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30+ days
Not Specified
Not Specified
$37.19/hr - $61.57/hr (Estimated)
<p>Director of Revenue Cycle</p> <p>Location: Kalamazoo, Michigan</p> <p>Organization Type: Federally Qualified Health Center (FQHC)</p> <p>Annual Visits: 170,000+</p> <p>Position Summary:</p> <p>We are seeking a seasoned Director of Revenue Cycle to lead and optimize the full scope of our revenue cycle operations at a high-performing FQHC with over 170,000 patient visits annually. This key leadership role is responsible for maximizing cash flow, ensuring regulatory compliance, and building a high-performing, cross-functional team to support our mission-driven healthcare environment.</p> <p>Reporting directly to the Chief Financial Officer (CFO), the Director will oversee all aspects of billing, coding, reimbursement, and patient accounts. The ideal candidate brings 5-10 years of progressive leadership experience in revenue cycle management, preferably within an FQHC or complex healthcare setting, and thrives in a fast-paced, data-driven environment.</p> <p>Key Responsibilities:</p> <ul> <li>Provide strategic and operational oversight of all revenue cycle functions, including registration, prior authorization, coding, billing, collections, denials, reimbursement, and patient accounts. </li><li>Develop, lead, and coach a high-performing, engaged revenue cycle team aligned with organizational goals. </li><li>Optimize workflows and systems (EPIC and Dentrix) to streamline revenue cycle processes and improve performance. </li><li>Oversee accounts receivable reporting, cash reconciliation, and month-end close in collaboration with Finance. </li><li>Conduct data analysis and generate reports to support strategic decision-making and process improvement. </li><li>Ensure compliance with CMS, HRSA, Medicare PPS, Medicaid, and all relevant federal and state regulations. </li><li>Serve as a subject matter expert on FQHC/CHC billing and HRSA operational policies. </li><li>Provide training and education to providers and staff on documentation, coding, and compliance requirements. </li><li>Prepare and implement annual revenue cycle strategic and compliance work plans. </li><li>Participate in annual financial and billing audits, fee schedule reviews, and cost reporting activities. </li></ul> <p>Qualifications:</p> <ul> <li>Master's degree in Health Administration, Business Administration, Finance, or related field preferred; equivalent leadership experience will be considered. </li><li>5-10 years of progressive leadership in revenue cycle management, ideally in a high-volume healthcare or FQHC setting. </li><li>Demonstrated expertise in payer systems, claims management, coding, collections, and compliance. </li><li>Proficiency in CPT coding, payment posting, self-pay processes, and AR management. </li><li>Strong financial acumen and understanding of healthcare reimbursement and regulatory frameworks. </li><li>Familiarity with FQHC requirements, CHAMPS, MDHHS Medicare cost reporting, and relevant compliance regulations (Anti-Kickback Statute, False Claims Act, Stark Law). </li><li>Epic experience strongly preferred. </li><li>CPC, CRCE, or other revenue cycle certifications a plus. </li></ul>
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