The Role
Manage and supervise billing coordinators, oversee claim submission, denial resolution, and AR follow-up. Ensure timely filing, enforce documentation and coding standards, run quality reviews, drive month-end close and reconciliation, coach staff, and step in to perform billing tasks when needed to meet targets and audit readiness.
Summary Generated by Built In
Senior Manager, Revenue Cycle
About the Role
What You'll Do
RequirementsRequired
Benefits
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.
RequirementsRequired
- 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.
- 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
Skills Required
- Associate's degree in business, healthcare administration, or related field (or equivalent RCM experience)
- Minimum 3 years current, hands-on RCM billing experience (claim submission, denials, appeals, AR)
- Minimum 1 year supervisory or team lead experience over billing staff
- Production-level proficiency in Office Ally and Availity
- Working knowledge of eClinicalWorks or comparable EHR
- Full command of the claim lifecycle: eligibility, coding, modifiers, submission, denial, appeal, and posting
- Knowledge of Medi-Cal billing rules and experience across ECM, CalAIM, and managed care programs
- Microsoft Excel and Google Workspace for AR, production, and denial reporting
- Ability to supervise, coach, document performance, and maintain personal production
- Written communication skills for coaching documentation, denial appeal letters, and payer correspondence
- Ability to work Monday through Friday, 8:30 AM - 5:00 PM PST
- Fully remote within California (candidate must be able to work within California)
- Revenue cycle or billing credential
- Direct experience with ECM, CalAIM, or Community Supports
- Familiarity with IEHP, Molina, CalOptima, Health Net, and Anthem portals and requirements
- Experience with capitated PMPM and per-encounter billing models
- Experience reading Power BI or comparable BI dashboards
- Bachelor's degree
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The Company
What We Do
Heritage Health Network provides compassionate, whole-person care coordination, focusing on addressing healthcare disparities and supporting individuals with complex medical, behavioral health, and social needs to transform lives and strengthen communities.
