Revenue Cycle Manager (40588)

COMMUNITY HEALTH CARETacoma, WA
$106,997 - $127,872Onsite

About The Position

Community Health Care is a leading non-profit organization that offers quality health care to underserved patients in Pierce County. We provide comprehensive family practice care, including medical, dental, pharmacy, and behavioral health services in our seven clinics. We seek to continuously improve our commitment and service to our patients and community. We want you to join us in our mission to provide the highest quality healthcare with compassionate and accessible service for all. The role oversees overall operational oversight within the revenue cycle, identifying and resolving issues while maintaining efficient workflows and adherence to billing standards. It ensures full billing compliance with Medicaid, Medicare, and commercial payer regulations, while staying current on healthcare reimbursement trends. This position will lead key revenue cycle performance functions, including charge capture accuracy, coding compliance, denial prevention, and monitoring AR balances across medical and pharmacy services. It will also drive continuous process improvement by reviewing billing practices, implementing procedural updates, and translating analytical findings into corrective actions. The role provides strong team leadership, supervising billing supervisors, establishing priorities, guiding training, and overseeing the creation of dashboards and reports that highlight trends in denials and reimbursement patterns. It also partners closely with Finance on reconciliations, budgeting collaboration, fee schedule updates, and maintaining a comprehensive revenue integrity workplan. This position will also foster effective stakeholder communication by reporting claim processing status, coordinating customer service workflows with third party vendors, and collaborating across departments. The role contributes to organizational quality and compliance initiatives, adheres to all agency policies, and supports strategic revenue cycle planning. Plus, other duties as assigned.

Requirements

  • AA or AS in accounting or three (3) years equivalent work experience
  • Graduation from an accredited, state approved Medical/Dental Billing program equivalent training or experience in medical and dental billing, including Medicaid and Medicare
  • Supervisory experience
  • Experience with computerized medical billing system

Responsibilities

  • Oversees overall operational oversight within the revenue cycle, identifying and resolving issues while maintaining efficient workflows and adherence to billing standards.
  • Ensures full billing compliance with Medicaid, Medicare, and commercial payer regulations, while staying current on healthcare reimbursement trends.
  • Leads key revenue cycle performance functions, including charge capture accuracy, coding compliance, denial prevention, and monitoring AR balances across medical and pharmacy services.
  • Drives continuous process improvement by reviewing billing practices, implementing procedural updates, and translating analytical findings into corrective actions.
  • Provides strong team leadership, supervising billing supervisors, establishing priorities, guiding training, and overseeing the creation of dashboards and reports that highlight trends in denials and reimbursement patterns.
  • Partners closely with Finance on reconciliations, budgeting collaboration, fee schedule updates, and maintaining a comprehensive revenue integrity workplan.
  • Fosters effective stakeholder communication by reporting claim processing status, coordinating customer service workflows with third party vendors, and collaborating across departments.
  • Contributes to organizational quality and compliance initiatives, adheres to all agency policies, and supports strategic revenue cycle planning.
  • Other duties as assigned.

Benefits

  • Medical
  • Dental
  • Paid Vacation
  • Sick Leave
  • 12 Paid Holidays
  • Life Insurance
  • Flexible Spending Account
  • Continuing Education
  • Employee Assistance Program
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