Job Description
Position Summary
Orchard Medical Management is seeking an experienced Revenue Cycle Manager with a deep understanding of Federally Qualified Health Centers (FQHCs) . This individual will be accountable for all aspects of revenue cycle performance, client communication, reporting, and team oversight. The Revenue Cycle Manager will report directly to the Vice President of Revenue Cycle and will serve as the primary point of contact for assigned FQHC clients, ensuring exceptional financial outcomes and operational execution through consistent monitoring and leadership.
This is a highly visible role with routine on-site presence at client locations twice per week , building trust and fostering strong working relationships with clinical and administrative leaders.
Key Responsibilities
Own the end-to-end performance of the revenue cycle for assigned FQHC clients.
Serve as the account lead, building trusted, long-term relationships with practice administrators, CFOs, and other stakeholders.
Monitor and manage KPIs such as denial rates, AR aging, clean claim rate, and days in AR; identify root causes and implement corrective action.
Lead regular performance reviews with clients, presenting insights, trends, and action plans.
Partner with internal billing, coding, credentialing, and call center teams to align on priorities and resolve issues promptly.
Provide guidance on UDS reporting, PPS wrap logic, Medicaid/Medicare billing rules, and payer-specific nuances that affect FQHCs.
Ensure all workflows and systems comply with HRSA guidelines and payer-specific requirements for community health centers.
Lead or contribute to process improvement initiatives to drive revenue cycle efficiency and financial performance.
Maintain expert-level knowledge of billing rules, coding requirements, and payment structures for FQHCs, including managed Medicaid and APM models.
Qualifications
5–7 years of revenue cycle management experience, with at least 3 years working with FQHCs or community health centers.
Strong familiarity with Medicaid, Medicare, sliding fee scale policies, wrap payments, and encounter-based billing.
Proven ability to manage client relationships and deliver exceptional service in a fast-paced, mission-driven environment.
Experience preparing and presenting financial and operational performance dashboards.
Ability to interpret and apply payer rules, federal reimbursement guidelines, and state-specific Medicaid programs.
Strong analytical skills with proficiency in Excel, EHR/PM systems (e.g., eCW, NextGen, Athena, etc.), and reporting platforms.
Willingness and availability to be on-site with clients at least two days per week (Clients are NH based)
Why Join Orchard Medical Group?
•\t3–4 day workweek with no nights or weekends
•\tMeaningful work that impacts patient outcomes
•\tCollaborative and compassionate team culture
•\tCompetitive wages and full benefits package
•\tGrowth opportunities through cross-training and continued learning
Why Join Orchard Medical Group?\r\n•\t3–4 day workweek with no nights or weekends\r\n•\tMeaningful work that impacts patient outcomes\r\n•\tCollaborative and compassionate team culture\r\n•\tCompetitive wages and full benefits package\r\n•\tGrowth opportunities through cross-training and continued learning