Accounting Close, Accounts Receivable, Analysis Skills, Billing, Charge Capture, Communication Skills, Credit and Collections, Documentation Standards, Electronic Medical Records, Fee Schedule, Finance, Healthcare, Healthcare Administration, Insurance, Leadership, Maintain Compliance, Medicaid, Medical Billing, Medical Record System, Medicare, Medicare Cost Reports, Operational Support, People Management, Primary Care, Provider Credentialing, Regulations, Regulatory Compliance, Reimbursement, Relationship Management, Revenue Analysis, Third-Party Payer, Time Management
FQHC Revenue Systems Director
11990 Jackson St., Clinton, LA 70722
Email your resume to careers@rkmcare.org
Since 1999, RKM’s mission is to provide open access to quality patient-centered healthcare in the communities in which we live. RKM Primary Care is a Federally Qualified Health Center with 10 clinics in 5 parishes. The Revenue Systems Director is responsible for leading and optimizing all revenue cycle functions within a Federally Qualified Health Center (FQHC) environment. This role ensures accurate, compliant, and timely revenue capture across clinical, billing, and payer operations while supporting organizational financial performance and patient access initiatives.
Qualifications/Skills:
- Bachelor’s degree in healthcare administration, Business, Finance, or related field (or equivalent experience).
- Significant experience in healthcare revenue cycle, billing, and coding leadership.
- Strong knowledge of Medicare, Medicaid, and third-party payer requirements.
- EMR/EHR systems and revenue cycle systems experience required.
- Knowledge of Healthcare regulations and compliance standards.
- Familiarity with sliding fee discount programs, Medicare/Medicaid cost reporting, and encounter rate billing.
- Proven leadership and staff management experience.
- Strong analytical and data interpretation skills with executive-level communication ability.
- Knowledge of Provider credentialing process, preferred.
Job Duties:
- Direct and oversee all billing, collections, and accounts receivable functions.
- Monitor and resolve claim denials, coding issues, and reimbursement discrepancies.
- Analyze clinical revenue, including daily balancing and monthly/year-end close processes.
- Implement and maintain fee schedules and ensure accurate charge capture.
- Ensure providers close encounters timely and accurately.
- Ensure compliance with federal, state, and payer-specific regulations (Medicare/Medicaid, HRSA, encounter data, etc.).
- Maintain knowledge of coding updates, reimbursement methodologies, and payer requirements.
- Oversee audits, documentation standards, and revenue integrity processes.
- Establish workflows and productivity expectations for the department.
- Serve as primary liaison with insurance companies and payer representatives.
- Manage payer relationships related to audits, denials, and reimbursement issues.
- Manage credentialing.
Employment Type: In office, Full Time, Monday through Friday
Company Benefits: Health, dental, vision and voluntary supplemental policies, Up to 5% match in 403b retirement plan, paid vacation and sick time.
Starting Salary Range: Based on experience