Oversees the entire revenue cycle, from claims processing and clearinghouse operations to accounts receivable management, payer relations, compliance, and staff development. Partners with clinical, operational, administrative, and finance leadership to ensure timely and accurate billing, maximize reimbursement, and maintain high standards of compliance and service.
Responsibilities include supervising billing and credentialing functions, monitoring revenue cycle performance, maintaining fee schedules, improving workflows, resolving payer and patient billing issues, managing denials and collections, ensuring accurate claims submission and payment posting, supporting regulatory reporting, and coordinating billing system configuration and quality improvement initiatives.
Associate’s degree in Business Administration, Health Care Administration, Finance, Accounting, or a related field preferred.
- Professional Coder Certification required
- At least 3 years of experience in medical billing/revenue cycle management
- 2+ years of supervisory experience
- Experience in an FQHC or community health setting strongly preferred
- Working knowledge of ICD-10 and CDT coding
- Understanding of Medicare and Medicaid billing rules and regulations for medical/behavioral health, vision, and dental
- Experience with third-party reimbursement regulations and methods
- Proficiency with Microsoft Word, Excel, and Outlook
- Strong leadership, analytical, communication, and problem-solving skills
- Ability to manage multiple priorities in a fast-paced environment
Health insurance Paid time off Vision insurance 401(k) 401(k) matching Dental insurance
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Manager
Remote work allowed
No
Posted
1 month ago