Revenue Cycle Manager, FQHC Experience

Medic Management Group

Revenue Cycle Manager at Medic Management Group overseeing billing teams and revenue cycles. Collaborating with management to enhance efficiency and ensure compliance in healthcare billing processes.

Posted 7/28/2026full-timeBeachwood • Ohio • 🇺🇸 United StatesSeniorLeadWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive experience in revenue cycle management, particularly within Federally Qualified Healthcare Centers (FQHC), with a strong understanding of billing regulations and reimbursement processes. Proven ability to lead and develop teams while ensuring compliance with industry standards and optimizing operational efficiency.

Highest-signal resume keywords

Revenue Cycle ManagementFQHC ExperienceCPT and ICD-9/ICD-10 KnowledgeTeam Leadership and DevelopmentRegulatory Compliance

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Billing and Collection GuidelinesReimbursement ProcessesClearinghouse Activity MonitoringEDI, ERA, and EFT SetupExcel Report DevelopmentData AnalysisProblem SolvingProductivity AnalysisAudit and ReconciliationContract Documentation Management

Soft Skills

Interpersonal SkillsCommunication SkillsDecision-MakingFlexibilityConflict Resolution

Tools & Technologies

Microsoft Office SuiteInsurance WebsitesBilling Systems

Industry Keywords

Healthcare IndustryHIPAA ComplianceAccounts ReceivableMedical BillingProfessional Development

Tech Stack

Tools & technologies

React

About the role

Key responsibilities & impact

Responsible for the revenue cycle for assigned accounts
Manage a team of Billing Specialists and collaborate with the Management team and supported departments to accurately capture reimbursement opportunities
Promote growth of Team Members through established developmental goals, competencies, guidance, and counseling
Act as coach, leader, catalyst, and facilitator with Team Members
Provide analytical, practical, and operational experience with private practice revenue cycle
Provide direction to team members and organize the billing function to maximize departmental productivity
Conduct regular productivity analysis and audits for assigned billing team
Manage department, including problem solving, administering procedures to increase efficiencies, and implementing new systems to ensure accountability
Review payor denials, making required corrections in billing system(s) by obtaining necessary contract documentation
Ensure all bills/claims received by billing team are expediently logged, prioritized, and verified according to established policies and procedures
Ensure billing team follows MMG Billing Policies as well as Client Policies
Train team on specifics of each contract, changes in policies and procedures, industry or regulatory changes to ensure compliance
Identify and facilitate problem solving and conflict resolution
Ensure continual payor maintenance
Participate in payor reimbursement meetings and/or conferences relating to Medical Billing and Accounts Receivable as requested
Audit, research, and reconcile setup and required maintenance of the billing system(s) including any payer contract changes
Generate standard reports, and review each for accuracy and consistency with the billing system(s)
Communicate and meet with practices to review account activity/issues
Conduct professional meetings, prepare agendas and provide minutes to meetings
Analyze accounts MTD/YTD activity and address concerns regularly
Maintains and ensures compliance to regulatory standards
Abide by HIPAA standards and requirements
Monitor monthly cash collections by payor to eliminate potential payor issues.
Participates in professional development efforts to ensure currency in health care practices and trends.
Participate in LinkedIn posts and articles.

Requirements

What you’ll need

High school diploma or equivalent required
Associate or Bachelor Degree a plus
Minimum 10 years billing/revenue cycle management experience is required
Strong knowledge and experience in FQHC (Federally Qualified Healthcare Centers) required
Advanced knowledge of the healthcare industry and a sound financial background is required
Clear understanding of billing and collection regulatory guidelines and requirements
CPT and ICD-9/ICD-10 exposure and experience
Proficient background in reimbursements
Knowledge of multiple specialties and ancillary services is required
Knowledge and experience in monitoring Clearinghouse activity, reports, processes
Knowledge and experience in setting up payors with EDI, ERA and EFT processes
Knowledge and experience in startup of a new or established revenue cycle engagements
High proficiency with computer software including but not limited to insurance websites, Microsoft Office products (Word, Excel, Outlook, Teams)
Competent with standard office equipment
Knowledge and experience in developing and manipulating excel reports/pivot tables
Demonstrated ability to work independently or in a team environment
Ability to uphold production standards and accountability among direct reports
Proven ability to train, lead, guide, and direct subordinates is essential
Organize and prioritize responsibilities while remaining flexible to changing demands
Ability to react calmly and effectively in high stress or delicate situations
Excellent written and oral communication skills, interpersonal skills, and an ethical mindset
Able to analyze complex data and draw conclusions
Must have high level of discretion and judgment
Able to make decisions with limited information in a timely fashion
Utilize a proactive approach to solving problems and willingness to confront and raise issues before they become problems.

Benefits

Comp & perks

Health insurance
Professional development efforts to ensure currency in health care practices and trends
Travel as required to the Corporate Office or Client sites