- Nashville, Tennessee, United States
- Full-time · Director
- $74K–$112K per year
- 7+ years
The Director, Revenue Cycle (FQHC) is responsible for the strategic leadership, oversight, and optimization of revenue cycle operations across the organization's Federally Qualified Health Center (FQHC) services.
Compensation
$74,400.00--$111,600.00
Responsibilities
- Provide strategic leadership and oversight for all revenue cycle functions, including patient registration, charge capture, coding, billing, collections, denials management, appeals, reimbursement, and accounts receivable.
- Serve as the organization's subject matter expert on FQHC reimbursement methodologies, including Medicare and Medicaid Prospective Payment Systems (PPS), encounter billing, and wrap payment processes.
- Monitor federal and state regulatory changes affecting FQHC reimbursement and proactively implement operational and billing process improvements.
- Develop and execute revenue cycle strategies that improve cash flow, reduce denials, increase clean claim rates, and optimize reimbursement.
- Lead the evaluation, development, and implementation of revenue cycle policies, procedures, and best practices.
Requirements
- Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field
- Nice to have: Master's degree
- Nice to have: 340B Drug Pricing Program operations
- Nice to have: pharmacy billing
- Nice to have: revenue cycle leadership experience within FQHC