Director of Revenue Cycle & Reimbursement

Under the direction of the Chief Financial Officer (CFO), the Director of Revenue Cycle & Reimbursement leads and oversees all revenue cycle operations, including patient registration, eligibility verification, coding, charge capture, claims management, payment posting, accounts receivable follow-up, denials management, collections, and reimbursement optimization for a Federally Qualified Health Center (FQHC).

This role ensures compliance with federal, state, payer, and regulatory requirements while supporting financial performance and sustainability. Responsibilities include managing internal staff and outsourced revenue cycle vendors, monitoring performance, conducting audits, ensuring billing and regulatory compliance, and collaborating with executive leadership and clinical teams to improve operational efficiency and reimbursement.

The Director also handles contract analysis, payer negotiations, process improvements, training, and staff development, while preparing financial reports and supporting budgeting and forecasting efforts.

Qualifications include a bachelor's degree in Healthcare Administration or related field, at least five years of progressive healthcare revenue cycle leadership, with experience in FQHC or similar ambulatory healthcare settings preferred. Strong knowledge of FQHC reimbursement methodologies, Medicare/Medicaid regulations, coding, compliance, and revenue cycle analytics is required. Preferred certifications include CPC, CCS, CRCR, CHFP, or CMPE.

The position offers a hybrid remote work environment in Arizona City, AZ with a salary range of $85,000 to $105,000 per year and benefits such as dental, health, life insurance, paid time off, retirement plan, and flexible schedule.