Revenue Cycle & Reimbursement Manager
About The Position
Stallant Health & Wellness is seeking a hands-on Revenue Cycle & Reimbursement Manager to lead the end-to-end revenue cycle across its practice locations and growing service lines. The manager will lead the coding and billing team in AthenaHealth, oversee payor contracting and credentialing, and maintain compliant Rural Health Clinic (RHC) operations. The role partners with finance, clinical, and operational leadership to maximize reimbursement and strengthen financial performance. The position oversees daily revenue cycle operations, including registration and eligibility verification, timely charge entry, claim submission, payment posting, denials, appeals, collections, refunds, and overpayments. It analyzes reimbursement trends and reports key performance indicators, supports month-end financial reconciliations, and ensures compliance with applicable coding, billing, and payor requirements. The manager also audits coding and documentation, trains staff, supervises credentialing and provider enrollment, develops standard operating procedures, and improves workflows as new service lines launch. The role serves as a liaison among billing, front office, practice administrators, and clinical teams. This is a full-time hybrid position with a salary range of $90,000–$120,000 per year. Occasional travel to clinic locations in Crescent City and Highland, California, is required for site visits, training, and team check-ins.
Requirements
- Bachelor's degree in Accounting, Finance, Healthcare Administration, or a related field.
- At least 3 years of healthcare revenue cycle and/or reimbursement experience.
- Experience with Medicare, Medi-Cal, and commercial payors.
- Solid analytical and Excel skills, with comfort working with finance and general ledger data.
- Experience leading or training billing/coding staff.
- Clear, kind communication skills and ability to work across clinical, operational, and finance teams.
- Remote proficiency and experience using digital collaboration tools such as Zoom and Microsoft Teams.
Nice To Haves
- Strong working knowledge of AthenaHealth.
- Rural Health Clinic (RHC) billing experience.
Responsibilities
- Oversee daily revenue cycle operations in AthenaHealth, including registration and eligibility verification, charge entry within 48 hours, claim submission, hold buckets, un-postables, and payment posting.
- Manage denials, rejections, 0-pay reports, appeals, collections, refunds, and Medi-Cal overpayments.
- Analyze reimbursement trends, payor fee schedules, contractual allowances, and RHC wrap performance to identify underpayments and denial patterns.
- Track and report KPIs, including Days in A/R, Clean Claim Rate, Net Collection Rate, and Denial Rate.
- Support month-end close by reconciling revenue between Athena and the general ledger.
- Ensure compliance with ICD-10, CPT, HCPCS, CMS, Medi-Cal/DHCS, and commercial payor rules.
- Direct RHC statutory filings, including Medicare Credit Balance Reports and quarterly CAP FTE/ORP reports.
- Audit coding and documentation, train clinical and billing staff, and present findings at Quality Improvement meetings.
- Supervise credentialing and provider enrollment, ensuring providers do not see patients before credentialing is complete.
- Build SOPs, keep fee schedules current, and optimize workflows in Athena and ClickUp as new service lines launch.
- Act as the main liaison between billing, front office, Practice Administrators, and clinical teams.
Benefits
- Medical, dental, and vision insurance with 100% company-paid monthly premiums for full-time employees and eligible dependents across HMO and PPO plans; standard copays apply.
- Health Savings Account with up to a $4,150 annual company match for employees enrolled in the HDHP Gold Full PPO plan.
- 401(k) and Roth IRA options with a 100% company match up to 6% of eligible compensation, starting immediately.
- Free $50,000 basic term life insurance policy for full-time employees.
- Flexible PTO policy combining vacation and sick time into a single bank.
- Eight paid holidays annually.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
