Under the direction of the Chief Financial Officer (CFO), the Director of Revenue Cycle provides strategic and hands-on leadership for all FQHC revenue cycle operations, including monitoring accounts receivable, improving collection rates, training staff for billing compliance, denial reduction, and revenue optimization. Responsibilities include managing provider credentialing and enrollment for Medicare, Medicaid, and commercial payers; supervising Patient Service Representative supervisors and staff; overseeing the Sliding Fee Discount Program; conducting denial management with focus on FQHC-specific requirements; ensuring accurate encounter data submission for Medicare/Medicaid cost reports; and providing ongoing staff training on billing rules and compliance. The role collaborates closely with clinical operations, finance, billing vendors, and payers to optimize revenue cycle performance and ensure regulatory compliance.
Bachelor's degree in Business Administration, Healthcare Administration or related field preferred. Minimum 3-5 years of healthcare reimbursement experience, with at least 2 years in an FQHC, community health center, or rural health clinic (required). Minimum 3 years of experience with Medicare, Medicaid, and managed care billing in FQHC setting. Minimum 2-3 years supervisory experience in revenue cycle, billing, or patient financial services. Knowledge of managed care policies. ICD10 and medical terminology preferred. Strong communication skills, both oral and written.
Location
Milwaukee, Wisconsin, US
Employment Type
Full-time
Experience Level
Manager
Remote work allowed
No
Posted
1 month ago