Note: The job is a remote job and is open to candidates in USA. Orchid Health is a healthcare organization focused on integrated patient-centered care and health equity. The Director of Finance will oversee financial operations, ensuring accuracy and compliance while managing budgeting, forecasting, and revenue cycle functions.
Responsibilities
- Lead Orchid Health's finance, revenue cycle, and administrative finance functions, including cash flow, budgeting, forecasting, accounts payable, accounts receivable, and monthly budget reporting
- Partner with the Executive Director and contracted CPA to manage accounting processes, QuickBooks reporting, Medicare cost reporting, tax preparation, and related financial procedures
- Oversee revenue cycle operations, including billing, coding, collections, claims submission, payer follow-up, payment posting, and patient account processes
- Create, implement, audit, and improve patient account and billing processes to support timely, accurate, compliant reimbursement
- Analyze financial, billing, claims, collections, and accounts receivable trends, then recommend process, staffing, or policy improvements as needed
- Review payer contracts annually, identify areas for renegotiation, and evaluate alternative payment model opportunities
- Oversee grant management, including supporting grant writing as needed and managing grant accounting and reporting
- Manage key business administration functions, including provider credentialing, business insurance, property leases, and asset purchasing and tracking
- Ensure coding and billing operations follow Orchid protocols and applicable federal, state, and payer regulations, guidelines, and requirements
- Stay current on HIPAA, health information management, billing and coding regulations, payer requirements, and carrier rule changes, and share updates with the appropriate teams
- Provide, oversee, or coordinate training and support for billing and finance-related staff on systems, procedures, standards, and best practices
- Partner with the Executive Director to support fundraising efforts for new locations, expansions, and strategic organizational growth
Skills
- Bachelor's degree in business administration, accounting, finance, or a related field
- Minimum of three (3) years of senior finance leadership experience in a healthcare organization
- Strong understanding of medical billing, collections, payment posting, revenue cycle, third-party payers, Medicare, and Oregon and federal payer regulations
- Working knowledge of HIPAA, billing and insurance regulations, medical terminology, insurance benefits, and appeal processes
- Knowledge of business management and basic accounting principles, with the ability to partner effectively with accounting support and organizational leadership
- Experience supervising, training, organizing, prioritizing, and scheduling work to meet operational and financial timelines
- Proficiency with Microsoft Office, including Outlook, Word, and Excel
- Strong organization, attention to detail, critical thinking, professional judgment, and the ability to work independently with frequent interruptions
- Ability to communicate calmly, respectfully, transparently, and professionally with staff, patients, partners, payers, and other stakeholders
- Prior Finance Director experience in a Rural Health Clinic, Federally Qualified Health Center, or similar healthcare setting
- Experience with QuickBooks management and reporting
- Experience with Medicare Cost Reporting, grant accounting and reporting, payer contracting, and alternative payment models
- Experience producing and presenting detailed financial, billing, and accounts receivable reports
- Strong negotiation skills and tact when discussing payer, partner, or patient financial matters
Benefits
- Medical, Dental, & Vision – Orchid pays monthly premiums at 100% for team members and at least 50% for their dependents for base medical and dental plans
- $1,000/year Wellness Benefit - for things that make you happy!
- 401(k) with a company match and financial planning and wellness resources available at no cost.
- A Continuing Education / Continuing Medical Education budget for all team members
- 128 hours of PTO per year, annually front-loaded with tenure-based increases
- 40 hours of paid inclement weather and emergency closure leave, annually front-loaded
- 8 paid holidays, plus your birthday off!
- Free care at our clinics for team members and their families
- Team members are eligible for benefits on the first of the month following 30 days of employment.
Company Overview