory compliance, and strong financial performance. This role leads and supports teams across patient access, billing, coding, payment posting, denial management, and collections while partnering closely with clinical, operational, and finance leaders to sustain mission-driven care for underserved communities.

Key Responsibilities

Revenue Cycle Operations

• Direct and manage end-to-end revenue cycle processes, including patient registration, insurance eligibility verification, coding, charge capture, claims submission, payment posting, denial management, accounts receivable follow-up, and collections

Compliance & Quality Assurance

• Maintain compliance with federal, state, and payer-specific regulations, including HRSA, CMS, Medicaid, Medicare, managed care, and commercial payer guidelines
• Conduct regular audits of coding, documentation, claims, payment posting, and billing practices to ensure accuracy and mitigate compliance risk
• Develop, maintain, and implement policies, procedures, and internal controls that support compliant, accurate, and efficient revenue cycle operations

Leadership & Collaboration

• Supervise, train, and mentor revenue cycle staff, providing clear expectations, performance feedback, coaching, and professional development
• Collaborate with clinical and administrative teams to improve documentation quality, charge capture, patient registration accuracy, and the patient financial experience
• Serve as a primary liaison with external partners, including clearinghouses, payers, billing vendors, auditors, and credentialing entities

Data Analysis & Reporting

• Track and analyze key performance indicators (KPIs), including days in accounts receivable, denial rates, clean claim rates, collection rates, charge lag, payment lag, and encounter productivity
• Prepare monthly financial and operational reports for leadership and as requested, the Board of Directors
• Use data insights, payer trends, and root-cause analysis to recommend process improvements and support organizational decision-making
• Monitor and optimize workflows to reduce denials, improve clean claim rates, decrease charge lag, and accelerate cash flow
• Ensure accurate application of FQHC-specific billing requirements, including Prospective Payment System (PPS) reimbursement, wraparound payments, sliding fee discount program requirements, encounter reporting, and Uniform Data System (UDS) reporting support
• Oversee timely provider credentialing and payer enrollment for all billable providers and ensure payer information remains current

Job Requirements:

• Bachelor’s degree in healthcare administration, business administration, finance, accounting, or a related field; equivalent experience may be considered
• Minimum of 3–5 years of healthcare revenue cycle experience, including supervisory or management responsibility
• Strong knowledge of FQHC billing requirements, Medicaid and Medicare regulations, PPS reimbursement, managed care billing, and payer-specific guidelines
• Experience with electronic health record and practice management systems commonly used in FQHCs, such as OCHIN Epic or comparable platforms
• Demonstrated leadership, team building, analytical, communication, and process-improvement skills

Preferred

• Certification in medical billing, coding, or revenue cycle management, such as CPC, CPB, CRCR, or equivalent
• Prior experience in a community health center, FQHC, rural health clinic, or safety-net healthcare environment
• Familiarity with UDS reporting, sliding fee discount programs, cost reporting support, and value-based care or alternative payment models

Core Competencies

• Analytical thinking, problem-solving, and sound judgment
• Strong communication, collaboration, and interpersonal skills
• Detail-oriented approach with a commitment to accuracy, compliance, and accountability
• Ability to manage multiple priorities in a fast-paced environment
• Mission-driven mindset aligned with community health and health equity values

Our EEO Statement:

Harmony Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Harmony Health complies with applicable state and local laws governing nondiscrimination in employment.

Job Type: Full-time

Pay: $41.13 - $48.28 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Ability to Relocate:

• Marysville, CA 95901: Relocate before starting work (Required)

Work Location: In person