FQHC Revenue Systems Director

Qualifications/Skills

• Bachelor’s degree in healthcare administration, Business, Finance, or related field (or equivalent experience).
• Significant experience in healthcare revenue cycle, billing, and coding leadership.
• Strong knowledge of Medicare, Medicaid, and third-party payer requirements.
• EMR/EHR systems and revenue cycle systems experience required.
• Knowledge of Healthcare regulations and compliance standards.
• Familiarity with sliding fee discount programs, Medicare/Medicaid cost reporting, and encounter rate billing.
• Prioritization of Provider credentialing process, preferred.

Job Duties

• Direct and oversee all billing, collections, and accounts receivable functions.
• Monitor and resolve claim denials, coding issues, and reimbursement discrepancies.
• Analyze clinical revenue, including daily balancing and monthly/year-end close processes.
• Implement and maintain fee schedules and ensure accurate charge capture.
• Serve as primary liaison with insurance companies and payer representatives.
• Manage payer relationships related to audits, denials, and reimbursement issues.
• Manage credentialing.

Company Benefits

• Health, dental, vision and voluntary supplemental policies.
• Up to 5% match in 403b retirement plan.
• Paid vacation and sick time.

Pay

$70,000 - $90,000, Based on experience.

Schedule

In office, Full Time, Monday through Friday.