Job Description
The Revenue Cycle Manager is responsible for managing the revenue cycle for all Hurtt Family Health Clinic services. The primary duties will include training and supervision of billing staff, oversight of all billing related processes, monthly reporting, and maintenance of the schedule of charges. The position will report to the Chief Operating Officer, while working closely with the Chief Financial Officer and the finance department, as well as all levels of management and provider staff. This is a full time position located on-site in Tustin, CA.
THIS IS AN IN-PERSON ROLE LOCATED IN TUSTIN, CA. ALL INTERVIEWS ARE IN-PERSON AND THE ROLE REQUIRES BEING ON-SITE.
The Hurtt Family Health Clinic is a FQHC community clinic that provides medical, dental, vision, chiropractic, acupuncture, and behavioral health services to underserved patients in Orange County, California. To officially apply for this position, and review the full job description, including minimum requirements and job duties, please submit an Employment Application at www.hurttclinic.org/employment (Employment Opportunities). Minimum Qualifications:
Associate's degree in business administration, Health Care Administration, Finance or Accounting or related field preferred At least 5 years of experience in medical billing/revenue cycle management, with 2+ years in a supervisory or leadership role. Experience in a Federally Qualified Health Center (FQHC) or community health setting strongly preferred. Professional Coder Certification, preferred. Knowledge of Medicaid, Medicare, commercial insurance billing, and federal grant funding expectations. Proficient in analyzing revenue cycle metrics and driving process improvements. Responsibilities:
Develop, implement and oversee effective billing and collections procedures encompassing all service lines (medical, dental, behavioral health, chiropractic, acupuncture, optometry and enhanced care management) Train and supervise appropriate billing staff to assist with the revenue cycle functions Ensure the organization maximizes billing by providing ongoing training and support to Patient Services Representatives (PSRs) Partner with managers and leadership to establish, implement, and refine front office protocols that support efficient revenue cycle operations Manage the configuration of all electronic billing systems to ensure proper functioning for effective and efficient billing and collection processes. Maintain fee schedule for each service area. Develop, implement and oversee procedures to ensure coding accuracy. Ensure sliding fees are followed and calculated, posted and adjudicated correctly Establishes and maintains effective working relationships with external vendors, service providers, and internal finance staff to ensure accurate billing, timely claims processing, and efficient financial operations. Serves as the primary liaison to resolve billing discrepancies, coordinate contract terms, and implement process improvements in partnership with the finance department. Ensure timely monthly close of the billing function. Prepare and distribute end of month management reports. Provide support and training to practitioners to ensure accurate, timely filing of claims Ensure the timely submission of all claims for payment to third party payers. Develop, implement and oversee procedures for the review, appeal and resubmission of all claim denials. Manage the reconciliation of all discrepancies found in billing records in a timely manner, and provide reports to management or outside entities, as appropriate Develop, implement and oversee procedures for the posting of all third party payments received and the reconciliation of identified differences Analyze claims data and suggest/implement procedures to maximize HEDIS and incentive revenue collections (i.e., level II HCPCS
codes, ICD-10 and CPT modifiers) Provide oversight and management of billing staff work assignments Conduct quality assurance and accuracy audits of patient accounts Compile requested statistical, financial, billing or auditing reports Responsible for timely refund of account overpayments. Upholds all HIPAA requirements in a manner consistent with HFHC policies, standards of conduct, state and federal laws and regulations Reviews contracts to ensure contract fees are entered correctly, and routinely audits receipts to ensure payor compliance with contract terms Handle routine correspondence and other administrative tasks, as required. Perform other duties as assigned. Who We Are:
The Hurtt Family Health Clinic is a Federally Qualified Health Center (FQHC) community clinic that provides medical, dental, vision, chiropractic, and behavioral health services to underserved patients in Orange County, California. We have four clinics located in Tustin, Santa Ana, and Anaheim, as well as a mobile clinic. We have established an outstanding reputation for quality programs and the highest level of patient care. This reputation has been earned through the dedication and the diligent efforts of our employees, who are key to providing our patients with excellent care. Application Process:
To be considered for employment at Hurtt, you must submit an application via our Employment Portal. Please carefully review the job description and minimum qualifications before applying for a position. A resume is required in order to complete an application. The employment portal will prompt you to create a user name and password in order to start your account. Once logged in, you can upload your resume to populate most of the required information needed in the application. Please fill in any missing application information, then answer the questionnaire before finalizing and submitting the application. If you have any problems with the online employment portal, please contact jobs@hurttclinic.org or call 714-247-4307. Benefits Offered:
For more information on the complete benefits package, please contact the HR department at jobs@hurttclinic.org or call 714-247-4307. Hurtt Benefits include:
Medical, Dental, and Vision Insurance Flexible Spending Plans (Medical and Dependent) Paid Time Off 403(b) Retirement Plan and matching contributions Employee Assistance Program (EAP) Life Insurance + Accidental Death & Dismemberment Short-Term Disability & Long-Term Disability Benefits eligibility is dependent upon full or part time status. Benefits are subject to change at any time at the discretion of the Hurtt Family Health Clinic. Job Type:
Full-time Pay:
$85,000.00 per year Benefits:
401(k) 401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Health savings account Life insurance Paid time off Retirement plan Vision insurance Experience:
FQHC (Federally Qualified Health Center): 2 years (Preferred) health programs and funding: 2 years (Preferred) healthcare billing: 2 years (Preferred) Operational risk management: 2 years (Preferred) Compliance management: 2 years (Preferred) Healthcare management: 5 years (Preferred) Work Location:
In person
