Revenue Cycle Manager

Living Water Clinic•Lindsay, CA

3d•Onsite

About The Position

Living Water Clinic is seeking an experienced Revenue Cycle Manager to lead and oversee all aspects of the revenue cycle, from charge capture to payment posting. This role is critical in ensuring timely, accurate reimbursement and optimizing the financial health of the organization. The ideal candidate is a seasoned professional with deep knowledge of Athenahealth’s Revenue Cycle Management (RCM) system, strong leadership skills, and extensive experience in RHC/FQHC billing and compliance.

Requirements

Bachelor's degree in Healthcare Administration, Finance, Business, or related field.
At least 10 years of experience in Revenue Cycle Management, with a focus on RHCs/FQHCs.
Minimum of 5–10 years of hands-on experience with Athenahealth billing and RCM platform.
Strong understanding of medical billing, coding, and compliance regulations.
Demonstrated leadership and supervisory experience.
Proficiency in analyzing financial data and managing high-volume A/R.

Nice To Haves

Experience with Athena reporting, wrap payments, and Medi-Cal or managed care billing.
Familiarity with value-based care models and performance metrics.
Knowledge of MACRA, UDS reporting, and ACO participation.
Being bilingual in English and Spanish is a plus.

Responsibilities

Lead day-to-day operations of the billing department across all clinic locations.
Manage the entire revenue cycle process including charge entry, claims submission, working denials, A/R follow-up, payment posting, and reconciliation.
Monitor and manage Athenahealth RCM tools and workflows, including clearinghouse rejections, eligibility, and claim holds.
Oversee monthly wrap payments, capitation reports, and contractual adjustments.
Ensure timely and accurate billing in compliance with federal, state, and payer-specific regulations.
Generate and analyze financial reports and A/R dashboards from Athena.
Identify trends in denials and reimbursement issues; implement corrective actions.
Work closely with leadership to support budgeting and forecasting related to patient revenue.
Train and mentor billing team members, fostering growth and accountability.
Ensure compliance with RHC/FQHC billing guidelines and payer requirements.
Serve as the point of contact for audits and payer inquiries.
Collaborate with clinical and administrative teams to improve coding accuracy and documentation quality.