Revenue Cycle Optimization Manager

Benton County • Corvallis, OR

9d • Onsite

About The Position

Benton County's Health Department is hiring a Revenue Cycle Optimization Manager. The Revenue Cycle Optimization Manager provides leadership, oversight, and strategic direction for revenue cycle operations across Health Services. The position is responsible for ensuring accurate, timely, compliant, and efficient processes throughout the revenue cycle, including patient registration and eligibility, provider and payer enrollment support, charge capture, coding, claim submission, payment posting, denial and appeal management, accounts receivable, patient billing and collections, reimbursement monitoring, and revenue cycle reporting. The Revenue Cycle Optimization Manager provides direct leadership and supervision to assigned revenue cycle staff and establishes performance expectations, operational standards, internal controls, and improvement priorities that strengthen financial performance and support sustainable service delivery. The position monitors revenue cycle performance identifies trends and root causes affecting reimbursement and leads cross-functional improvement efforts with clinical operations, patient access, providers, Finance, Compliance, Health Information Management, Information Technology, and other Health Services teams. The position serves as the organizational subject matter expert for revenue cycle business systems and reimbursement workflows, including the electronic health record and applicable payer systems. The Revenue Cycle Optimization Manager ensures systems, workflows, fee schedules, payer configurations, and billing processes are appropriately maintained and aligned with payer requirements, regulatory standards, contractual obligations, and organizational policies. The Revenue Cycle Optimization Manager provides specialized leadership for the unique reimbursement and billing requirements of Federally Qualified Health Centers, CFAA revenue, and other Health Services programs. This includes oversight of applicable Medicare and Medicaid FQHC reimbursement methodologies, alternative payment arrangements, supplemental payment processes, fee schedules, and operational implementation of the Health Center Program Sliding Fee Discount Program and billing and collections requirements. The position exercises a high degree of independent judgment and serves as a key advisor to Health Services leadership regarding revenue cycle performance, reimbursement strategy, revenue risk, operational improvement, payer trends, and opportunities to maximize appropriate reimbursement for services delivered.

Requirements

• Bachelor's degree from an accredited college or university in Healthcare Administration, Business Administration, Health Information Management, Health Informatics, Finance, Accounting, Public Administration, or a closely related field.
• Five (5) years of professional experience in healthcare revenue cycle, healthcare finance, reimbursement, billing operations, healthcare business systems, or a closely related area.
• At least three (3) years of management or supervisory experience (authority to hire, terminate, assign, reward and discipline other employees).
• Criminal Records Check

Nice To Haves

• Experience in Federally Qualified Health Centers (FQHCs)
• Experience in Community Mental Health Programs (CMHPs)
• Experience in Public Health
• Experience in County or local government healthcare systems
• Experience with EPIC/OCHIN revenue cycle systems
• Experience with Medicare and Medicaid billing and reimbursement
• Experience with Managed care or Coordinated Care Organization reimbursement
• Experience with Revenue cycle management in a multi-site healthcare organization
• Experience with Denial prevention and accounts receivable improvement
• Experience with Payer enrollment and reimbursement configuration
• Experience with Healthcare financial analysis and forecasting
• Experience with Value-based or alternative payment arrangements
• Experience with FQHC PPS, Medicaid alternative payment methodologies, and supplemental/wraparound payment reconciliation
• Experience with HRSA Health Center Program billing, collections, fee schedule, and Sliding Fee Discount Program requirements
• Experience with Revenue cycle audit readiness and implementation of corrective action plans

Responsibilities

• Provides leadership, oversight, and strategic direction for revenue cycle operations.
• Ensures accurate, timely, compliant, and efficient processes throughout the revenue cycle.
• Provides direct leadership and supervision to assigned revenue cycle staff.
• Establishes performance expectations, operational standards, internal controls, and improvement priorities.
• Monitors revenue cycle performance, identifies trends and root causes affecting reimbursement.
• Leads cross-functional improvement efforts with various departments.
• Serves as the organizational subject matter expert for revenue cycle business systems and reimbursement workflows.
• Ensures systems, workflows, fee schedules, payer configurations, and billing processes are appropriately maintained and aligned with payer requirements, regulatory standards, contractual obligations, and organizational policies.
• Provides specialized leadership for the unique reimbursement and billing requirements of Federally Qualified Health Centers, CFAA revenue, and other Health Services programs.
• Exercises a high degree of independent judgment and serves as a key advisor to Health Services leadership.

Benefits

• Generous time off (11 Paid Holidays + 64 Personal Leave Hours + 2 Floating Holidays + 8 hours of vacation accrual every month + sick leave)
• $0 Health Insurance Premium (Medical, Dental and Vision for employee and eligible family members)
• County contribution of up to $1,400 per year to Health Savings or Health Reimbursement account
• Employer paid contributions to retirement (6% of salary towards Oregon PERS after 6 months, 3% of salary towards deferred compensation 457b plan)
• Free and award-winning wellness program
• 100% employer-paid coverage for AD&D ($100,000), Life ($10,000), and Long-Term Disability coverage
• Supplemental plans available at reasonable rates

What This Job Offers

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