Revenue Cycle Manager

Job Description

Job Description

Finger Lakes Community Health uses BambooHR for the hiring and onboarding of our staff. All communications for recruitment will come directly from BambooHR (View email address on ziprecruiter.com) and may appear as spam.

About Finger Lakes Community Health:  

Finger Lakes Community Health (FLCH) was founded in 1989 with an original mission of serving the region's agricultural workers by linking individuals to area resources and providing essential health services. In 2009 the organization expanded to become a Federally Qualified Health Center (FQHC), serving patients of all incomes, ethnicities and walks of life. Over the last decade, FLCH has grown to provide medical, dental, and behavioral health services to over 28,000 patients at eight health centers. With over 200 employees, we strive to provide high-quality and innovative health care services to the Finger Lakes Region.

Benefits Offered:

• Monday through Friday schedule, closed all major holidays
• Medical, Dental, Vision, and Life insurance
• Safe Harbor 3% 401k contribution
• Robust PTO offerings 
• Education reimbursement 

Job Summary:  

The Revenue Cycle Manager oversees the billing department and the organization’s revenue cycle operations, including charge capture, claims submission, payment posting, denial management, accounts receivable, and patient billing. This position ensures timely and accurate reimbursement while maintaining compliance with Medicare, Medicaid, payer, and Federally Qualified Health Center requirements. The Revenue Cycle Manager works closely with Finance, health center operations, clinical leadership, Health Information, Credentialing, and Compliance to resolve billing issues, improve workflows, and support the financial sustainability of the organization.

This position can work out of Geneva, Penn Yan, or Sodus offices.

Main Responsibilities: 

Revenue Cycle Operations 

• Oversee all revenue cycle functions, including charge capture, coding coordination, claims submission, payment posting, patient billing, collections, account reconciliation, and accounts receivable management. 

• Monitor claims through final payment or resolution and ensure compliance with payer filing deadlines. 

• Oversee resolution of complex or escalated claims, denials, underpayments, and payment issues. 

• Coordinate with clinical and operational departments to resolve registration, documentation, coding, and charge-entry issues and delays. 

• Develop, maintain, and improve billing procedures, workflows, and internal controls to support compliance and operational effectiveness. 

FQHC Billing & Reimbursement 

• Ensure compliance with Medicare, Medicaid, managed care, commercial payer, and Federally Qualified Health Center (FQHC) billing and reimbursement requirements. 

• Maintain expertise in Medicaid Prospective Payment System (PPS) reimbursement, Medicare FQHC billing, wraparound payments, and payer-specific reimbursement methodologies. 

• Oversee billing processes for medical, dental, behavioral health, telehealth, care management, and other applicable services. 

• Ensure appropriate application of sliding fee discount and patient financial assistance. 

Compliance & Payer Relations 

• Ensure revenue cycle operations comply with federal and state regulations, payer contracts, HIPAA, and organizational policies. 

• Serve as the primary point of contact regarding claims, enrollment, reimbursement, audits, and payment issues. 

• Coordinate internal and external billing audits and support documentation requests. 

Reporting & Collaboration 

• Monitor and analyze key revenue cycle performance indicators, including days in accounts receivable, denial rates, clean claim rates, collection rates, reimbursement trends, and other operational metrics. 

• Prepare reports, analyses, and recommendations for leadership to improve revenue cycle performance and financial outcomes. 

• Assist with month-end reconciliation, budgeting, forecasting, financial audits, and strategic planning initiatives. 

• Educate providers, managers, and staff on billing requirements, documentation standards, and revenue cycle best practices. 

• Perform other related duties as assigned by the supervisor.

Documentation 

• Ensure claims, payment posting records, patient account notes, and billing-related documentation are complete and compliant within the EHR system. 

• Maintain organized electronic records to support audits, reviews, and reporting. 

Staff Supervision 

• Supervise the performance of billing staff, including conducting evaluations, auditing staff data entry, providing counseling, training, and administering disciplinary actions as needed. 

• Oversee recruitment, interviewing, onboarding, and training of billing staff. 

Other Duties 

• Perform other related duties as assigned by the supervisor. 

Education and Qualifications :

Education

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Accounting, or other related field is required.  
• Master’s degree in Healthcare Administration, Business Administration, Finance, Accounting, or other related field is preferred.  

Qualifications

• 5+ years in a healthcare or customer service setting required – billing or revenue cycle experience preferred. 

• Prior experience in supervisory or management position preferred. 

• A valid government-issued photo identification document is required.  

• A valid New York State driver’s license in compliance with FLCH driver’s policy is required. 

• Current New York State automobile insurance in compliance with FLCH underwriting agreement is required. Policy limits should reflect $100,000/$300,000/$100,000 coverage. 

• Demonstrates comprehensive knowledge of healthcare billing, reimbursement, claims processing, accounts receivable management, and revenue cycle operations, including Medicare, Medicaid, managed care, and Federally Qualified Health Center (FQHC) reimbursement requirements. 

• Strong knowledge of healthcare information systems, business software, and reporting tools. 

• Skilled in using revenue cycle data to inform planning and process improvement.  

• Experienced in guiding teams and promoting strong performance outcomes.  

• Capable of monitoring operational accuracy and supporting improvement efforts.  

• Is qualified to lead issue resolution across functional areas.  

Physical Requirements: 

• Sitting/Standing: Prolonged sitting with occasional standing or walking. 

• Computer Use: Frequent typing and prolonged screen time. 

• Light Lifting: Frequently lifting or carrying objects up to 15 pounds. 

• Visual: Clear vision for reading and inspections. 

• Hearing Clarity: Ability to hear conversations in person or in virtual communications. 

Work Environment:

• Health Center/Clinic: Work within a healthcare facility, interacting with patients and staff. 

• Remote: Home or remote office, using virtual communication to collaborate and interact with patients and staff. 

• Moderate-Paced: Dynamic environment that requires both productivity and accuracy to reach goals and project objectives. 

• Office Hours: Standard business hours, with occasional extended shifts based on clinic needs. 

Finger Lakes Community Health uses BambooHR for the hiring and onboarding of our staff. All communications for recruitment will come directly from BambooHR (View email address on ziprecruiter.com) and may appear as spam.