Valley Family Health Care Inc
Payette, Idaho
Description: Purpose of Position: The Revenue Cycle Manager is responsible for the oversight and management of all functions within the revenue cycle for Valley Family Health Care (VFHC), a Federally Qualified Health Center (FQHC) operating in Western Idaho and Eastern Oregon. This role encompasses patient access, billing, payment posting, collections, electronic health records (EHR) as it relates to revenue cycle, and customer service. The Revenue Cycle Manager ensures the optimization of revenue generation, maintenance of a healthy financial cycle, and adherence to all relevant regulations and payer requirements in Oregon and Idaho. This leader will develop and implement strategies to improve efficiency, accuracy, and compliance across the revenue cycle, working collaboratively with other departments to achieve VFHC's financial goals and mission. Prefer reporting to the office each day but a hybrid remote option is available (reporting to office 2-3 days per week). RESPONSIBILITIES: Departmental Oversight and Management: Provide leadership and oversight to all revenue cycle departments, including registration, scheduling, Sliding Fee Program, coding, credentialing, billing, payment posting, collections, credentialing, and EHR functions as they relate to revenue cycle. Collaborate and act as primary liaison between third-party billing and coding teams and VFHC clinic teams. Team Leadership and Development: Recruit, hire, train, mentor, and evaluate revenue cycle customer service staff. Build and lead high-performing teams, providing clear expectations, ongoing feedback, and opportunities for professional development. Onboarding & Ongoing Training Oversight: Work with Front Office Coordinator, Practice Managers and Patient Service Representative Leads to onboard and train employees on patient registration, scheduling appointment management, sliding fee discount, patient collections, customer service, insurance verification, benefits eligibility, and optimizing workflow efficiencies to enhance staff satisfaction and patient experience. Revenue Cycle Optimization: Continuously evaluate and optimize all revenue cycle processes to improve efficiency, accuracy, and cash flow. Identify and implement best practices and innovative solutions. Assist with evaluation of new payment models and contracts. Billing, Coding and Accounts Receivable Management: Together with third party billing and coding team, ensure that all billing and coding practices comply with regulations and guidelines. Work with payers and third party billing team to identify root causes of denials and implement correction actions. Oversee the overall management of accounts receivable. Develop metrics to evaluate third party billing and coding contractor and hold them accountable to high standards of accuracy, customer service, and reliability. Patient Access and Financial Services: Together with the service line directors, ensure efficient and patient-centered patient access processes, including registration, insurance verification, and financial counseling. Oversee the Sliding Fee Discount and payment plan programs. Payer Relations and Contracting: Develop and maintain strong relationships with payers, including Medicare, Medicaid (in Oregon and Idaho), and commercial insurance companies. Participate in payer negotiations and ensure contract compliance. Technology and Systems Optimization: Provide guidance on the effective utilization of the OCHIN Epic EHR and other relevant technologies. Collaborate with the VFHC Data and Applications teams and OCHIN teams to optimize system functionality and reporting capabilities. Performance Monitoring and Reporting: Establish and monitor key performance indicators (KPIs) across all revenue cycle functions. Analyze data, identify trends, and provide regular reports to senior leadership on revenue cycle performance. Cross-Departmental Collaboration: Foster strong working relationships and effective communication with other departments within VFHC, including clinical operations, finance, applications and data, to ensure seamless workflows and alignment of goals. Provide training materials and feedback to clinical teams. Compliance and Risk Management: Ensure compliance with all relevant federal and state regulations, HIPAA privacy and security standards, and organizational policies related to the revenue cycle. Identify and mitigate potential risks. Participate in internal and external audits related to the revenue cycle and implement recommendations for improvement. Fee Schedule Maintenance: Review and recommend changes to the CFO and board annually and provide recommendations for approval of fee increases, including costs of supplies. Other duties as assigned. Requirements: QUALIFICATIONS: Bachelor's degree in healthcare administration, business administration, finance, or a related field required. Minimum of 5 years of progressive leadership experience in healthcare revenue cycle management, including experience in registration, scheduling, billing, coding, payment posting, accounts receivable management. Experience in an FQHC setting is highly preferred. Demonstrated ability to develop and implement revenue cycle initiatives and achieve measurable results. Demonstrated ability to develop training and accountability systems for patient access (front desk) teams. Exceptional communication, interpersonal, and presentation skills, with the ability to effectively communicate with all levels of staff, leadership, external partners, and payers. Advanced competency in utilizing and optimizing electronic health record (EHR) systems and other relevant healthcare technology. Prior experience with OCHIN Epic is preferred. Comprehensive and in-depth knowledge of CPT and ICD-10 coding principles, healthcare billing regulations (federal, state, and payer-specific in Oregon and Idaho), HIPAA compliance, and payer requirements. Strong ethics and a high level of personal and professional integrity. Physical Requirements: Must be able to lift 25 lbs. Continuous sitting, standing, walking. Correctable vision and hearing. The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations. The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation. PI
Description: Purpose of Position: The Revenue Cycle Manager is responsible for the oversight and management of all functions within the revenue cycle for Valley Family Health Care (VFHC), a Federally Qualified Health Center (FQHC) operating in Western Idaho and Eastern Oregon. This role encompasses patient access, billing, payment posting, collections, electronic health records (EHR) as it relates to revenue cycle, and customer service. The Revenue Cycle Manager ensures the optimization of revenue generation, maintenance of a healthy financial cycle, and adherence to all relevant regulations and payer requirements in Oregon and Idaho. This leader will develop and implement strategies to improve efficiency, accuracy, and compliance across the revenue cycle, working collaboratively with other departments to achieve VFHC's financial goals and mission. Prefer reporting to the office each day but a hybrid remote option is available (reporting to office 2-3 days per week). RESPONSIBILITIES: Departmental Oversight and Management: Provide leadership and oversight to all revenue cycle departments, including registration, scheduling, Sliding Fee Program, coding, credentialing, billing, payment posting, collections, credentialing, and EHR functions as they relate to revenue cycle. Collaborate and act as primary liaison between third-party billing and coding teams and VFHC clinic teams. Team Leadership and Development: Recruit, hire, train, mentor, and evaluate revenue cycle customer service staff. Build and lead high-performing teams, providing clear expectations, ongoing feedback, and opportunities for professional development. Onboarding & Ongoing Training Oversight: Work with Front Office Coordinator, Practice Managers and Patient Service Representative Leads to onboard and train employees on patient registration, scheduling appointment management, sliding fee discount, patient collections, customer service, insurance verification, benefits eligibility, and optimizing workflow efficiencies to enhance staff satisfaction and patient experience. Revenue Cycle Optimization: Continuously evaluate and optimize all revenue cycle processes to improve efficiency, accuracy, and cash flow. Identify and implement best practices and innovative solutions. Assist with evaluation of new payment models and contracts. Billing, Coding and Accounts Receivable Management: Together with third party billing and coding team, ensure that all billing and coding practices comply with regulations and guidelines. Work with payers and third party billing team to identify root causes of denials and implement correction actions. Oversee the overall management of accounts receivable. Develop metrics to evaluate third party billing and coding contractor and hold them accountable to high standards of accuracy, customer service, and reliability. Patient Access and Financial Services: Together with the service line directors, ensure efficient and patient-centered patient access processes, including registration, insurance verification, and financial counseling. Oversee the Sliding Fee Discount and payment plan programs. Payer Relations and Contracting: Develop and maintain strong relationships with payers, including Medicare, Medicaid (in Oregon and Idaho), and commercial insurance companies. Participate in payer negotiations and ensure contract compliance. Technology and Systems Optimization: Provide guidance on the effective utilization of the OCHIN Epic EHR and other relevant technologies. Collaborate with the VFHC Data and Applications teams and OCHIN teams to optimize system functionality and reporting capabilities. Performance Monitoring and Reporting: Establish and monitor key performance indicators (KPIs) across all revenue cycle functions. Analyze data, identify trends, and provide regular reports to senior leadership on revenue cycle performance. Cross-Departmental Collaboration: Foster strong working relationships and effective communication with other departments within VFHC, including clinical operations, finance, applications and data, to ensure seamless workflows and alignment of goals. Provide training materials and feedback to clinical teams. Compliance and Risk Management: Ensure compliance with all relevant federal and state regulations, HIPAA privacy and security standards, and organizational policies related to the revenue cycle. Identify and mitigate potential risks. Participate in internal and external audits related to the revenue cycle and implement recommendations for improvement. Fee Schedule Maintenance: Review and recommend changes to the CFO and board annually and provide recommendations for approval of fee increases, including costs of supplies. Other duties as assigned. Requirements: QUALIFICATIONS: Bachelor's degree in healthcare administration, business administration, finance, or a related field required. Minimum of 5 years of progressive leadership experience in healthcare revenue cycle management, including experience in registration, scheduling, billing, coding, payment posting, accounts receivable management. Experience in an FQHC setting is highly preferred. Demonstrated ability to develop and implement revenue cycle initiatives and achieve measurable results. Demonstrated ability to develop training and accountability systems for patient access (front desk) teams. Exceptional communication, interpersonal, and presentation skills, with the ability to effectively communicate with all levels of staff, leadership, external partners, and payers. Advanced competency in utilizing and optimizing electronic health record (EHR) systems and other relevant healthcare technology. Prior experience with OCHIN Epic is preferred. Comprehensive and in-depth knowledge of CPT and ICD-10 coding principles, healthcare billing regulations (federal, state, and payer-specific in Oregon and Idaho), HIPAA compliance, and payer requirements. Strong ethics and a high level of personal and professional integrity. Physical Requirements: Must be able to lift 25 lbs. Continuous sitting, standing, walking. Correctable vision and hearing. The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations. The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation. PI
Kaiser Permanente
Greensboro, North Carolina
Technical Summary: The Systems Administrator III serves as a senior technical analyst within the Clinical Care and Patient Engagement Technologies organization, supporting the KP HealthConnect Specialties team. This role provides technical leadership in the design, implementation, optimization, and support of enterprise-scale healthcare technology solutions that enable high-quality clinical and operational outcomes. Working closely with market leaders, product managers, and cross-functional stakeholders, the Systems Administrator III translates complex business, clinical, and operational requirements into scalable, reliable, and secure technical solutions. The position plays a key role in driving system stability, performance, and continuous improvement while ensuring alignment with organizational standards and strategic objectives. The ideal candidate brings deep expertise in system administration, change management processes, leveraging industry best practices to manage production support, coordinate system enhancements, and ensure effective service delivery. This role requires strong analytical, problem-solving, and collaboration skills, along with the ability to lead technical initiatives, influence stakeholders, and support healthcare applications. Job Summary: In addition to the responsibilities listed below, this position is responsible for system build, testing, validation, and ongoing support of assigned applications. This position will possess clinical or IT systems knowledge and experience to develop and support safe and high quality care using the electronic health record. This position will perform in depth and precise investigation and documentation of future- state operational specifications and application functionality. Performing analysis of application capabilities workflows, data collection, report details, and other clinical and/or technical issues associated with Epic software. This position is responsible for developing and documenting the internal procedures that will be used in conjunction with Epic applications. Some of the unique challenges this position will face include analyzing clinical and business operations and investigating user preferences; prioritizing & implementing requested system changes & updates; serving as a liaison between end users, third parties, and Epic implementation staff. This position develops and documents internal procedures, collects information and prepares specifications of system enhancements, analyzes functionality in new releases and tests each new release. Essential Responsibilities: Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; following procedures and policies, and applying data and resources to support projects or initiatives; collaborating with others, often cross-functionally, to solve business problems; supporting the completion of priorities, deadlines, and expectations; communicating progress and information; identifying and recommending ways to address improvement opportunities when possible; and escalating issues or risks as appropriate. Pursues self-development and effective relationships with others by sharing resources, information, and knowledge with coworkers and customers; listening, responding to, and seeking performance feedback; acknowledging strengths and weaknesses; assessing and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback. Meets timelines to drive the delivery of appropriate, sustainable, and prompt solutions. Provides first and second level support for enterprise systems and systems in one or more additional IT domains by diagnosing, troubleshooting, and resolving complex incidents to minimize system issues. Supports stability, availability, and performance of enterprise systems (e.g., systems, applications, network, databases, storage, security) by monitoring systems to identify problems, trends, and opportunities for improvement. Assists technical and project team members to resolve system problems and application-specific issues. Escalates identified issues, risks or problems to lead administrators according to processes. Plans and performs complex system configuration. Supports communications with product users and suppliers to share information, identify opportunities, resolve problems, prioritize customer requirements, and maintain continuous improvement through customer feedback. Defines and tests maintenance and refresh activities. Participates in the installation, upgrade, or decommissioning of designated systems, products, and infrastructure. Assists with application-oriented administration and technical support for production and non-production environments. Supports vendor support activities, as appropriate. Recommends and executes performance tuning and optimization activities. Creates documentation of new and existing system configuration and procedural information, and reviews documentation of others. Minimum Qualifications: Minimum two (2) years experience working with EPIC or comparable health system software OR Minimum two (2) years scripting or programming experience. Bachelors degree in Computer Science, Engineering, Social Science, Education, Business, Health Care or related field and Minimum three (3) years working in IT or operations. Additional equivalent work experience may be substituted for the degree requirement.
Technical Summary: The Systems Administrator III serves as a senior technical analyst within the Clinical Care and Patient Engagement Technologies organization, supporting the KP HealthConnect Specialties team. This role provides technical leadership in the design, implementation, optimization, and support of enterprise-scale healthcare technology solutions that enable high-quality clinical and operational outcomes. Working closely with market leaders, product managers, and cross-functional stakeholders, the Systems Administrator III translates complex business, clinical, and operational requirements into scalable, reliable, and secure technical solutions. The position plays a key role in driving system stability, performance, and continuous improvement while ensuring alignment with organizational standards and strategic objectives. The ideal candidate brings deep expertise in system administration, change management processes, leveraging industry best practices to manage production support, coordinate system enhancements, and ensure effective service delivery. This role requires strong analytical, problem-solving, and collaboration skills, along with the ability to lead technical initiatives, influence stakeholders, and support healthcare applications. Job Summary: In addition to the responsibilities listed below, this position is responsible for system build, testing, validation, and ongoing support of assigned applications. This position will possess clinical or IT systems knowledge and experience to develop and support safe and high quality care using the electronic health record. This position will perform in depth and precise investigation and documentation of future- state operational specifications and application functionality. Performing analysis of application capabilities workflows, data collection, report details, and other clinical and/or technical issues associated with Epic software. This position is responsible for developing and documenting the internal procedures that will be used in conjunction with Epic applications. Some of the unique challenges this position will face include analyzing clinical and business operations and investigating user preferences; prioritizing & implementing requested system changes & updates; serving as a liaison between end users, third parties, and Epic implementation staff. This position develops and documents internal procedures, collects information and prepares specifications of system enhancements, analyzes functionality in new releases and tests each new release. Essential Responsibilities: Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; following procedures and policies, and applying data and resources to support projects or initiatives; collaborating with others, often cross-functionally, to solve business problems; supporting the completion of priorities, deadlines, and expectations; communicating progress and information; identifying and recommending ways to address improvement opportunities when possible; and escalating issues or risks as appropriate. Pursues self-development and effective relationships with others by sharing resources, information, and knowledge with coworkers and customers; listening, responding to, and seeking performance feedback; acknowledging strengths and weaknesses; assessing and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback. Meets timelines to drive the delivery of appropriate, sustainable, and prompt solutions. Provides first and second level support for enterprise systems and systems in one or more additional IT domains by diagnosing, troubleshooting, and resolving complex incidents to minimize system issues. Supports stability, availability, and performance of enterprise systems (e.g., systems, applications, network, databases, storage, security) by monitoring systems to identify problems, trends, and opportunities for improvement. Assists technical and project team members to resolve system problems and application-specific issues. Escalates identified issues, risks or problems to lead administrators according to processes. Plans and performs complex system configuration. Supports communications with product users and suppliers to share information, identify opportunities, resolve problems, prioritize customer requirements, and maintain continuous improvement through customer feedback. Defines and tests maintenance and refresh activities. Participates in the installation, upgrade, or decommissioning of designated systems, products, and infrastructure. Assists with application-oriented administration and technical support for production and non-production environments. Supports vendor support activities, as appropriate. Recommends and executes performance tuning and optimization activities. Creates documentation of new and existing system configuration and procedural information, and reviews documentation of others. Minimum Qualifications: Minimum two (2) years experience working with EPIC or comparable health system software OR Minimum two (2) years scripting or programming experience. Bachelors degree in Computer Science, Engineering, Social Science, Education, Business, Health Care or related field and Minimum three (3) years working in IT or operations. Additional equivalent work experience may be substituted for the degree requirement.