Clinic Fiscal Manager (Medical Billing Hands-On Professional) – Davis Street Community Center – San Leandro, CA

If you’re motivated and have attention to detail, join our team!

Medical Billing, Accounting, Finance etc.

Full Time – 40 hours – Excellent Company Paid Benefits


Under the supervision of the Finance Director, the Clinic Fiscal Manager works independently as a finance liaison to facilitate programmatic success in advancing the mission of the Primary Care Clinic, including optimizing billing and collections, implementing new tools for clinic budgeting, reporting, analysis, and other functions.


  • Maintain an excellent level of subject matter expertise regarding medical billing mechanisms and related financial reporting and serve
  • Work collaboratively with core accounting team while working as part of the clinic team knowing your presence is critical to the clinic’s success
  • Recommending improvements for financial reporting and strategies in patient billing
  • Assist with all external funding contract management and financial compliance
  • Recommend specific tactical and operational steps to enhance billing and collections
  • Ensure that patient encounter data is submitted to all third-party contract providers according to the term of the contract
  • Research missing and incomplete information resulting in billing errors and denials; identify and resolve account discrepancies
  • Review posted payments from Explanation of Benefits (EOB) documents to the patient’s billing account in clinic eHR software
  • Performs complex analysis on internal as well as third party information to ensure validity of financial data reported
  • Make recommendations to assist in the management and processing of data/information to enhance knowledge
  • Assist with the operation and related compliance objectives pertaining to the Sliding Fee patient billing process
  • Prepare all relevant schedules as requested by the external auditors as part of their annual audit of Davis Street’s financial statements
  • Partner with the core accounting team in tracking expenditures for the clinic’s HRSA grants
  • Works with management team in determining and achieving financial goals
  • Prepare monthly financial reports and ad hoc reporting
  • Attend all training as necessary for various eligibility programs, including Medi-Cal
  • Collect financial information and lead, together with external consultants and clinic management, key clinic compliance obligations such as the UDS reporting process, Medicare Cost Report, and the PPS Reconciliation
  • Other duties as assigned


  • Bachelor’s in Finance or Business degree with at least 3-5 years of FP&A work experience. Healthcare experience is a must. Combination of consulting, corporate/non-profit, and FQHC a plus
  • Clinic billing experience and third-party payers such as Medi-Cal, and managed care companies
  • Strong Excel (Pivot tables, VLOOKUP) and ability to build financial models
  • Attention to details with solid data modeling and thorough documentation follow through. Ability to deliver elegant models that also easily renders for scenario planning and visual reporting
  • A self-starter with thirst for continuous learning and professional development
  • An efficiency explorer and solutionist who can scope and design process and system improvements or adoption to effectively reduce time while maintaining or improving service quality
  • Good written and verbal communications; able to tailor communications to both Finance and non-Finance internal clients
  • Ability to work successfully within a culturally diverse workplace
  • Ability to maintain strictest confidentiality according to HIPAA regulations
  • Excellent work habits: punctual, reliable, cooperative attitude, good attention to detail, team player
  • Ability to be polite and tactful. Ability to set limits and handle pressure situations with clients
  • Commitment to the mission and values of Davis Street

Job Type: Full-time


  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance


  • Monday to Friday

Work Location: One location

Click Here To Apply

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