Director of Revenue Cycle Management en Rocking Horse Community Health Center

Description

We are seeking a Director of Revenue Cycle Management to join our team!

Rocking Horse Community Health Center (RHCHC) is a Federally Qualified Health Center (FQHC) that provides healthcare services to some of the area’s most vulnerable populations.

This Director of Revenue Cycle Management oversees all billing operations for the health center, ensuring compliance with federal, state and payer-specific regulations.  Responsible for optimizing revenue cycle processes, managing billing staff, and ensuring accurate and timely billing, auditing, paneling, contracting, and collections.  This individual has a key role in maintaining financial sustainability while supporting the mission of providing accessible, affordable healthcare to underserved populations.

This opportunity has a generous compensation package. You will be offered Medical, Dental & Vision benefits, Company paid life, LTD insurance, participation in the RHCHC 401k plan, and the potential to earn and accrue up to 4 weeks of PTO per year along with 10 paid holidays.  

RHCHC is located within walking distance of downtown Springfield OH, which offers a wonderful variety of locally owned & operated eateries, bakeries & coffee shops.  Springfield is centrally located between Dayton & Columbus, which offers a high quality of life, and low cost of living in Southwestern Ohio.   Clark County has excellent school systems and is home to Clark State College and Wittenberg University.

To apply, and learn more about our mission driven organization, please visit our website @ www.rockinghorsecenter.org.  All inquiries are confidential.

Position Info:

Position Title: Director of Revenue Cycle Management                                                                  

Primary Service Center: South Limestone location, Springfield, Ohio         

FLSA Status:  Exempt – Salaried position.

Work Hours: Full-time position

Education Requirements:

• Bachelor’s degree from an accredited college in business administration or related field preferred.  Minimum of five (5) years’ experience in the field of billing and collections, with some FQHC experience is preferred.
• Certified Professional Biller (CPB), Certified Revenue Cycle Professional (CRCP), or similar credential is preferred.

Qualifications

Knowledge/Skills & Abilities Required: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

1. Knowledge of FQHC billing practices with understanding of Prospective Payment System (PPS), sliding fee scale structures, and wraparound payments.
2. Familiarity with Medicaid, Medicare, and commercial insurance billing requirements specific to FQHCs.
3. Understanding of medical, mental health, community mental health, dental, vision, chiropractic and other billable services provided at Rocking Horse.
4. Knowledge of HRSA guidelines, HIPAA regulations, and other federal/state compliance standards.
5. Ability to interpret and apply payer policies and regulatory updates to billing operations.
6. Strong grasp of end-to-end revenue cycle processes including charge capture, coding, claims submission, denial management, and collections.
7. Experience with and ability to evaluate performance metrics such as days in A/R, clean claim rate, and denial resolution rate.
8. Proficiency in billing software and EHR systems (preferably NextGen).
9. Proven ability to lead and develop billing teams, manage performance, and foster a culture of accountability and continuous improvement.
10. Strong interpersonal and communication skills for cross-functional collaboration.
11. Ability to identify trends, troubleshoot billing issues, and implement effective solutions.
12. Skilled in financial analysis and forecasting related to billing and reimbursement.
13. Ability to analyze data and generate reports using Excel
14. Capable of managing multiple priorities in a fast-paced environment.
15. Detail-oriented with a commitment to accuracy and timeliness.
16. Commitment to supporting the health center’s mission of equitable access to care
17. Ability and desire to provide and supervise effective and efficient customer service.
18. Strong interpersonal and communication skills and the ability to work effectively with others.
19. Education and/or Experience: Bachelor’s Degree from an accredited college in business administration or related field preferred.  Minimum of five years’ experience in the field of billing and collections, with some FQHC experience preferred.  Certified Professional Biller (CPB), Certified Revenue Cycle Professional (CRCP), or similar credential preferred.
20. Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures or government regulations. Ability to write reports, business correspondence and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public.
21. Mathematical Skills: Ability to compute and interpret basic mathematical and statistical information.   Ability to comprehend, compute and interpret cost-benefit analysis and similar mechanisms to assist in decision making processes.
22. Reasoning Ability: Ability to apply common sense understanding to carry out detailed but uninvolved written or verbal instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
23. Computer skills: To perform this job successfully, an individual should have knowledge of Microsoft 365 and have an intermediate knowledge of Microsoft Excel and Word. Individuals should have advanced knowledge of practice management software and some experience with technological products utilized for patient engagement in the healthcare setting.
24. Certificates, Licenses, Registrations: A current driver’s license and an acceptable driving record. An individual who poses a direct threat to the health and safety of himself/herself or others in the workplace will be deemed not qualified for this position.
25. Other Skills and Abilities: The duties of this position are performed within the mission, vision, and values as defined by the Board of Directors. Must demonstrate an understanding of the role of Federally Qualified Health Centers as a safety net for all persons without regard for their ability to pay for services; appreciate patient-centered care in a medical home; and be committed to quality, comprehensive services through a team approach. Excellent interpersonal communication and organizational skills are also necessary.
26. Confidentiality: The employee is required to understand the privacy policies and procedures. Patient Health Information (PHI) is confidential, only the minimal amount of PHI necessary to accomplish the internal purpose is to be shared or released.
27. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.  While performing the duties of this job, the employee is regularly required to talk and hear. The employee is frequently required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand; walk; reach with hands and arms; climb or balance and stoop, kneel, crouch or crawl. The employee must occasionally lift 30 or more pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
28. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The position involves regular interaction with patients and other members of the general public.  The noise level in the work environment is usually moderate. The work environment involves regular exposure to blood, body fluids, or tissues, may occur.  The noise level in the work environment is usually moderate.