Revenue Cycle Manager

Mission Neighborhood Health Center • San Francisco, CA

1d • $100,980 - $106,386 • Onsite

About The Position

The Mission Neighborhood Health Center (MNHC) is a non-profit, multi-site community health organization offering comprehensive health services in the Mission and Excelsior Districts of San Francisco. The center offers primary health care services, adult medicine, pediatrics, family planning, OB/GYN, HIV and homeless services. We advocate for health equity and deliver innovative, high-quality services responsive to the neighborhoods and diverse communities we serve.

We are looking for qualified candidates for our Revenue Cycle Manager role. This position reports to the Chief Financial Officer and is a Regular, Full Time, exempt role with a salary range of $100,980 to $106,386 with full benefits.

Requirements

• Bachelor's degree in Accounting, Business Administration, Healthcare Administration, Healthcare Management, or a related field.
• Five years of management experience as a Revenue Cycle Manager, Billing Manager, or Revenue Cycle Director in a community health center or medical setting.
• Knowledge of CPT codes and ICD-10 coding protocols and procedures; Certified Professional Coder (CPC) preferred.
• Knowledge of FQHC rules and procedures, state and federal billing regulations, and HIPAA privacy requirements.
• Knowledge of accounting principles, including accounts receivable, write-offs, and collections.
• Understanding of organizational structure, workflows, and operating procedures within a community health center billing environment.
• Proficiency in Microsoft Office (Outlook, Word, Excel).
• Proficiency with general office equipment.

Nice To Haves

• Ten years of revenue cycle experience
• Certified Professional Coder
• Master's degree in healthcare administration

Responsibilities

• Direct Billing team to ensure accurate and timely submission of all claims in accordance with third-party contract terms including Medicare, Medi-Cal, managed care, commercial insurance, and direct patient pay.
• Ensure unprocessed claims and denials are reviewed, reworked, and resubmitted to maximize revenue.
• Maintain all billing and financial data, including medical billing code tables, rate/fee schedules, and payer information.
• Analyze reimbursement from all sources and assure maximization of cash collections through diligent monitoring of all open accounts receivable balances.
• Maintain and enhance billing policies and procedures, develop and monitor quality control standards, and ensure consistent quality of billing services and staff adherence to policies, including Medicare and Medi-Cal compliance.
• Prepare detailed analyses and reports of billing and accounts receivable activity, including performance matrices, bad debt expense, and AR days outstanding on a daily, weekly, and monthly basis as determined by the CFO.
• Effectively communicate and provide training on changes in eligibility, insurance, and coding updates.
• Act as leader on implementation of billing/coding-related changes, including ICD-10 and CPC updates.
• Manage continuous improvements within the revenue cycle process, working with the Patient Services Director/Manager and CFO.
• Manage all billing and collection operations, including staff orientation, training, development, coaching, corrective actions, mentoring, performance reviews, and ongoing monitoring of work-related activities.
• Ensure skill levels are appropriate to assigned tasks by distributing duties and responsibilities and monitoring department productivity.
• Coordinate timely month-end accounts receivable/billing close in collaboration with the Accounting Manager.
• Research and address issues constructively, follow through to ensure timely resolution, and improve efficiency, compliance, and revenue maximization.
• Attend and actively participate in organizational meetings.

Benefits

• 401(k) retirement savings plan includes a company contribution
• Vacation: 2 weeks annually
• Paid educational leave: 40 hours annually
• Medical insurance: zero out-of-pocket expense
• Dental and vision insurance provided at no cost to the employee
• Life insurance includes a free basic policy with an optional voluntary plan
• Paid time off includes 12 paid holidays, a birthday holiday, two floating holidays and 12 sick days per year
• Flexible spending accounts for health and dependent care expenses
• Commuter benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Manager