Revenue Cycle Manager

Piedmont Health Services, Inc.; Chapel Hill (NC); On-site; USD 61,889 - 83,173; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

403(b) Plan

Paid Holidays

CME

Job summary

Piedmont Health Services, Inc. in Chapel Hill, NC, seeks a Revenue Cycle Management (RCM) Manager to lead the complete revenue cycle across Primary Care, Pediatrics, Dental, and Behavioral Health services.

You will drive revenue optimization, ensure regulatory compliance, supervise billing operations and denials management, manage payer relations, and develop staff to meet organizational goals. This role requires 5+ years in revenue cycle with at least 3 years in management, FQHC expertise, and

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or related field.
• 5+ years of progressive revenue cycle experience.
• 3 years of management experience.
• FQHC Expertise.
• Strong knowledge of FQHC operations, medical, dental, and behavioral health billing.

Responsibilities

• The Revenue Cycle Management (RCM) Manager is responsible for strategic and operational oversight of the complete revenue cycle for Primary Care, Pediatrics, Dental, and Behavioral Health services.
• Leads revenue optimization, regulatory compliance, revenue integrity, billing operations, denials management, patient financial services, payer relations, reporting, and staff development.
• Provide leadership for all revenue cycle staff; supervise staffing, productivity, annual evaluations, coaching, disciplinary actions, and payroll approvals; partner with executive leadership, operations, finance, compliance, and clinical leaders to achieve organizational goals.
• Performs other duties as assigned.

Skills

Strong leadership

Regulatory knowledge

Payer relations

Staff development

Financial reporting

Education

Bachelor's degree in Healthcare Administration / related field

Tools

Athena Centricity

Dentrix

Epic

Job description

About Piedmont Health Services

Piedmont Health Services, Inc. (PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healthcare, PHS has proudly served for 55 years and remains the largest community health center in central NC. Operating 11 Community Health Centers, 2 PACE (Program of All-Inclusive Care for the Elderly) SeniorCare facilities, and 2 Mobile Health Units, PHS extends its services to residents across five counties, including Alamance, Caswell, Chatham, Orange, and Lee.

What's an FQHC?

Federally Qualified Health Centers (FQHC) are community-based healthcare providers that receive funds from the Health Resources and Services Administration (HRSA) Health Center Program to provide primary care services in under-served areas.

Job Title -Revenue Cycle Management (RCM) Manager

Department - Finance

Reports to -Director of Revenue Cycle

Benefits -

• Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
• 403(b) Plan
• Paid Holidays
• CME (Continuing Medical Education)

About Position:

• Work Location: 88 Vilcom Center Dr., Suite 110, Chapel Hill, NC 27514
• Schedule: Monday through Friday, 8:00am to 5:00pm

Job Summary -

The Revenue Cycle Management (RCM) Manager is responsible for strategic and operational oversight of the complete revenue cycle for Primary Care, Pediatrics, Dental, and Behavioral Health services. Leads revenue optimization, regulatory compliance, revenue integrity, billing operations, denials management, patient financial services, payer relations, reporting, and staff development. Provide leadership for all revenue cycle staff; supervise staffing, productivity, annual evaluations, coaching, disciplinary actions, and payroll approvals; partner with executive leadership, operations, finance, compliance, and clinical leaders to achieve organizational goals. Performs other duties as assigned.

Minimum Qualifications -

Education:

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Accounting, or related field;

Experience:

• 5+ years of progressive revenue cycle experience;
• 3 years of management experience;
• Federally Qualified Health Center (FQHC) Expertise;
• Strong knowledge of FQHC operations, medical, dental, and behavioral health billing;

Certifications:

• Certified Revenue Cycle Representative (CRCR), preferred;
• Certified Healthcare Financial Professional (CHFP), preferred;
• Certified Professional Coder (CPC), preferred;
• Certified Professional Medical Auditor (CPMA), preferred;

Systems Knowledge:

• Proficient with clearinghouse processes, denial management tools, and reporting platforms;
• Advanced proficiency with EMR Systems, Athena Centricity, Dentrix, and Epic, preferred.

Immunizations: Be medically cleared for communicable diseases and have all immunizations up-to-date prior to beginning employment.

Pay Range: $61,889.00 - $83,173.00 (commensurate with years of experience)

EEO Statement

Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.