Revenue Cycle Manager
Whole Family Health Center Inc•Fort Pierce, FL
•Onsite
About The Position
Whole Family Health Center (WFHC) is seeking an experienced Revenue Cycle Manager (RCM) to lead and strengthen its revenue cycle operations. For over 25 years, WFHC has served Florida's Treasure Coast with an integrated healthcare approach, offering Adult & Pediatric Primary Care, Behavioral Health, Complete Women's Health, and Pharmacy services. The ideal candidate will not only manage the revenue cycle but also understand its interconnectedness and be able to unite people, processes, and data to achieve significant results.
Requirements
- High School Diploma or GED.
- 7–10 years of progressive healthcare revenue cycle experience.
- Leadership and team development experience.
- Strong understanding of healthcare billing, collections, reimbursement, and denial management.
- Strong analytical, organizational, problem-solving, and communication skills.
- Ability to effectively collaborate with clinical, operational, financial, and executive leadership.
- Ability to successfully complete required Level 2 background clearance.
Nice To Haves
- Associate's or Bachelor's degree in Business, Healthcare Administration, or a related field.
- Experience with Athena or similar healthcare systems.
- FQHC experience.
- Bilingual in Spanish or Creole.
Responsibilities
- Lead revenue cycle operations, including billing, collections, payment posting, denial management, and reimbursement.
- Drive strategies to improve cash flow, reduce denials, and strengthen overall revenue cycle performance.
- Monitor and act on key performance indicators such as clean claim rate, days in A/R, denial rate, net collection rate, write-off rate, and collection performance.
- Lead denial management efforts, identify root causes, and develop strategies to address aged accounts.
- Ensure claims are submitted accurately and timely in accordance with payer-specific requirements, modifiers, and guidelines.
- Partner with Revenue Systems, Practice Management, Finance, and other departments to identify trends and improve workflows.
- Collaborate with Front Desk and Call Center leadership to improve registration accuracy and prevent front-end issues from becoming billing problems.
- Develop training and process improvements based on operational trends and performance data.
- Support audit readiness and maintain strong documentation standards.
- Recruit, train, coach, develop, and evaluate Revenue Cycle Billing & Operations staff.
- Promote a culture of accountability, collaboration, continuous improvement, and employee development.
- Ensure revenue cycle operations remain compliant with applicable federal, state, CMS, AHCA, HRSA, and payer requirements.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Employer-sponsored retirement plan
- Employer-paid life insurance
- Long-Term Disability coverage
- Paid Time Off (PTO), including vacation, sick, and personal time
- Paid holidays
- Employee Assistance Program (EAP)
- Employee wellness programs and resources
- Retirement planning and financial wellness resources
- Voluntary employee-paid benefits, including Short-Term Disability and supplemental insurance options
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
High school or GED
