Community Healthcare Revenue Cycle Management, Independent Contractor

Facktor

. Prepare Medicare 519 wrap rate applications, including gathering and validating data, completing supporting analyses and documentation, and carrying applications through submission .

Posted 9/15/2026contractRemote • United StatesMid-LevelSenior💰 $75 - $100 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare revenue cycle management, including Medicare reimbursement processes and financial analysis. Capable of developing and implementing strategies to enhance billing accuracy, workflow efficiency, and regulatory compliance.

Highest-signal resume keywords

Healthcare Revenue Cycle ManagementMedicare 519 Wrap Rate ApplicationsFQHC Medicare ReimbursementFinancial AnalysisProject Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisClaims AnalysisBilling RequirementsReimbursement TrendsRevenue Cycle WorkflowsAuditingRegulatory ComplianceExcel ProficiencyFinancial ReportingWorkflow Improvement

Soft Skills

Problem-SolvingCommunication SkillsCollaborationClient-Facing SkillsIndependent Work

Industry Keywords

FQHCPPS Payment MethodologiesRevenue Cycle ProcessesHealthcare FinanceNon-Profit Organizations

About the role

Key responsibilities & impact

Prepare Medicare 519 wrap rate applications, including gathering and validating data, completing supporting analyses and documentation, and carrying applications through submission
Advise FQHC clients on Medicare reimbursement, PPS/wrap payments, billing requirements, and related revenue cycle considerations
Review and analyze claims, payments, denials, accounts receivable, reimbursement trends, and other revenue cycle data
Assess revenue cycle workflows across registration, eligibility, charge capture, coding, billing, claims submission, payment posting, denials, and collections
Conduct targeted audits and reconciliations to identify billing, payment, data integrity, and reimbursement issues
Develop recommendations to improve revenue capture, billing accuracy, collections, workflow efficiency, and regulatory compliance
Support client implementation of improved revenue cycle processes, policies, workflows, tools, and controls
Produce financial analyses, reports, dashboards, and other client-facing deliverables
Coordinate with client finance, revenue cycle, operations, clinical, and IT personnel
Provide revenue cycle subject matter expertise on other Facktor client engagements
Work on project-by-project engagements under statements of work defining scope, deliverables, and timelines

Requirements

What you’ll need

Bachelor’s degree from a four-year college or university
Master’s degree preferred; MBA ideal
Significant professional experience in healthcare revenue cycle management, reimbursement, billing, and healthcare finance
Direct, hands-on experience preparing and submitting Medicare 519 wrap rate applications for FQHCs strongly preferred
Strong knowledge of FQHC Medicare reimbursement, including PPS and supplemental/wrap payment methodologies
Prior experience serving FQHCs or other community health centers strongly preferred
Demonstrated experience analyzing healthcare claims, reimbursement, denials, accounts receivable, and other revenue cycle data
Strong understanding of end-to-end revenue cycle processes, including registration, eligibility, coding, charge capture, billing, claims, payment posting, denials, and collections
Advanced Excel and financial/data analysis skills
Demonstrated ability to independently scope and manage defined projects and deliver high-quality work within agreed timelines
Strong problem-solving skills, including the ability to identify root causes and develop practical, implementable solutions
Ability to translate complex reimbursement and revenue cycle concepts into clear recommendations for client leadership
Strong written, verbal, and client-facing communication skills
Experience delivering consulting services across multiple organizations, projects, and competing priorities
Ability to collaborate effectively and responsively with client and Facktor project teams
Interest in supporting non-profit organizations that deliver high-quality care to underserved communities
Independent consulting practice and ability to work autonomously
Contractor must supply their own equipment, software, workspace, and internet connectivity
Contractor is solely responsible for applicable taxes, insurance coverage, and any professional licensure or certification required to perform the services

Benefits

Comp & perks

Occasional client travel may be scoped and reimbursed under an applicable statement of work
Contractor determines their own work location and schedule
No employee benefits are provided; the Contractor is not eligible for paid time off, sick time accrual, stipends, insurance, or other Facktor benefits