Revenue Cycle Project Manager

Kaniksu Community Health•Sandpoint, ID

1d•Onsite

About The Position

Kaniksu Community Health is a non-profit, award winning Community Health Center that provides integrated, team-based healthcare in north Idaho. Patients consider us their partner in healthcare, over the course of their life and the spectrum of their health needs. From prevention and wellness to medical, dental, and behavioral health. From pediatric to geriatrics, we believe that quality healthcare should be accessible, approachable and affordable for everyone. Regardless of how a patient can pay, or the severity of their concerns, we help find solutions. We provide access to comprehensive and integrated multi-disciplinary services through the Patient Centered Medical Home model of care. But we’re not just invested in our patients – we’re invested in our people. We know that our overall success is a combined effort and we therefore strive to provide opportunities for our employees to learn, grow and thrive. We are proud to have built a positive and engaged team with a "family" spirit. Our team members are dedicated and provide a patient centric approach to care and know exactly what we are working on and why, and how their everyday work contributes to successfully achieving this goal.

Requirements

Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or related field.
5+ years of experience in revenue cycle operations or healthcare finance preferred
Demonstrated project management experience, including leading complex initiatives.
Strong understanding of the end-to-end healthcare revenue cycle.
Experience analyzing operational and financial performance metrics.

Nice To Haves

Experience in healthcare systems, clinics, or hospital settings.
Project management certification (PMP, Lean, Six Sigma, or similar).
Experience implementing or optimizing EHR or revenue cycle systems.
Knowledge of payer reimbursement methodologies and regulatory requirements.

Responsibilities

Provide oversight and strategic direction for revenue cycle operations in collaboration with the Revenue Cycle Manager.
Lead and manage revenue cycle improvement projects, including workflow redesign, system implementations, and process optimization.
Analyze revenue cycle performance metrics and identify opportunities to improve cash flow, reimbursement, and operational efficiency.
Develop and manage project plans, timelines, milestones, and performance tracking for revenue cycle initiatives.
Coordinate cross-functional teams including finance, billing, clinical operations, IT, and compliance.
Evaluate and improve processes related to: Patient registration and eligibility verification, Coding and documentation, Charge capture, Claims submission, Denial management, Accounts receivable and collections.
Ensure compliance with payer regulations, billing guidelines, and organizational policies.
Develop and implement revenue cycle best practices and standard operating procedures.
Monitor key performance indicators (KPIs) such as denial rates, days in A/R, clean claim rate, and collection ratios.
Lead change management initiatives related to revenue cycle processes and technology.
Provide guidance and support to the Revenue Cycle Manager and the Revenue Cycle Team.