Director of Revenue Cycle

LIFELONG MEDICAL CARE•Berkeley, CA

1d•$145,000 - $170,000•Onsite

About The Position

LifeLong Medical Care is seeking a Director of Revenue Cycle to provide strategic and operational leadership for billing and revenue cycle functions across a multi-site Federally Qualified Health Center. The role ensures accurate, timely, compliant billing and optimal collection of patient service revenue. The Director oversees claims management, accounts receivable, denial prevention and resolution, payment posting, collections, payer reimbursement, and billing system integrity. Working with the Head of Finance and clinical, operational, compliance, accounting, and technology leaders, the Director establishes performance goals, strengthens workflows and internal controls, and drives sustainable improvements. LifeLong Medical Care is a Federally Qualified Health Center serving more than 66,000 patients in underserved East Bay communities. It provides medical, dental, behavioral health, and school-based services at more than 15 primary care sites across Oakland, Berkeley, and West Contra Costa County. The organization promotes an inclusive workplace and seeks candidates who reflect the diversity of the communities it serves. This position directly supervises the Patient Accounts Manager. It is based at the Administrative Offices on Seventh Street in Berkeley, California. The role regularly involves work in indoor conditions, prolonged use of a video display terminal, frequent interruptions, and may require travel and evening or weekend work.

Requirements

Bachelor’s degree in healthcare administration, business, finance, or a related field, or an equivalent combination of education and relevant experience.
At least five years of progressively responsible healthcare billing or revenue cycle experience, including at least three years of supervisory or management experience.
Demonstrated knowledge of FQHC billing and reimbursement, Medicare, Medi-Cal, managed care, third-party payer requirements, and billing compliance.
Experience managing accounts receivable, denials, collections, billing performance metrics, process improvement, and financial reporting.
Proficiency with practice management/EHR systems, Microsoft Office applications, and revenue cycle reporting tools.
Commitment to providing primary care services to underserved populations and sensitivity in working with people from diverse educational, lifestyle, ethnic, and cultural backgrounds.
Ability to work independently, exercise sound judgment within established guidelines, understand and apply instructions, and maintain effective working relationships with staff, providers, managers, and external organizations.
Ability to supervise staff, support their development, and build a strong and productive team.
Strong organizational, administrative, and problem-solving skills, with flexibility and adaptability to change.
Ability to interpret and apply instructions, policies, and procedures related to patient information, enrollment, and reimbursement.
Ability to present information effectively to employees, community partners, and vendors, and to work with local individuals and organizations to build support.
Ability to work in a team-oriented environment with professionals who have different work styles and support needs.
Excellent interpersonal, verbal, and written communication skills.
Professional and sensitive conduct in internal and external settings that reflects positively on LifeLong Medical Care.
Ability to understand how one’s work intersects with other departments and partner organizations and to make appropriate use of colleagues’ knowledge and expertise.
Creative, mature, proactive approach and ability to identify opportunities for improvement.

Nice To Haves

Master’s degree in healthcare administration, business, or a related field.
Experience leading revenue cycle operations in a multi-site community health center or FQHC.
Experience with Epic, eClinicalWorks, or comparable enterprise practice management systems.
Professional revenue cycle, billing, or coding certification.

Responsibilities

Lead day-to-day billing and revenue cycle operations, including charge capture, claim edits and submission, follow-up, payment posting, credit balances, refunds, collections, and account resolution.
Develop and execute strategies to improve clean-claim rates, reduce denials and aged accounts receivable, accelerate cash collections, and maximize appropriate reimbursement.
Oversee payer-specific billing and reimbursement requirements for Medicare, Medi-Cal, FQHC prospective payment system (PPS), managed care, commercial insurance, IPAs, and other third-party payers.
Monitor claim rejections, denials, underpayments, and payer trends; lead root-cause analysis, appeals, recovery efforts, and corrective action plans with relevant teams.
Establish and report key performance indicators, including days in accounts receivable, aging by payer, net collection rate, denial rate, clean-claim rate, charge lag, cash posting, and productivity; provide reports and recommendations to the Head of Finance.
Partner with clinical and health center operations to improve registration, insurance verification, eligibility, documentation, charge capture, coding workflows, and billing-related handoffs.
Coordinate with Accounting on reconciliation of patient revenue, payments, contractual adjustments, refunds, cash receipts, and month-end reporting.
Maintain compliance with applicable billing rules, payer contracts, privacy requirements, internal policies, and fraud, waste, and abuse safeguards; support audits, investigations, and remediation.
Develop, implement, and maintain billing policies, standard operating procedures, training, quality assurance reviews, segregation of duties, and internal controls.
Oversee practice management and billing system workflows and data integrity; collaborate with IT, EHR teams, and vendors to resolve issues, test enhancements, and improve automation.
Prepare and manage departmental budgets, staffing plans, vendor relationships, and operating expenses; review and approve refunds and adjustments within delegated authority.
Recruit, supervise, coach, evaluate, and develop billing and patient accounts leaders and staff; set productivity, quality, and accountability expectations.
Participate in organizational strategic planning, cross-functional initiatives, committees, and external payer discussions as assigned.
Ensure appropriate retention, security, and disposition of billing and patient financial records.
Perform other related duties as assigned.