Revenue Cycle Lead: Reimbursement & Denials (Hybrid)

Stallant Health Crescent City; Crescent City (CA); Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health & Wellness Insurance

HSA company match

401(k) and Roth IRA with match

Life Insurance

Job summary

Stallant Health & Wellness is seeking a hands-on Revenue Cycle & Reimbursement Manager to own the end-to-end revenue cycle across locations and service lines. You’ll lead the coding and billing team in AthenaHealth, oversee payor contracting and credentialing, and ensure Rural Health Clinic operations stay compliant while partnering with finance, clinical and operational leaders to maximize reimbursement.

The role requires 3+ years in healthcare revenue cycle, a bachelor’s degree in a related

Qualifications

• Bachelor’s degree in a related field and 3+ years of healthcare revenue cycle experience.
• Strong knowledge of AthenaHealth and payor requirements.
• Experience supervising billing/coding staff and collaborating with finance teams.

Responsibilities

• Oversee daily revenue cycle operations in AthenaHealth including registration, eligibility, charge entry, claim submission, and posting.
• Manage denials, rejections, 0-pay reports, appeals, collections, refunds and Medi-Cal overpayments.
• Analyze reimbursement trends, payor fee schedules, and RHC wrap performance to identify underpayments and denial patterns.
• Track KPIs: Days in A/R, Clean Claim Rate, Net Collection Rate, Denial Rate.
• Support month-end close with reconciliations between Athena and GL revenue.
• Ensure ICD-10, CPT, HCPCS, CMS, Medi-Cal/DHCS and payor rules; handle Medicare Credit Balance Reports.
• Audit coding and documentation; train billing staff; present at Quality Improvement meetings.
• Supervise credentialing and provider enrollment; ensure credentialing is complete before patient visits.
• Build SOPs, keep fee schedules current; optimize Athena and ClickUp workflows with new service lines.
• Act as liaison between billing, front office, Practice Administrators and clinical teams.

Skills

Healthcare revenue cycle

Analytical skills

Excel

Clear communicator

Education

Bachelor's degree in Accounting, Finance, Healthcare Administration or related field

Tools

AthenaHealth

Job description

Stallant Health & Wellness is seeking a hands-on Revenue Cycle & Reimbursement Manager to own the end-to-end revenue cycle across locations and service lines. You’ll lead the coding and billing team in AthenaHealth, oversee payor contracting and credentialing, and ensure Rural Health Clinic operations stay compliant while partnering with finance, clinical and operational leaders to maximize reimbursement.

The role requires 3+ years in healthcare revenue cycle, a bachelor’s degree in a related