Revenue Cycle ManagerFull Time
Columbus, Ohio
We are seeking a Revenue Cycle Manager to play a critical role in ensuring the financial health of our specialty programs by serving as the liaison between AndHealth and our community health center partners. The Revenue Cycle Manager will oversee day-to-day revenue cycle operations, identify opportunities to improve billing and collections processes, and ensure accuracy, compliance, and transparency across all stakeholders. This role requires a blend of hands-on problem solving, relationship management, and strategic oversight to ensure sustainable revenue operations as we scale.
What you'll do in the role:- Serve as the primary liaison between AndHealth, billing vendor, and community health centers.
- Manage and monitor vendor performance against agreed-upon metrics and SLAs.
- Facilitate regular communication and issue resolution between partners.
- Revenue Cycle oversight
- Oversee the full revenue cycle process (charge capture, coding, billing, collections, denials, and reimbursements) in coordination with the vendor.
- Review and analyze revenue cycle reports to identify trends, errors, or improvement opportunities.
- Ensure claims are submitted accurately and timely to maximize reimbursements.
- Compliance & Quality
- Ensure billing practices are compliant with federal, state, and payer-specific regulations.
- Partner with compliance teams and health center partners to prepare for audits and maintain documentation.
- Process Improvement & Reporting
- Develop reporting structures to track KPIs (e.g., days in A/R, clean claim rate, denial rate, net collection rate).
- Identify and implement process improvements to enhance efficiency and accuracy.
- Provide insights and recommendations to senior leadership on revenue cycle strategy and performance.
- Collaboration & Leadership
- Partner with internal teams (clinical operations, finance, compliance) to align revenue cycle processes with AndHealth's mission and growth strategy.
- Educate and support community health center partners on billing and coding best practices related to specialty care integration.
- Act as a trusted subject matter expert for all things revenue cycle at AndHealth.
Skills or Qualifications: - Bachelor's degree in Healthcare Administration, Finance, Business, or related field required; Master's degree preferred.
- 5+ years of progressive experience in healthcare revenue cycle management, with direct experience working with third-party vendors or health center partnerships strongly preferred.
- Strong knowledge of medical billing, coding, payer requirements, and compliance standards.
- Experience with FQHCs/community health centers and value-based care models is a plus.
- Excellent communication, negotiation, and relationship management skills.
- Analytical mindset with the ability to interpret complex data and present actionable insights.
- Self-starter comfortable in a "first of its kind" role, with the ability to build processes from the ground up.
Here's what we'd like to offer you:- Equal investment and support for our people and patients.
- A fun and ambitious growing environment with a culture that takes on important things, takes risks, and learns quickly.
- The ability to demonstrate creativity, innovation, and conscientiousness, and find joy in working together.
- A team of highly skilled, incredibly kind, and welcoming employees, every one of whom has something unique to offer.
- We know that the overall success of our business is a collaborative effort, and we strive to provide ongoing opportunities for our employees to learn and grow, both personally and professionally.
- Full-time employees are eligible to participate in our benefits package which includes Medical, Dental, Vision Insurance, 401k match, Paid time off, Short- and Long-Term Disability, 401k match and more.
Work Environment:The work environment characteristics described here are representative of those encountered while performing the essential function of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The noise level in the work environment is usually quiet.
Physical Demands:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job, the employee is regularly required to sit, stand, talk, visualize, or hear.
