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Revenue Cycle Manager

Job in Chicago, Cook County, Illinois, 60290, USA
Listing for: TCA Health Inc.- NFP
Full Time position
Listed on 2025-12-29
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Salary/Wage Range or Industry Benchmark: 70000 - 85000 USD Yearly USD 70000.00 85000.00 YEAR
Job Description & How to Apply Below

Revenue Cycle Manager

Join TCA Health Inc.

- NFP, a Federally Qualified Health Center located on Chicago's far south side, to help us continue providing innovative, accessible, and high‑quality primary care, dental, behavioral health services, and more to underserved communities for over 50 years.

Base Pay Range

$70,000.00/yr – $85,000.00/yr

Position Summary

An FQHC Revenue Cycle Manager oversees and optimizes the entire revenue cycle process for a Federally Qualified Health Center. The role ensures compliance with FQHC‑specific regulations from patient registration through final payment. Key responsibilities include accurate and timely claims submission, denial resolution, and revenue reporting.

Essential Duties and Responsibilities
  • Billing and collections – oversee charge capture, claims submission, payment posting, and denial management to maximize reimbursement and improve cash flow.
  • Compliance and auditing – ensure adherence to FQHC regulations, including Medicare/Medicaid billing codes, the Prospective Payment System (PPS), and the 340B drug pricing program.
  • Reporting and analysis – monitor and report on key revenue cycle metrics such as accounts receivable days, denial rates, and collection rates.
  • Training – educate providers and front‑desk staff on documentation and billing practices.
  • Payer relations – manage relationships with insurance companies and government payers, resolve payment disputes, and stay informed about policy changes.
  • Process improvement – identify and implement opportunities to improve efficiency through new procedures, software, and automation.
  • Sliding fee program – oversee the FQHC's sliding fee discount program for uninsured and underinsured patients, ensuring compliance with federal guidelines.
  • System management – manage and optimize the use of electronic health record (EHR) and billing software such as Epic or eClinical

    Works.
  • Other duties as assigned to maintain TCA Health's operational efficiency.
Education and Experience
  • Education – a bachelor’s degree in healthcare administration, finance, or a related field is preferred; significant experience may qualify.
  • Experience – 5+ years of healthcare revenue cycle management, with strong preference for FQHC or community health settings.
  • Specialized knowledge – deep understanding of FQHC‑specific billing requirements, reimbursement methodologies (e.g., PPS), and government programs such as Medicaid and Medicare.
  • Technical skills – proficiency with EHR/billing systems, data analytics, and Microsoft Office Suite, especially Excel.
  • Soft skills – strong analytical, problem‑solving, and communication skills.
Seniority Level

Mid‑Senior level

Employment Type

Full‑time

Job Function

Finance and Sales

Industries

Hospitals and Health Care

Values at TCA Health
  • Compassion:
    We are kind, considerate, and caring.
  • Accountability:
    We take ownership for each person’s experiences.
  • Respect:
    We treat each person with dignity.
  • Excellence:
    We seek the highest level of performance in all we do.
  • Stewardship:
    We strive for racial and health equity, diversity, and inclusion by delivering quality health care and access for all.
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