Revenue Cycle Optimization Manager

Benton-County-Oregon; Corvallis (OR); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Generous time off

Vacation accrual

Job summary

Benton County Health Department is seeking a Revenue Cycle Optimization Manager to lead and optimize revenue cycle operations across Health Services. The role oversees registration, coding, billing, payments, denials, AR, and reporting, driving efficiencies and compliant workflows.

The ideal candidate has extensive experience in healthcare revenue cycle management, payer enrollment, and regulatory compliance, with a focus on improving financial performance for federally qualified health centers

Qualifications

• Bachelor's degree in a related field is required.
• Five years of professional experience in healthcare revenue cycle or related area, with at least three years in management.
• Equivalent combination of education, training, and experience may be considered.

Responsibilities

• Provide leadership and strategic direction for revenue cycle operations across Health Services.
• Oversee processes including registration, eligibility, charge capture, coding, claims, posting, denials, AR, and billing.
• Monitor performance, identify trends, and lead cross-functional improvement efforts with multiple teams.
• Serve as SME for revenue cycle systems and payer configurations, ensuring compliance and optimal reimbursement.

Skills

Revenue cycle ops

Medicare & Medicaid

Coding & billing

EHR systems

Regulatory compliance

Payer enrollment

Operational improvement

Budgeting & forecasting

FQHC reimbursement

Revenue integrity

Education

Bachelor's degree in Healthcare Administration, Business Administration, Health Information Management, Health Informatics, Finance, Accounting, Public Administration, or related field

Tools

EPIC/OCHIN

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.

First review of applications will be September 30, 2026.

Applications submitted after this date may or may not be considered.

Please note that this recruitment may close at any time after the first review date.

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.
  • 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.