Clinic Revenue Cycle Manager

Sfcommunityhealth; San Francisco (CA); On-site; USD 90,000 - 100,000; Full time

Job summary

San Francisco Community Health Center seeks a Clinic Revenue Manager to oversee the end-to-end revenue cycle for patient services at SFCHC, ensuring efficient processes, proper coding, and timely billing. You will collaborate with OBS and clinicians to improve cash flow and reduce denials, while mentoring billing staff.

The role requires 3–5 years in medical billing/coding and a strong HIPAA background; on-site work in San Francisco with opportunities for professional growth and a competitive

Qualifications

• A bachelor's in accounting, business administration, or healthcare disciplines.
• Valid certification in medical/dental billing or coding or related certification is a must
• 3-5 years of experience in medical billing, coding, eligibility and health insurance plans
• Community healthcare or federally qualified health clinic experience is highly desirable
• Supervisory experience of 3-5 years
• Full knowledge and understanding of HIPAA, PHI, patient rights and responsibilities

Responsibilities

• Managing the end-to-end revenue cycle: Leads patient registration, appointments, insurance verification, prior authorization, coding, billing collections, denials, appeals , and more.
• Clean claims are processed: Working with Ochin Billing Services [OBS], a 3rd party billing and collections services and the clinicians that charges are completed, coded correctly, signed off and submitted within 72 hours.
• Resolving billing issues: Working to resolve any billing-related issues flagged by OBS with the clinicians within 5 days
• Managing accounts receivables: Working to effectively manage accounts receivables and reduce over 60 days past dues
• Annual master fee schedule: Updates SFCHC master fee schedule and sliding fee discount table for April 1 implementation
• Staying apprised of trends: Staying current with coding and revenue trends
• Implementing coding changes: Implementing coding changes and providing coding education to staff
• Managing the team: Managing and supervising new patient enrollment, appointments, cancellations, insurance verification, eligibility, sliding fee, and works collaboratively with the ESA, ECM and program clients’ support staff
• Reporting compliance and analyses: Creates provider productivity and utilization reports, weekly, monthly and year-to-date charges, payments, adjustments and write-offs
• Related fiscal and compliance functions: PIP, risk pool inventive, capitation, wrap-around and credentialing and enrollment of new providers to DHCS-PAVE, CMS-PECOS, and managed care and private health plans
• Staff training and collaboration : Creates workflows, on-boarding and training of new staff, cross-functional training with allied services like ECM, programs and Clinical Msnager

Skills

Medical billing

Medical coding

HIPAA knowledge

Accounts receivable management

Team supervision

Education

Bachelor's in accounting or healthcare administration

Tools

EPIC

OCHIN Billing Services

EHR systems

Job description

San Francisco Community Health Center seeks a Clinic Revenue Manager to oversee the end-to-end revenue cycle for patient services at SFCHC, ensuring efficient processes, proper coding, and timely billing. You will collaborate with OBS and clinicians to improve cash flow and reduce denials, while mentoring billing staff.

The role requires 3–5 years in medical billing/coding and a strong HIPAA background; on-site work in San Francisco with opportunities for professional growth and a competitive