Director, Revenue Cycle (FQHC)
Core
Strategic leadership and optimization of revenue cycle operations for Federally Qualified Health Center (FQHC) services, ensuring compliance and maximizing reimbursement.
Role type
Director, Revenue Cycle Operations
Builds
Financial sustainability and operational excellence for multi-state FQHC network
Domain
Healthcare / FQHC / Revenue Cycle Management
Required skills
FQHC reimbursement methodologies, Medicare/Medicaid PPS, regulatory compliance, denial management, financial forecasting, vendor management, multi-site operations leadership
Preferred skills
340B program operations, pharmacy billing, multi-state revenue cycle leadership, outsourced function management
Technologies
HRSA systems, PPS billing platforms, financial reporting tools
Responsibilities
Provide strategic oversight for patient registration, charge capture, coding, billing, collections, and denials management; Monitor federal and state regulatory changes; Develop revenue cycle strategies to improve cash flow and reduce denials; Lead policy development and implementation; Oversee internal operations and external vendors; Analyze performance metrics (days in A/R, denial rates); Collaborate with clinical and finance leaders on documentation and coding accuracy; Manage payer relationships to resolve issues and maximize revenue; Lead denial prevention and appeals strategies; Support organizational growth including new clinic locations and acquisitions.
Seniority
Director, strategic leadership & multi-site oversight