Revenue Cycle Manager

Family HealthCare Network • Visalia, CA

6d • $89,359 - $142,974 • Onsite

About The Position

The Revenue Cycle Manager is responsible for leading and optimizing all aspects of the revenue cycle at Family HealthCare Network (FHCN), including billing, coding, collections, and patient accounts receivable. This role ensures timely, accurate, and compliant reimbursement while supporting organizational compliance, operational excellence, and patient-centered care.

Requirements

• Proficiency in written and verbal communication, basic mathematics, computer applications, and technical systems.
• Completion of a Bachelor’s Degree program with a recognized major and a minimum cumulative GPA of 2.5; OR a combination of relevant experience and completion of a high school diploma with a minimum cumulative GPA of 2.5, or General Educational Development (GED) with a minimum overall score of 162.5, and healthcare-related knowledge frequently acquired through completion of a trade school, para-professional, or certificate-type program.
• If an individual has completed a degree at a higher level than required by the role and had a stronger GPA in that program, they may provide proof of GPA from that degree in lieu of the high school diploma or Bachelor’s degree.
• A minimum of four years of leadership experience or 5 years of progressively greater responsibility or significant contributions to projects and initiatives that demonstrate leadership skills.
• Experience in health care-related billing and coding regulations.
• A minimum credit score of 650.
• Ability to prepare more complex documents in Microsoft Word, including creating tables, charts, graphs, and other elements.
• Ability to use Microsoft Excel to analyze data, including the use of formulas, functions, lookup tables, and other standard spreadsheet elements.
• Ability to develop sophisticated presentations in Microsoft PowerPoint, including the use of embedded objects, transitions, and other elements.
• Job duties require the employee to effectively communicate, verbally and in writing, their opinions and extrapolations of information they collect and synthesize/analyze.
• Responsible for the resolution of conflicts that may arise because of disagreements between employees, between employees and customers/clients, or with the public, other legal entities or governmental authorities.
• Compiles, analyzes, and prepares information in an effective written form, including correspondence, reports, articles, or other documentation.
• Effectively conveys technical information to non-technical audiences.
• Regularly required to sit and use repetitive hand movements to type and grasp.
• Frequently required to stand and walk.
• Must occasionally lift and/or move up to 20 pounds.

Nice To Haves

• Professional Coding Certification strongly preferred: AAPC (Academy of Professional Coders)-CPC Certification, AHMA (American Health Information Management Association)-CCS Certification, or PMI (Practice Management Institute)–CMC Certification.

Responsibilities

• Provides management to departmental staff, including performance management, hiring/firing recommendations, fostering a culture of accountability, developing action plans, empowering staff, delegating duties, assisting with budget development and monitoring, ensuring regulatory compliance, overseeing employee training, recommending workflow changes, and ensuring compliance with employee-related reporting.
• Oversees the third-party billing and coding process for medical, dental, optometry, optical, and behavioral health visits, as well as inpatient activity. This includes monitoring coding accuracy through audits, ensuring correct code linkage, timely and accurate billing, appropriate adjustments, monitoring fee schedules and collection rates, and overseeing the practice management system setup for the revenue cycle.
• Manages the patient billing and collections process, ensuring timely and accurate billing of patient responsibility, statement generation, follow-up of past due accounts, proper billing alignment with the sliding fee scale policy, oversight of delinquent account collections, and ensuring appropriate payment plans and adjustments.
• Responsible for the month-end close process, ensuring accurate posting of claims, payments, and adjustments, and providing reporting data to the accounting department.
• Prepares, reviews, and submits various revenue cycle reports, including weekly productivity and error reports, weekly and monthly operational and statistical reporting, and analysis of denials and claim errors to implement processes for reduction.
• Adheres to the Attendance and Absenteeism Policy, recognizing that regular attendance is an essential function of all FHCN positions.
• Ability to present to and work at any FHCN location, both at the beginning of a shift or during a shift, based on business need.
• Performs other duties as assigned.

What This Job Offers

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