Revenue Cycle Manager

Revenue Cycle Manager Federal Way, WA Job Details $77,522 - $105,386 a year 21 hours ago Benefits Paid training Health savings account Paid holidays Health insurance Dental insurance Paid time off Employee assistance program Vision insurance Loan forgiveness Opportunities for advancement Retirement plan Qualifications Cash flow management Business financial process improvement Revenue cycle management Appeals Medical coding compliance oversight Strategic management Financial data reconciliation Operations management Payment processing 5 years Healthcare Administration Regulatory compliance Insurance claim appeals processing Bachelor's degree in business Compliance audits & assessments State healthcare regulations Certified Professional Coder Hiring Policy & process development Financial operations management Bachelor's degree Team management Staff training Quality improvement Healthcare management Medical insurance appeals management Healthcare team management Bachelor's degree in healthcare administration Healthcare financial management Business Administration Overseeing audit functions Training & development Senior level Cross-functional collaboration Business Healthcare compliance Cross-functional communication Analytics Performance evaluation

Full Job Description About Us:

Valley Cities has recently been designated as a Certified Community Behavioral Health Clinic (CCBHC), reflecting compliance with stringent national standards in behavioral health care. This status enables broader service availability, improved integration of mental health and substance use treatment, enhanced crisis intervention capabilities, and ensures services are accessible to all, regardless of financial circumstances. We are excited about the future ahead. We're looking for people who want to make a real difference in behavioral health while growing alongside a mission‑driven team. Employees joining Valley Cities at this time will become part of an impactful organization dedicated to advancing community behavioral health, that is grounded in compassion, equity and community impact. Join us to make significant contributions during pivotal moments in the lives of others!

Role Overview:

The Revenue Cycle Manager is responsible for developing, planning, organizing, and executing strategies that ensure accurate and timely billing, efficient payment processing, reduced bad debt, improved cash flow, and the overall financial health of the agency's accounts receivable. This role provides leadership and oversight of the day-to-day billing and revenue cycle operations, with a strong focus on billing outcomes, coding accuracy, and reimbursement optimization. This position serves as a key liaison between the agency, the billing company, departmental leadership, and physicians to ensure optimal billing performance and compliance with regulatory and payer requirements. The Revenue Cycle Manager works cross-functionally to evaluate revenue cycle performance, identify opportunities for improvement, and implement short-term and long-term strategies to support organizational financial goals. Additionally, the Revenue Cycle Manager is responsible for conducting detailed analytical reviews of revenue cycle processes and outcomes, translating findings into actionable insights. This role develops, documents, and maintains clear written guidelines, policies, and procedures to support consistent, compliant, and efficient work processes across the organization.

Key Responsibilities:

Provides leadership and oversight of day‑to‑day billing operations with a strategic focus on revenue cycle functions to ensure accurate, complete, and timely data capture across all divisions and locations. Proactively identifies, escalates, and resolves process and system issues that impact billing accuracy, reimbursement integrity, and overall revenue performance. Responsible for entire pipeline of charge capture activities from encounter form development and review to correct coding and oversight for ensuring accurate reimbursement for services billed. Responsible for driving process improvement initiatives related to front end revenue cycle functions, in collaboration with the operations leadership and divisional managers. Manages the monthly reconciliation process to ensure that all procedures/cases are billed in a timely manner. Analyzes month end reports presented by billing vendor, identifying opportunities for work process improvements with respect to claims denials. Works with divisional managers on strategies to improve front end related issues. Oversees and provides input to ensure all systems are functional in categories such as data dictionary file, data elements, interface and mapping, payer specificity, file transmission, billing area set, adding/deleting ICD‐10 and CPT codes, etc.). Responsible for denial code file management by coders, ensuring timely submission of charges to the billing vendors. Develop forms for each Division to ensure all services provided are captured. Reviews encounter forms/systems at least twice a year to ensure appropriateness of ICD10 and CPT codes. Coordinates and facilitates compliance audits for the department. Provides feedback and education to clinician/physicians on coding errors for both procedure(s) and E&M services. Verifies that fee schedules are appropriate against insurance payers' allowable fees. Serves as a key resource for changes in payment and coding guidelines from all payers. Educates and reeducates the team on these continual updates. Responsible for constant and continual education of the clinician/physicians on coding changes. Facilitates and influences the credentialing process to assure prompt ability to bill for services rendered by newly hired clinician/physicians. Analyzes monthly Appeals reports, tracking work effort by the billing team members and payors to ensure collections activity on a regular basis. Analyzes weekly charges and payments data to ensure billing/staff vendor is on track to meet established targets for productivity. Reviews Explanation of benefits (EOBs) as needed to determine/address payer problems. Coordinates efforts regarding authorization issues. Authority to lead and support team members in daily work activities, with direct accountability for hiring decisions, corrective actions, and performance management, including performance reviews.

Minimum Qualifications:

Education Bachelor's degree in health care administration, business, or another related field

Experience:

Minimum of 5-8 years of experience in health care management such as but not limited to clinic management, patient management, and accounts receivables. Strong background in financial management and knowledgeable of federal and state laws and requirements relating to healthcare management. Knowledge of CPT and ICD-10 coding. Certified Professional Coder preferred. Meaningful work.

Comprehensive benefits:

Care for your community while we care for you: Training and Professional Development Access to regular training, along with support, supervision, and consultation to help implement evidence-based services and programs. Clinical supervision provided toward licensure, if applicable Opportunities for career advancement and professional development pathways. Paid training days and yearly training fund Innovative Program & Services Rooted in providing quality, evidence-based services delivered by a collaborative multidisciplinary team Innovative, forward focused leadership adapting to evolving healthcare challenges Joint Commission and CARF accredited and dedicated to continuous quality improvement (CQI) Partnerships with a variety of universities and community providers for advanced treatment and programs Comprehensive Benefits Package Competitive salaries offered in alignment with community standards and industry benchmarks Medical, Dental, & Vision coverage available for employees and eligible family members and dependents Health Savings Account, $2,000 contributions annually, prorated monthly. Agency sponsored retirement plan, up to 6% employer contributions, and pre-tax/Roth available Access to Employee Assistance Program (EAP) resources Comprehensive paid time off, paid holidays, and extended sick leave options Access to Student Loan Forgiveness Programs Annual longevity bonuses Recognition programs and incentives How to

Apply:

Join us at Valley Cities and be part of a team that is dedicated to making a difference every day. If you are ready to take the next step in your career and join a company that values your contributions, we would love to hear from you! Please submit your resume and a cover letter detailing your relevant experience and why you are the perfect fit for this role. We look forward to welcoming you on board! We are dedicated to Equal Opportunity Employment & embrace the contributions of a diverse and inclusive workforce. Valley Cities Counseling and Consultation is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans and does not unlawfully discriminate under federal, state, or local laws. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, or protected veteran status. The Human Resources department can help with accommodations for applying or interviewing; contact us to arrange support. This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact the Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.