Sr. Manager, Revenue Cycle
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Experience Required:
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Job Summary
Heritage Health Network is seeking an experienced Senior Manager Revenue Cycle to lead our end-to-end Revenue Cycle Management (RCM) operations. Reporting directly to the CEO youll oversee billing performance denial management accounts receivable payer compliance and a team of Revenue Cycle professionals across multiple Medi-Cal managed care contracts.
This is a hands-on leadership role. Current RCM billing experience is required and you must be able to step into billing operations when needed.
- Lead the Revenue Cycle team including the Revenue Cycle Supervisor and Billing Coordinators.
- Own revenue cycle performance including clean claim rate denials timely filing and AR aging.
- Oversee denial management appeals payer escalations and reimbursement strategies.
- Lead month-end close activities AR reconciliation and payer reporting.
- Partner with Clinical Operations to ensure documentation accuracy and billing compliance.
- Build and present revenue cycle performance reports and dashboards.
- Drive process improvements to maximize reimbursement and operational efficiency.
- Support audits payer reviews and compliance initiatives.
- Coach mentor and develop a high-performing billing team.
- Step into billing operations when needed to support claims denials and AR follow-up.
- Bachelors degree in Business Healthcare Administration Health Information Management or related field (equivalent experience considered).
- 5 years of hands-on Revenue Cycle Management experience.
- 2 years of leadership experience managing billing teams.
- Strong knowledge of claim submission denials appeals AR and Medi-Cal managed care billing.
- Experience with Office Ally Availity eClinicalWorks (eCW) Microsoft Excel and Google Workspace.
- Experience with ECM CalAIM and managed care programs.
- Experience with IEHP Molina CalOptima Health Net and Anthem payer portals.
- Power BI experience.
- Experience with capitated and per-encounter billing models.
- CPB CRCR or other Revenue Cycle certification.
- Medical Dental & Vision Insurance
- Paid Time Off & Company Holidays
- Competitive Compensation
- Remote Work Flexibility
- Professional Growth & Leadership Development Opportunities
Required Skills:
Experience: Minimum 3 years of current hands-on RCM billing experience required claim submission denials appeals and AR. Minimum 1 year supervisory or team lead experience over billing staff required. Medi-Cal or managed care experience preferred. Certification (preferred): Revenue cycle or billing credential preferred. Schedule: Monday through Friday 8:30 AM 5:00 PM PST (required non-negotiable). Travel: None. Fully remote within California. Location: California residency preferred. Compensation & Benefits: Range set by People Team commensurate with experience. Full benefits included.
Required Education:
Education: Associates degree in business healthcare administration or related field required; Bachelors preferred. Equivalent RCM experience considered.
