What are the responsibilities and job description for the Revenue Cycle Lead-In Office position at Metro Healthy Communities?
Revenue Cycle Lead | St. Petersburg, FL
Metro Healthy Communities (FQHC-Look-Alike) | Full-Time | In-Office
One of Tampa Bay's best non-profit healthcare employers is seeking to add a Revenue Cycle Lead, based in St. Petersburg, FL. Metro Healthy Communities is mission driven and offers you an opportunity to make a difference in a workplace that values leadership and accuracy!
What We Offer
- Generous paid time off, sick leave, and holidays
- 401k (403b) retirement plan with 5β7% company match
- Excellent Medical, Dental & Vision insurance
- Free short- and long-term disability insurance
- Education benefits and wellness program
- Business Casual dress code
About the Role
The Revenue Cycle Lead serves as the primary point of contact within the Revenue Cycle Management (RCM) team, providing advanced support in patient accounts, billing resolution, payer follow-up, and denials management. This role provides day-to-day operational guidance and training support to the team, escalating issues as needed to ensure accurate billing, timely collections, and an exceptional patient financial experience.
Key Responsibilities
- Provide advanced team support for coding, billing, collections, denials, and AR aging functions
- Resolve high-dollar aged patient accounts, including insurance, self-pay, and mixed-coverage
- Perform preliminary claim analysis to identify root causes of denials, underpayments, and payment delays
- Serve as the primary point of contact for patient account resolution
- Support denials prevention, appeal preparation, and payer follow-up
- Oversee processing of sliding fee discount program applications and payment plans
- Ensure accuracy of team postings, adjustments, and reconciliations
- Assist leadership with process improvement initiatives and workflow quality reviews
Qualifications
- Minimum 3 years of experience in Revenue Cycle Management required
- Experience in an FQHC, hospital, or multi-specialty healthcare environment required
- Revenue cycle certification (CRCR, CHFP, CPC, or equivalent) preferred
- Strong understanding of Medicare, Medicaid, Florida managed care, and commercial payer requirements
- Excellent analytical, problem-solving, and communication skills
- Proficiency in eClinicalWorks and Microsoft Office, including Excel
- Valid Florida driver's license, proof of insurance, and reliable transportation
- Must pass Level II background check, fingerprinting, and E-Verify employment eligibility
Metro Healthy Communities is an equal opportunity employer.
Benefits:
- Dental insurance
- Employee assistance program
- Health insurance
- Health savings account
- Paid time off
- Retirement plan
- Tuition reimbursement
- Vision insurance
Application Question(s):
- Do you have any of the following certifications, CEVE, CHFP, CPC, or any equivalent? If yes, which do you have?
- What is the name(s) of the EMR programs you have worked with?
- How many years of experience do you have with Medical billing and/or coding?
Experience:
- Revenue Cycle: 3 years (Preferred)
- EMR systems: 1 year (Preferred)
- staff leadership: 1 year (Preferred)
Ability to Commute:
- Saint Petersburg, FL 33702 (Required)
Work Location: In person
Salary : $46,195 - $66,823