Revenue Cycle Manager at USPI

Lindsay, California, United States -

Full Time

Start Date

Immediate

Expiry Date

10 Jun, 26

Salary

0.0

Posted On

12 Mar, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Athenahealth RCM, RHC Billing, FQHC Billing, Charge Capture, Claims Submission, Denial Management, A/R Follow-up, Payment Posting, Reconciliation, Compliance, Financial Reporting, Data Analysis, Team Leadership, Medical Coding, Budgeting

Industry

Description

Job Title: Revenue Cycle Manager Company Name: Living Water Clinic Job Type: Full-Time Location: Lindsay, CA About Us: Living Water Community Health and Wellness Clinic is a faith-based healthcare organization dedicated to providing compassionate, high-quality care to our communities. With locations in Porterville, Lindsay, Woodlake, and Visalia, California, we offer a range of services including urgent care, telemedicine, dental, and comprehensive family medicine. Our mission is to improve patient health and wellness through innovative, patient-centered care. Job Description: Living Water Clinic is seeking an experienced Revenue Cycle Manager to lead and oversee all aspects of the revenue cycle, from charge capture to payment posting. This role is critical in ensuring timely, accurate reimbursement and optimizing the financial health of the organization. The ideal candidate is a seasoned professional with deep knowledge of Athenahealth’s Revenue Cycle Management (RCM) system, strong leadership skills, and extensive experience in RHC/FQHC billing and compliance. Responsibilities: REVENUE CYCLE OVERSIGHT * Lead day-to-day operations of the billing department across all clinic locations. * Manage the entire revenue cycle process including charge entry, claims submission, working denials, A/R follow-up, payment posting, and reconciliation. * Monitor and manage Athenahealth RCM tools and workflows, including clearinghouse rejections, eligibility, and claim holds. * Oversee monthly wrap payments, capitation reports, and contractual adjustments. * Ensure timely and accurate billing in compliance with federal, state, and payer-specific regulations. REPORTING & STRATEGY * Generate and analyze financial reports and A/R dashboards from Athena. * Identify trends in denials and reimbursement issues; implement corrective actions. * Work closely with leadership to support budgeting and forecasting related to patient revenue. * Train and mentor billing team members, fostering growth and accountability. COMPLIANCE & COLLABORATION * Ensure compliance with RHC/FQHC billing guidelines and payer requirements. * Serve as the point of contact for audits and payer inquiries. * Collaborate with clinical and administrative teams to improve coding accuracy and documentation quality. Qualifications: REQUIRED * Bachelor's degree in Healthcare Administration, Finance, Business, or related field. * At least 10 years of experience in Revenue Cycle Management, with a focus on RHCs/FQHCs. * Minimum of 5–10 years of hands-on experience with Athenahealth billing and RCM platform. * Strong understanding of medical billing, coding, and compliance regulations. * Demonstrated leadership and supervisory experience. * Proficiency in analyzing financial data and managing high-volume A/R. PREFERRED * Experience with Athena reporting, wrap payments, and Medi-Cal or managed care billing. * Familiarity with value-based care models and performance metrics. * Knowledge of MACRA, UDS reporting, and ACO participation. * Being bilingual in English and Spanish is a plus. WHY JOIN US? * Lead critical financial operations that directly support healthcare access in underserved communities. * Join a passionate and mission-driven team in a supportive, growth-oriented environment. * Competitive salary and comprehensive benefits package. Living Water Clinic-Clinica Agua Viva is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you are an experienced revenue cycle leader who thrives in a fast-paced, mission-driven setting, we encourage you to apply!

Responsibilities

The Revenue Cycle Manager will lead daily operations of the billing department across all clinic sites, managing the entire revenue cycle from charge entry through payment posting and reconciliation. This role is responsible for monitoring Athenahealth workflows, overseeing monthly payments, and ensuring timely and accurate billing compliance.