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FQHC Revenue Systems Director

11990 Jackson St., Clinton, LA 70722

Email your resume to careers@rkmcare.org

Since 1999, RKM’s mission is to provide open access to quality patient-centered healthcare in the communities in which we live. RKM Primary Care is a Federally Qualified Health Center with 10 clinics in 5 parishes. The Revenue Systems Director is responsible for leading and optimizing all revenue cycle functions within a Federally Qualified Health Center (FQHC) environment. This role ensures accurate, compliant, and timely revenue capture across clinical, billing, and payer operations while supporting organizational financial performance and patient access initiatives.

Qualifications/Skills:

Bachelor’s degree in healthcare administration, Business, Finance, or related field (or equivalent experience).
Significant experience in healthcare revenue cycle, billing, and coding leadership.
Strong knowledge of Medicare, Medicaid, and third-party payer requirements.
EMR/EHR systems and revenue cycle systems experience required.
Knowledge of Healthcare regulations and compliance standards.
Familiarity with sliding fee discount programs, Medicare/Medicaid cost reporting, and encounter rate billing.
Proven leadership and staff management experience.
Strong analytical and data interpretation skills with executive-level communication ability.
Knowledge of Provider credentialing process, preferred.

Job Duties:

Direct and oversee all billing, collections, and accounts receivable functions.
Monitor and resolve claim denials, coding issues, and reimbursement discrepancies.
Analyze clinical revenue, including daily balancing and monthly/year-end close processes.
Implement and maintain fee schedules and ensure accurate charge capture.
Ensure providers close encounters timely and accurately.
Ensure compliance with federal, state, and payer-specific regulations (Medicare/Medicaid, HRSA, encounter data, etc.).
Maintain knowledge of coding updates, reimbursement methodologies, and payer requirements.
Oversee audits, documentation standards, and revenue integrity processes.
Establish workflows and productivity expectations for the department.
Serve as primary liaison with insurance companies and payer representatives.
Manage payer relationships related to audits, denials, and reimbursement issues.
Manage credentialing.

Employment Type: In office, Full Time, Monday through Friday

Company Benefits: Health, dental, vision and voluntary supplemental policies, Up to 5% match in 403b retirement plan, paid vacation and sick time.

Starting Salary Range: Based on experience

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