Job Description

Job Description

Job Description

JOB SUMMARY

The Revenue Cycle Manager is responsible for overseeing day-to-day operations of the revenue cycle, including provider enrollment, claims, payments, credit balances, insurance reimbursement, and self-pay management. The Manager ensures goals and objectives align with the strategic vision of FH – HRDI and collaborates with the CFO or designee to support improvements that enhance revenue or reduce costs. The Manager coordinates revenue cycle activities to ensure reimbursement compliance and supports efficient account management, payor communication, and collections. Additionally, the role involves implementation of organizational changes and process improvements.

JOB DUTIES

• Manage operational, financial, and personnel activities related to the revenue cycle.
• Ensure staff compliance with all applicable laws, regulations, and guidelines.
• Identify issues, risks, and opportunities for improvement within the area of responsibility.
• Analyze and summarize revenue cycle data; monitor performance against KPIs.
• Assist in identifying coding and utilization review needs; recommend procedural updates.
• Ensure compliance with accreditation and state requirements/guidelines.
• Collaborate on annual goals and objectives with the CFO.
• Monitor metrics and trends; align operations with organizational goals.
• Provide feedback to providers/coders and support corrective education as needed.
• Support middle revenue cycle needs and procedural recommendations.
• Promote productivity and operational efficiency.
• Maintain vendor and program relationships (e.g., Illinois Managed Care Programs).
• Stay informed of industry trends and incorporate relevant practices into workflow.

Financial Management:

• Monitor gross charges, adjustments, rejection/denial rates, and collection metrics.
• Provide revenue projections to the Accounting team for monthly revenue recording.
• Share KPI data related to encounters, resubmissions, payor mix, and revenue mix.
• Calculate and communicate contractual and uncollectible (bad debt) allowances.
• Oversee vaccination program revenue reporting and associated costs.
• Assist with annual Medicare and Medicaid cost reports for revenue components.
• Support cost reduction strategies, including staffing assessments.

QUALIFICATIONS

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or a related field preferred.
• 5–7+ years of progressively responsible experience in billing, collections, coding, and payor relations may substitute for formal education.
• Experience balancing operations between a primary care/FQHC environment and a behavioral health/mental health setting.
• Prior experience in a Federally Qualified Health Center (FQHC) preferred.
• Familiarity with CCBHC (Certified Community Behavioral Health Clinic) reimbursement models strongly preferred.
• Knowledge of Prospective Payment System (PPS) reimbursement methodologies.
• Knowledge of EPIC and/or AthenaPractice (Centricity) EHR systems a strong plus.
• Strong analytical and decision-making skills.
• Flexibility, proactive attitude, and problem-solving mindset.
• Strong organizational skills and attention to detail.
• Effective communicator with written and verbal proficiency.
• Knowledge of healthcare administration, medical terminology, and applicable regulations.
• Familiarity with service contract negotiation and accounting principles.
• Ability to manage multiple projects and adapt to change.

SMART GOALS

• Maintain membership in professional organizations for continued learning and networking.
• Assess staff development needs and provide annual resources and goal setting.
• Integrate ethical standards and core values into daily operations.
• Maintain complete and compliant records aligned with legal, regulatory, and policy requirements.

WORKING CONDITIONS

The unavoidable, externally imposed conditions under which the work must be performed, and which create hardship for the incumbent including the frequency and duration of occurrence of physical demands, environmental conditions, demands on one’s senses, and mental demands.) None known.

PHYSICAL REQUIREMENTS

• Must be able to sit, stand, and walk for extended periods of time.
• Travel to outreach events within the community required
• Occasional evening or weekend hours may be necessary to support community events.

EMPLOYMENT CONDITIONS

This job description is to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employee’s ability to perform the duties as described. This job description is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned as deemed appropriate commensurate to the position. This document does not represent a contract of employment, and Friend Health - HRDI reserves the right to change this job description and /or assign tasks deemed as needed.

BENEFITS

• Medical, Dental, and Vision Insurance
• 403(b) Retirement Plan
• Paid Time Off (PTO) & Paid Holidays
• Life Insurance & Disability Coverage
• Tuition Reimbursement & Professional Development Opportunities
• Wellness Programs & Employee Assistance Programs (EAP)

Equal Employment Opportunity (EEO) Statement

Friend Health – HRDI is an equal opportunity employer. We consider all applicants for employment without regard to race, religion, color, age, sex, national origin, citizenship, ancestry, marital or parental status, sexual orientation including gender identity, gender expression, military discharge status, physical or mental disability, or any other status or characteristic protected by law. In addition, Friend Health – HRDI provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local laws (including during the application or hiring process). Friend Health - HRDI supports the Pay Transparency Law as an equal opportunity employer.

Join our Team!

At Friend Health – HRDI, we are dedicated to improving the lives of those we serve through compassionate care, innovation, and teamwork. If you are passionate about driving healthcare performance, fostering collaboration, and making a meaningful impact in your community—we invite you to grow with us. We offer a supportive work environment, professional development opportunities, and a comprehensive benefits package. Be part of something greater. Join Friend Health – HRDI today!

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