Revenue Cycle Manager

The Mission Neighborhood Health Center (MNHC) is a non-profit, multi-site community health organization offering comprehensive health services in the Mission and Excelsior Districts of San Francisco. The center offers primary health care services, adult medicine, pediatrics, family planning, OB/GYN, HIV and homeless services. We advocate for health equity and deliver innovative, high-quality services responsive to the neighborhoods and diverse communities we serve.

We are looking for qualified candidates for our Revenue Cycle Manager role. This position reports to the Chief Financial Officer and is a Regular, Full Time, exempt role with a salary range of $100,980 to $106,386 with full benefits.

Location: On-site

Primary Objective:

The Revenue Cycle Manager is responsible for planning, directing, and coordinating MNHC's third-party revenue and reimbursement strategy. This position oversees the activities and operations of the revenue cycle analysts through daily supervision of the following functions: accounts receivable follow-up, charge reviews, claims submissions, payment posting, denials tracking, medical coding analysis, billing reporting and metrics, and reimbursement management. The individual in this position will be a hands-on manager able to coach, train, and evaluate staff performance. This role works closely with the CFO to plan and execute the organization's third-party and patient revenue goals.

ESSENTIAL FUNCTIONS / RESPONSIBILITIES

• Direct Billing team to ensure accurate and timely submission of all claims in accordance with third-party contract terms including Medicare, Medi-Cal, managed care, commercial insurance, and direct patient pay. Ensure unprocessed claims and denials are reviewed, reworked, and resubmitted to maximize revenue.
• Maintain all billing and financial data, including medical billing code tables, rate/fee schedules, and payer information.
• Analyze reimbursement from all sources and assure maximization of cash collections through diligent monitoring of all open accounts receivable balances.
• Maintain and enhance billing policies and procedures, develop and monitor quality control standards, and ensure consistent quality of billing services and staff adherence to policies, including Medicare and Medi-Cal compliance.
• Prepare detailed analyses and reports of billing and accounts receivable activity, including performance matrices, bad debt expense, and AR days outstanding on a daily, weekly, and monthly basis as determined by the CFO.
• Effectively communicate and provide training on changes in eligibility, insurance, and coding updates. Act as leader on implementation of billing/coding-related changes, including ICD-10 and CPC updates.
• Manage continuous improvements within the revenue cycle process, working with the Patient Services Director/Manager and CFO.
• Manage all billing and collection operations, including staff orientation, training, development, coaching, corrective actions, mentoring, performance reviews, and ongoing monitoring of work-related activities.
• Ensure skill levels are appropriate to assigned tasks by distributing duties and responsibilities and monitoring department productivity.
• Coordinate timely month-end accounts receivable/billing close in collaboration with the Accounting Manager.
• Research and address issues constructively, follow through to ensure timely resolution, and improve efficiency, compliance, and revenue maximization.
• Attend and actively participate in organizational meetings.

CORE COMPETENCIES

Management Excellence

• Deliver results by maximizing organizational effectiveness and productivity.
• Align people, work, and systems with business strategy.
• Supervise, train, and coach staff to support team development.

Quality and Productivity

• Establish and maintain high standards despite pressing deadlines.
• Manage multiple projects, set priorities, and follow through to completion.

Communication and Customer Service

• Communicate effectively in written and verbal formats.
• Strive to understand the needs of patients and clients.
• Treat all patients and clients with dignity, respect, and appreciation for cultural differences.

Safety

• Take immediate action to correct any unsafe situation.
• Follow proper procedures to ensure personal safety and that of team members.

Teamwork

• Promote team effort in all activities and use a team approach to problem-solving.
• Understand and embrace the mission and strategic initiatives of the organization.

MINIMUM QUALIFICATIONS

• Bachelor's degree in Accounting, Business Administration, Healthcare Administration, Healthcare Management, or a related field.
• Five years of management experience as a Revenue Cycle Manager, Billing Manager, or Revenue Cycle Director in a community health center or medical setting.
• Knowledge of CPT codes and ICD-10 coding protocols and procedures; Certified Professional Coder (CPC) preferred.
• Knowledge of FQHC rules and procedures, state and federal billing regulations, and HIPAA privacy requirements.
• Knowledge of accounting principles, including accounts receivable, write-offs, and collections.
• Understanding of organizational structure, workflows, and operating procedures within a community health center billing environment.
• Proficiency in Microsoft Office (Outlook, Word, Excel).
• Proficiency with general office equipment.

PREFERRED QUALIFICATIONS

• Ten years of revenue cycle experience
• Federally Qualified Health Center (FQHC) billing experience
• Certified Professional Coder
• Master's degree in healthcare administration

To learn more about our organization, please visit our website at www.mnhc.org. We offer a full range of benefits which includes the following:

• 401(k) retirement savings plan includes a company contribution
• Vacation: 2 weeks annually
• Paid educational leave: 40 hours annually
• Medical insurance: zero out-of-pocket expense
• Dental and vision insurance provided at no cost to the employee
• Life insurance includes a free basic policy with an optional voluntary plan
• Paid time off includes 12 paid holidays, a birthday holiday, two floating holidays and 12 sick days per year
• Flexible spending accounts for health and dependent care expenses
• Commuter benefits

As a condition of employment, all candidates are required to meet specific immunization standards. Documentation of current immunizations, including Varicella, TDAP, COVID-19, MMR, and Hepatitis B, as well as TB test results valid within the last two (2) years must be submitted before the start date. Failure to provide this documentation may result in a delayed start or withdrawal of the job offer.

Mission Neighborhood Health Center is an Equal Employment Opportunity employer committed to fostering an inclusive environment for our diverse workforce. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, or other applicable legally protected characteristics. Pursuant to the San Francisco Fair Chance Ordinance, we will consider employment for qualified applicants with arrest and conviction records.