About the Role
Woodlands Primary Healthcare is a family medicine practice in The Woodlands and Katy, TX. We're looking for an experienced revenue cycle professional to run our Katy clinic owning the full revenue cycle while overseeing front desk staff and patient experience.
Revenue Cycle Ownership
Using eClinicalWorks and TriZetto, you'll independently identify where the clinic is losing revenue, delaying collections, or leaving money on the table. Areas you'll own and review:
- A/R and aging balances
- Copay, coinsurance, deductible, and patient-balance collections
- Denials, rejections, appeals, and underpayments
- Claims submission and charge capture
- Adjustments/write-offs
- Provider productivity and schedule utilization
You'll present findings to leadership ranked High, Medium, or Low priority. For each issue: What's the problem? Why is it happening? What's the financial impact? How do we fix it? How do we monitor it?
This role is accountable for three questions: Where are we losing money? Where are we leaving money on the table? What would you change to increase revenue and productivity?
Within your first 30 days, be prepared to identify the top five changes you'd make and the numbers you'd use to prove improvement.
Operations
- Oversee front desk: check-in/out, scheduling, phones, insurance verification, prior authorizations
- Supervise, train, and schedule front desk and billing staff
- Ensure HIPAA and payer compliance
- Resolve escalated billing, coding, and patient account issues
Qualifications
- 2–3+ years as a revenue cycle specialist or medical biller, plus front desk/administrative experience
- Proven expertise in denial management, A/R follow-up, appeals, and payment posting
- Practice management or supervisory experience preferred
- eClinicalWorks and TriZetto experience strongly preferred
- Bilingual (English/Spanish) strongly preferred
- High school diploma required; degree in healthcare administration a plus
