FQHC Revenue Systems Director

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., 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

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

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