Revenue Cycle & Reimbursement Manager

Stallant Health Crescent City • Crescent City, CA

2d • Hybrid

About The Position

Stallant Health & Wellness is seeking a hands-on Revenue Cycle & Reimbursement Manager to own the end-to-end revenue cycle across all practice locations and growing service lines. The manager will lead the coding and billing team in AthenaHealth, oversee payer contracting and credentialing, maintain compliance for Rural Health Clinic (RHC) operations, and partner with finance, clinical, and operational leadership to maximize reimbursement and strengthen financial performance. The role is full-time and hybrid, with occasional travel to clinic locations in Crescent City and Highland, California.

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 payers.
• 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.
• Proficiency working remotely and 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, zero-pay reports, appeals, collections, refunds, and Medi-Cal overpayments.
• Analyze reimbursement trends, payer 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 payer 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.
• Serve as the main liaison between billing, front office, Practice Administrators, and clinical teams.
• Travel occasionally to clinic locations in Crescent City and Highland, California, for site visits, training, and team check-ins.

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 (HSA) 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, immediately upon starting.
• Free $50,000 basic term life insurance policy for full-time employees.
• Flexible PTO combining vacation and sick time into a single bank.
• Eight paid holidays annually: New Year’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, Black Friday, Christmas Eve, and Christmas Day.

What This Job Offers

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