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About the Role

The Revenue Cycle Manager oversees all revenue cycle functions for Joseph P. Addabbo Family Health Center, a Federally Qualified Health Center (FQHC). This leadership role ensures accurate, compliant, and timely billing, coding, collections, and reimbursement across various services, optimizing revenue integrity and supporting financial sustainability.

Responsibilities

• Direct, supervise, and develop staff across registration, eligibility, coding, billing, and collections.
• Establish and enforce clear performance metrics and accountability standards for the revenue cycle team and/or vendor services.
• Provide ongoing training on FQHC billing rules, payer updates, and compliance requirements.
• Ensure accurate patient registration, insurance verification, sliding fee scale application, and collection of patient responsibility.
• Collaborate with internal stakeholders to improve and maintain workflows for prior authorizations, referrals, and financial counseling.
• Collaborate with clinic managers to reduce registration errors and improve point of service collections.
• Partner with clinical leadership to improve documentation quality and reduce coding-related denials.
• Monitor coding denials and communicate trends to leadership and resource(s) leading coding initiatives with the clinical providers.
• Collaborate with and contribute to routine audits of provider documentation and coding.
• Oversee claims submission, payment posting, denial management, and accounts receivable follow up.
• Maintain timely and accurate billing for Medicaid, Medicare, commercial plans, self-pay, and grant funded services.
• Monitor AR aging and implement strategies to reduce outstanding balances and write-offs.
• Ensure adherence to federal and state regulations, including HRSA, CMS, Medicaid, Medicare, and UDS reporting requirements.
• Maintain compliance with HIPAA and internal privacy/security policies.
• Stay current on FQHC-specific billing rules, PPS rate changes, and managed care contract requirements.
• Develops, updates, recommends, and implements Revenue Cycle policies and procedures in accordance with respective regulatory requirements.
• Produce regular reports on AR, denials, cash collections, payer trends, and productivity.
• Analyze data to identify revenue leakage, operational bottlenecks, and opportunities for improvement.
• Support annual audits, cost reports, and UDS submissions.
• Work closely with Finance to support budgeting, forecasting, and month-end closure.
• Partner with Operations and Clinical teams to align workflows and improve patient access and throughput.
• Collaborate with IT/EHR teams to optimize system configuration, templates, and revenue cycle tools.
• Perform other duties as assigned.

Requirements

• Experience in revenue cycle management within a Federally Qualified Health Center (FQHC) environment is implied by the role's focus.
• Knowledge of HRSA, CMS, Medicaid, Medicare, and UDS reporting requirements.
• Understanding of HIPAA and internal privacy/security standards.
• Familiarity with FQHC-specific billing rules, PPS rate changes, and managed care contract requirements.
• Experience in developing and implementing policies and procedures.
• Ability to lead and support staff and vendor partners.
• Proficiency in analyzing data to identify trends and opportunities for improvement.
• Experience with budgeting, forecasting, and month-end closure support.
• Ability to optimize system configurations and revenue cycle tools.

Skills

• Revenue Cycle Management
• Billing and Coding
• Collections
• Reimbursement
• Staff Leadership and Development
• Vendor Management
• Policy Development and Implementation
• Regulatory Compliance (HRSA, CMS, Medicaid, Medicare, UDS, HIPAA)
• Data Analysis and Reporting
• Financial Reporting
• Auditing
• Process Improvement
• Collaboration and Communication
• Strategic Thinking
• Operational Excellence

Location

• Joseph P. Addabbo Family Health Center

Work Type

• Full-time

Experience Level

• Management
• Leadership

About the Company

• Joseph P. Addabbo Family Health Center is a Federally Qualified Health Center (FQHC).

Equal Opportunity

• Joseph P. Addabbo Family Health Center is an Equal Opportunity Employer.
• We value diversity and do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status.