Sr. Manager, Revenue Cycle

About the Role

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, you'll 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.

Requirements

• Bachelor's 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.

Preferred

• 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.

Benefits

• Medical, Dental & Vision Insurance
• Paid Time Off & Company Holidays
• Competitive Compensation
• Remote Work Flexibility
• Professional Growth & Leadership Development Opportunities