Revenue Cycle Manager

Matthew 25’s Mission:

“We exist to serve those at risk for, living with, or impacted by HIV or other STIs through comprehensive healthcare, education, and support while fostering community partnerships to combat stigma and improve overall healthcare and quality of life.”

Matthew 25’s Vision:

“Our vision is to exist in communities where comprehensive HIV and STI prevention is widespread, ensuring universal access to high-quality, comprehensive healthcare and supportive services. We aim for those living with HIV to achieve undetectable status, resulting in zero new HIV diagnoses, and to eliminate new STI infections. We are the trusted resource for HIV and STI services, fostering a culture of love, service and hope in every interaction.”

Overview:

The Revenue Cycle Manager oversees the financial operations related to patient care, ensuring accurate billing, efficient claims processing, and timely collections. They are responsible for managing the entire revenue cycle, from patient registration to final payment, and ensuring compliance with healthcare regulations. This role requires strong analytical, problem-solving, and communication skills, as well as expertise in healthcare billing and coding. 

Key Responsibilities

Provide daily oversight and management of the Billing & Coding Specialist, ensuring efficient operation and adherence to organizational standards.

Improve revenue cycle management by optimizing billing processes, reducing denials, and accelerating claims processing.

Enhance patient data collection processes to ensure accurate capture of key data points critical for generating clean claims.

Manage provider credentialing processes to maintain compliance with accreditation standards and contractual obligations.

Maximize program income from third-party payers through efficient claims management.

Participate in leadership training and HIM/Revenue Cycle management education to stay updated with industry trends and regulatory changes.

Initiate and facilitate changes in HIM practices to align with regulatory updates and industry best practices.

Collaborate with cross-functional teams to implement HIM-related projects and initiatives effectively.

Leadership Responsibilities:

Oversees program performance, operational planning, and budget management to ensure alignment with organizational goals.

Supports lead staff to foster collaboration, accountability, and day-to-day support.

Drives program success through effective project execution and outcome accountability.

Makes operational decisions within the scope of assigned teams or programs.

Oversees and ensures effective training for program staff.

Contributes to policy and process development, ensuring daily operational compliance.

Will collaborate with Director to ensure progress towards program/dept goals

Provide input to Director for program/dept performance/reporting

Will contribute to a positive workplace culture and ensure culture is in alignment with Matthew 25 values

Collaborates with Human Resources to identify program staff training needs, recommend role-specific professional development opportunities, and support the review and implementation of job-related training programs.

Participates in program-specific quality improvement projects by evaluating processes, recommending enhancements, and supporting implementation efforts to strengthen program outcomes and compliance with funding requirements.

Leadership Goals

Unify Matthew 25 through commitment to strong, shared values

Lead our team in creating enthusiasm and passion for Matthew 25’s mission.

Lead and develop people, fostering team network, inter-departmental collaboration, and employee engagement.

Continuous growth and development as an individual and leader.

Maintaining a culture that values the safety of staff and the care of resource and equipment.

Meet objectives through fostering an environment that inspires creativity and innovation from the workforce.

Engage in employee practices necessary to establish a positive employer-employee relationship and promote a high level of employee morale and motivation.

Successful Matthew 25 Employees Will:

Ensure that those we work alongside and serve feel honored and

Understand that teamwork and community partnerships allow us to maximize our resources to best meet the needs of those we work alongside and serve.

Be humble and devoted to meeting the needs of those we work alongside and serve above our own.

Be committed to providing top quality, person focused services to those we work alongside and serve

Inspire and support a vision of success within those we work alongside and serve through education and encouragement.

Place a high priority on learning and are committed to change and improvement in order to always best meet the needs of those we work alongside and serve.

Support and comply with the policies, strategic plans and goals of the organization.

Contribute to a positive workplace culture by acting and communicating in a manner so as to get along with clients, co-workers and managers

Maintain regular and predictable attendance.

Communication Skills Must be able to communicate in both written and verbal form

Language Skills Ability to read and interpret documents. Ability to write routine documentation and correspondence.

Mathematical Skills Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.

Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills Intermediate computer skills are essential in use of an electronic medical record.

Other Skills and Abilities Must be detail oriented, have ability to multi-task and possess great interpersonal skills.

Physical Demands The physical demands described here are representative of those that must be met by any worker to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the worker is regularly required to talk and hear. The worker is frequently required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The worker is occasionally required to sit and stoop, kneel, crouch, or crawl. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

*Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

QUALIFICATIONS

Bachelor’s degree in a healthcare-related field (e.g., Healthcare Administration, Health Information Management) required, or equivalent experience across multiple areas of the revenue cycle

3–5 years of experience in healthcare revenue cycle management, medical billing, or healthcare finance required.

1-2 years of experience in personnel supervision, budgeting, financial management, and nonprofit experience.

Experience working in a nonprofit organization or a strong desire to work in service driven environment. 

100% Commitment to Matthew 25's mission, vision and values

Flexibility, as our services are available to a large geographic area in the state of Kentucky, which may require some travel

Valid Driver’s License with at least three (3) years driving experience and less than two (2) moving violations in the past three (3) years.

Must be able to pass a drug screen and background test.

Position Type/Expected Hours of Work
This is a full-time position. Days and hours of work are Monday through Friday, 8:00 a.m. to 4:30 p.m. Occasional evening and weekend work may be required as job duties demand.

This position is considered a fully remote position when duties are performed within the scope of this job description. If performing duties outside of the essential duties of this job description, the employee may request an alternative accommodation from their director to best meet the needs of the employee for the terms of the irregular duties. (Example: Employee is participating in a virtual conference and is requesting to WFH to attend and accommodate employee needs during the time of the conference).

Work Environment

This job operates in a professional clinic environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.