Revenue Cycle Director

Centermark Placements has been retained by East Valley Community Health Center to lead the Revenue Cycle Manager search.   We invite you to review the information below and reach out to learn more.  Additional information can be found on our website at https://centermarkplacements.com/jobs/rev-cycle-evchc/

Features & Benefits

• Visible position in the organization reporting directly to the Chief Financial Officer
• Ability to work 1-2 days per week remotely
• High level of autonomy. Enjoy a collaborative partnership with the CFO who is there to be a sounding board and supportive resource but will let you run your department without micromanagement
• Over the next two years, East Valley will transform how they deliver care to their patients by optimizing Care Team resources, creating workflows that maximize performance and drive quality metrics, while managing population health. As the Revenue Cycle Manager, you’ll partner with QI and operations teams to set the organization up for continued success
• Clean AR with less than 10% > 90 days
• Unique opportunity to put your stamp on the organization as Revenue Cycle Manager role is a relatively new position in the organization. You’ll build upon the existing structure, taking the organization farther than they’ve gone before
• Lead an established and growing billing team made up of a Billing Lead, two Coders, and seven Billers (the department is budgeted to be at 15 FTEs over the next few years)
• Develop a sophisticated revenue cycle dashboard to monitor KPI within their NextGen EHR. You’ll move the organization away from manual reporting process to real-time visibility into metrics regarding billing and revenue collections, claims management, and payer contract management

The Company

• For more than five decades, East Valley has been improving the well-being of in-need, underserved communities in the East San Gabriel Valley and Pomona Communities. The organization provides access to high-quality healthcare and preventive education for all, regardless of ability to pay
• The organization is a 501(c)(3) non-profit, Federally Qualified Health Center (FQHC) with a budget of $45M
• From 8 locations, the organization serves a patient population of over 30,000 with a robust mix of services
• As a Federally Qualified Health Center, the organization provides high quality primary care, pediatrics, dental, optometry, behavioral health, care coordination, pharmacy, and various specialty care services to everyone in the community regardless of their ability to pay

The Role You'll Play

• Establish revenue cycle benchmarks, and standards of practices with policies and procedures consistent with organizational goals, infrastructure, state, and federal requirements
• Oversight of all staffing functions (i.e. Billing & Coding) and provides leadership with training
• Collaborate with executive management, providers, and accounting to create financial and reporting regarding the revenue cycle
• Develops departmental goals, objectives, established staffing patterns, and organizes the work of the departments
• Directs and oversees all functions of coding, claim management, billing, payment, and collections
• Responsible for overseeing posting of charges, adjustments, and payments to patient accounts and assuring accuracy and timeliness
• Keep abreast of Medicare, Medicaid (Medi-Cal), and other third party payer rules and regulations with respect to billing and other matters and communicates this information to the physicians and appropriate team members
• Works with CFO to ensure proper cash controls are in place and payments received are posted accurately and timely
• Work closely with CFO to prepare month-end and year-end financial close

Background Profile

• Bachelor's Degree in Accounting, or related field desirable but not required
• Previous revenue cycle experience is strongly preferred. Related healthcare revenue cycle experience will be considered
• Demonstrated expertise in analyzing data with thorough knowledge of Excel including formulas, pivot tables, etc.
• Strong technical skills with respect to Electronic Health Records. Experience with NextGen is desirable
• Process-minded and data-driven with the ability to assess policies and procedures, reduce bottlenecks, and increase efficiency
• Strong communication skills; and effective manager and leader
• Expertise and self-sufficiency to lead all revenue cycle functions independently. Though the CFO will be available as coach and mentor, must be comfortable to work independently to advance the organization’s initiatives