Revenue Cycle Optimization Manager

Benton County (OR); Corvallis (OR); On-site; USD 80,000 - 109,000; Full time

Benefits offered by this job

Paid holidays and leave

Health insurance premium paid

HSA/HRA contributions

Retirement contributions (PERS/457b)

Wellness program

Job summary

Benton County Health Department is seeking a Revenue Cycle Optimization Manager to lead revenue cycle operations for Health Services. You will oversee patient registration, coding, claims, denials, AR, and patient billing, ensuring accurate, timely, and compliant processes.

You will supervise staff, set standards, and drive improvement with Finance, IT, and clinical teams to maximize reimbursement and financial performance.

Qualifications

• Bachelor's degree in a relevant field is required.
• Five years of healthcare revenue cycle/finance experience with at least three years in management.
• Equivalent education/experience may be considered.

Responsibilities

• Provide leadership and strategic direction for revenue cycle operations.
• Supervise revenue cycle staff and set performance standards.
• Coordinate with clinical operations, Finance, Compliance, and IT to improve reimbursement.
• Ensure billing processes meet payer requirements and regulatory standards.

Skills

Revenue cycle management

Leadership

Healthcare finance

Education

Bachelor's degree in healthcare administration/related field

Tools

EPIC/EHR systems

Job description

Benton County's Health Department is hiring a Revenue Cycle Optimization Manager.

JOB SUMMARY

The Revenue Cycle Optimization Manager provides leadership, oversight, and strategic direction for revenue cycle operations across Health Services. The position is responsible for ensuring accurate, timely, compliant, and efficient processes throughout the revenue cycle, including patient registration and eligibility, provider and payer enrollment support, charge capture, coding, claim submission, payment posting, denial and appeal management, accounts receivable, patient billing and collections, reimbursement monitoring, and revenue cycle reporting.

The Revenue Cycle Optimization Manager provides direct leadership and supervision to assigned revenue cycle staff and establishes performance expectations, operational standards, internal controls, and improvement priorities that strengthen financial performance and support sustainable service delivery. The position monitors revenue cycle performance identifies trends and root causes affecting reimbursement and leads cross-functional improvement efforts with clinical operations, patient access, providers, Finance, Compliance, Health Information Management, Information Technology, and other Health Services teams.

The position serves as the organizational subject matter expert for revenue cycle business systems and reimbursement workflows, including the electronic health record and applicable payer systems. The Revenue Cycle Optimization Manager ensures systems, workflows, fee schedules, payer configurations, and billing processes are appropriately maintained and aligned with payer requirements, regulatory standards, contractual obligations, and organizational policies.

The Revenue Cycle Optimization Manager provides specialized leadership for the unique reimbursement and billing requirements of Federally Qualified Health Centers, CFAA revenue, and other Health Services programs. This includes oversight of applicable Medicare and Medicaid FQHC reimbursement methodologies, alternative payment arrangements, supplemental payment processes, fee schedules, and operational implementation of the Health Center Program Sliding Fee Discount Program and billing and collections requirements.

The position exercises a high degree of independent judgment and serves as a key advisor to Health Services leadership regarding revenue cycle performance, reimbursement strategy, revenue risk, operational improvement, payer trends, and opportunities to maximize appropriate reimbursement for services delivered.

MINIMUM QUALIFICATIONS

The following minimum qualifications are required for this position:

• Bachelor's degree from an accredited college or university in Healthcare Administration, Business Administration, Health Information Management, Health Informatics, Finance, Accounting, Public Administration, or a closely related field required.
• Five (5) years of professional experience in healthcare revenue cycle, healthcare finance, reimbursement, billing operations, healthcare business systems, or a closely related area, including at least three (3) years of management or supervisory experience.
  • Please note: Supervisory experience includes the authority to hire, terminate, assign, reward and discipline other employees.
• An equivalent combination of education, training, and experience that demonstrates the required knowledge, skills, and abilities may be considered.

Special Requirements

• Criminal Records Check

Preferred Knowledge, Skills & Abilities

• Healthcare revenue cycle operations, including registration, eligibility, charge capture, coding, billing, claims processing, payment posting, denials, appeals, accounts receivable, and collections.
• Medicare, Medicaid, commercial payer, and managed care reimbursement requirements.
• Healthcare coding and billing principles, including ICD-10, CPT, HCPCS, modifiers, claim forms, and payer-specific billing requirements.
• Electronic Health Records and healthcare revenue cycle information systems.
• Revenue cycle performance indicators and methods for monitoring and improving financial performance.
• Payer enrollment, credentialing interfaces, reimbursement configuration, fee schedules, and payer contract implementation.
• Healthcare regulatory and compliance requirements affecting billing and reimbursement.
• Principles of operational improvement, project management, root cause analysis, and process redesign.
• Budgeting, forecasting, revenue analysis, and financial performance measurement.
• FQHC reimbursement models, including Medicare FQHC PPS and Medicaid FQHC payment methodologies.
• Health Center Program requirements related to fee schedules, Sliding Fee Discount Programs, billing and collections, and patient financial responsibility.
• Alternative payment methodologies, supplemental payment processes, managed care reimbursement, and value-based payment arrangements applicable to safety-net healthcare organizations.
• Principles of revenue integrity, reimbursement reconciliation, payment variance analysis, and prevention of revenue leakage.

Preference may be given to candidates with experience in one or more of the following

• Federally Qualified Health Centers (FQHCs)
• Community Mental Health Programs (CMHPs)
• Public Health
• County or local government healthcare systems
• EPIC/OCHIN revenue cycle systems
• Medicare and Medicaid billing and reimbursement
• Managed care or Coordinated Care Organization reimbursement
• Revenue cycle management in a multi-site healthcare organization
• Denial prevention and accounts receivable improvement
• Payer enrollment and reimbursement configuration
• Healthcare financial analysis and forecasting
• Value-based or alternative payment arrangements
• FQHC PPS, Medicaid alternative payment methodologies, and supplemental/wraparound payment reconciliation
• HRSA Health Center Program billing, collections, fee schedule, and Sliding Fee Discount Program requirements
• Revenue cycle audit readiness and implementation of corrective action plans

BENEFITS

Generous time off to maintain a healthy work-life balance!

• 11 Paid Holidays + 64 Personal Leave Hours + 2 Floating Holidays + 8 hours of vacation accrual every month + sick leave! Vacation accrual increases with years of service.

$0 Health Insurance Premium!

• Medical, Dental and Vision -cover your eligible family members without additional premium.
• In addition, the County contributes up to $1,400 per year to your Health Savings or Health Reimbursement account!
  • Apart from your deductible, you can use this money for things that aren’t traditionally paid by insurance – i.e. Ibuprofen, Tylenol and other preventative type medications.
  • You never lose your Health Savings Account funds as it rolls over from year to year.
• Dependents up to age 26 are covered!

Get ready for retirement. Generous employer paid contributions!

• After 6 months of employment:
  • The County makes a retirement contribution of 6% of your salary towards Oregon PERS!
  • The County makes a deferred compensation 457b plan contribution of 3% of your salary! You can add more if you wish.

A free and award-winning wellness program

• Interactive and personalized approach focused on your whole health.
• Onsite and virtual seminars, wellness challenges and fun activities.
• Monetary incentives and cool prizes to engage everyone and meet your individual needs!

100% employer-paid coverage for AD&D ($100,000), Life ($10,000), and Long-Term Disability coverage.

• Supplemental plans are available at reasonable rates.

Annual salary range

$80,012.61 - $109,107.65

Salary Placement:

Your application will be used to determine salary placement based on a pay equity assessment. Please ensure you have provided a thorough and updated application as it pertains to the position for which you are applying. For further information, please click on the link Oregon Pay Equity Law for more details.

Questions regarding this position can be directed to:

Debbie Sessions, Director of Operations Health Services

Telephone: [phone]
Email: [e-mail]

Working & living in Benton County

Living and working in the heart of the Willamette Valley offers unparalleled access to the great outdoors. The courthouse is located less than a mile from the Willamette River with excellent fishing and recreational activities. The beautiful Oregon coast is just over an hour away and has plenty of options for fantastic day trips to the beach, surfing, and hiking. You will also have easy access to the Coastal and Cascade mountain ranges for hiking, backpacking, and famous mountain biking trails. In the winter, several ski resorts are available to enjoy your weekends year-round.

Benton County is an equal opportunity employer.

Helpful links and contact information

Learn more about Benton County

Understanding the County Application Process

JobInterest Cards webpage

For more information you may contact us by e-mail at [e-mail] or by phone at 541-766-6081.