TCA Health Inc.- NFP
Revenue Cycle Manager
Join TCA Health Inc.- NFP, a Federally Qualified Health Center located on Chicago's far south side, to help us continue providing innovative, accessible, and high‑quality primary care, dental, behavioral health services, and more to underserved communities for over 50 years.
Base Pay Range $70,000.00/yr – $85,000.00/yr
Position Summary An FQHC Revenue Cycle Manager oversees and optimizes the entire revenue cycle process for a Federally Qualified Health Center. The role ensures compliance with FQHC‑specific regulations from patient registration through final payment. Key responsibilities include accurate and timely claims submission, denial resolution, and revenue reporting.
Essential Duties and Responsibilities
Billing and collections – oversee charge capture, claims submission, payment posting, and denial management to maximize reimbursement and improve cash flow.
Compliance and auditing – ensure adherence to FQHC regulations, including Medicare/Medicaid billing codes, the Prospective Payment System (PPS), and the 340B drug pricing program.
Reporting and analysis – monitor and report on key revenue cycle metrics such as accounts receivable days, denial rates, and collection rates.
Training – educate providers and front‑desk staff on documentation and billing practices.
Payer relations – manage relationships with insurance companies and government payers, resolve payment disputes, and stay informed about policy changes.
Process improvement – identify and implement opportunities to improve efficiency through new procedures, software, and automation.
Sliding fee program – oversee the FQHC's sliding fee discount program for uninsured and underinsured patients, ensuring compliance with federal guidelines.
System management – manage and optimize the use of electronic health record (EHR) and billing software such as Epic or eClinicalWorks.
Other duties as assigned to maintain TCA Health's operational efficiency.
Education and Experience
Education – a bachelor’s degree in healthcare administration, finance, or a related field is preferred; significant experience may qualify.
Experience – 5+ years of healthcare revenue cycle management, with strong preference for FQHC or community health settings.
Specialized knowledge – deep understanding of FQHC‑specific billing requirements, reimbursement methodologies (e.g., PPS), and government programs such as Medicaid and Medicare.
Technical skills – proficiency with EHR/billing systems, data analytics, and Microsoft Office Suite, especially Excel.
Soft skills – strong analytical, problem‑solving, and communication skills.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Finance and Sales
Industries Hospitals and Health Care
Values at TCA Health
Compassion: We are kind, considerate, and caring.
Accountability: We take ownership for each person’s experiences.
Respect: We treat each person with dignity.
Excellence: We seek the highest level of performance in all we do.
Stewardship: We strive for racial and health equity, diversity, and inclusion by delivering quality health care and access for all.
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Join TCA Health Inc.- NFP, a Federally Qualified Health Center located on Chicago's far south side, to help us continue providing innovative, accessible, and high‑quality primary care, dental, behavioral health services, and more to underserved communities for over 50 years.
Base Pay Range $70,000.00/yr – $85,000.00/yr
Position Summary An FQHC Revenue Cycle Manager oversees and optimizes the entire revenue cycle process for a Federally Qualified Health Center. The role ensures compliance with FQHC‑specific regulations from patient registration through final payment. Key responsibilities include accurate and timely claims submission, denial resolution, and revenue reporting.
Essential Duties and Responsibilities
Billing and collections – oversee charge capture, claims submission, payment posting, and denial management to maximize reimbursement and improve cash flow.
Compliance and auditing – ensure adherence to FQHC regulations, including Medicare/Medicaid billing codes, the Prospective Payment System (PPS), and the 340B drug pricing program.
Reporting and analysis – monitor and report on key revenue cycle metrics such as accounts receivable days, denial rates, and collection rates.
Training – educate providers and front‑desk staff on documentation and billing practices.
Payer relations – manage relationships with insurance companies and government payers, resolve payment disputes, and stay informed about policy changes.
Process improvement – identify and implement opportunities to improve efficiency through new procedures, software, and automation.
Sliding fee program – oversee the FQHC's sliding fee discount program for uninsured and underinsured patients, ensuring compliance with federal guidelines.
System management – manage and optimize the use of electronic health record (EHR) and billing software such as Epic or eClinicalWorks.
Other duties as assigned to maintain TCA Health's operational efficiency.
Education and Experience
Education – a bachelor’s degree in healthcare administration, finance, or a related field is preferred; significant experience may qualify.
Experience – 5+ years of healthcare revenue cycle management, with strong preference for FQHC or community health settings.
Specialized knowledge – deep understanding of FQHC‑specific billing requirements, reimbursement methodologies (e.g., PPS), and government programs such as Medicaid and Medicare.
Technical skills – proficiency with EHR/billing systems, data analytics, and Microsoft Office Suite, especially Excel.
Soft skills – strong analytical, problem‑solving, and communication skills.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Finance and Sales
Industries Hospitals and Health Care
Values at TCA Health
Compassion: We are kind, considerate, and caring.
Accountability: We take ownership for each person’s experiences.
Respect: We treat each person with dignity.
Excellence: We seek the highest level of performance in all we do.
Stewardship: We strive for racial and health equity, diversity, and inclusion by delivering quality health care and access for all.
#J-18808-Ljbffr