What are the responsibilities and job description for the Revenue Cycle Manager position at Gardner Health Services?
Company Description Gardner Health Services is a nonprofit community health provider with over five decades of experience delivering high-quality, comprehensive care to people of all ages and backgrounds. Founded in 1967 to serve local farm workers in Alviso, the organization has grown to offer medical, dental, vision, counseling, and substance use services across Santa Clara County. Each year, nearly 50,000 individuals who might otherwise lack access to care rely on Gardner Health Services as a vital part of the region’s social safety net. The organization is committed to the belief that every person deserves compassionate providers, excellent facilities, and world-class care regardless of income or insurance status. Its mission emphasizes affordable, respectful, culturally, linguistically, and age-appropriate services, with a strong focus on prevention, education, early intervention, treatment, and advocacy.
Role Description The Revenue Cycle Manager is a full-time, on-site role based in San Jose, CA, responsible for overseeing all aspects of the revenue cycle, from patient registration through final payment and collections. This role manages billing, coding, charge capture, and claims submission processes to maximize reimbursement and ensure timely, accurate revenue flow. The Revenue Cycle Manager monitors key performance indicators, identifies trends in denials or underpayments, and leads corrective actions to improve financial performance. Daily responsibilities include supervising revenue cycle staff, coordinating with clinical and administrative teams, and ensuring compliance with payer requirements, regulatory standards, and organizational policies. The role also involves developing and refining workflows, training team members on best practices, and contributing to budget planning and revenue cycle strategy to support Gardner Health Services’ mission and long-term sustainability.
Qualifications
Role Description The Revenue Cycle Manager is a full-time, on-site role based in San Jose, CA, responsible for overseeing all aspects of the revenue cycle, from patient registration through final payment and collections. This role manages billing, coding, charge capture, and claims submission processes to maximize reimbursement and ensure timely, accurate revenue flow. The Revenue Cycle Manager monitors key performance indicators, identifies trends in denials or underpayments, and leads corrective actions to improve financial performance. Daily responsibilities include supervising revenue cycle staff, coordinating with clinical and administrative teams, and ensuring compliance with payer requirements, regulatory standards, and organizational policies. The role also involves developing and refining workflows, training team members on best practices, and contributing to budget planning and revenue cycle strategy to support Gardner Health Services’ mission and long-term sustainability.
Qualifications
- Strong expertise in Revenue Cycle Management, including end-to-end oversight of patient access, billing, collections, and payment posting.
- Experience with Practice Management systems and related healthcare information systems used for scheduling, registration, and billing operations.
- Proficiency in managing Denials, including root cause analysis, appeals, and implementation of preventive process improvements.
- Knowledge of Medical Coding and related documentation requirements to support accurate claims and compliant reimbursement.
- Understanding of Managed Care contracts, payer policies, and reimbursement methodologies, with the ability to interpret and operationalize contract terms.
- Demonstrated leadership experience, including supervising teams, providing coaching, and driving accountability for performance metrics.
- Strong analytical, problem-solving, and reporting skills, with the ability to use data to guide decisions and improve processes.
- Excellent communication and collaboration skills, with the ability to work effectively across clinical, administrative, and finance departments.
- Familiarity with community health centers, FQHCs, or safety-net healthcare environments is highly preferred.