Revenue Cycle Manager

All Care TherapiesCerritos, CA
$85,000 - $95,000Hybrid

About The Position

All Care Therapies is seeking a Revenue Cycle Manager for our Texas and Nevada billing in-house. This is a hands-on role where you will be overseeing the full revenue cycle process, working claims, chasing denials, writing appeals, posting cash, and answering patient billing questions. You will also work alongside our offshore billing team in India, taking on day-to-day direction of that team. The ideal candidate can pick up a live book of business, get their arms around it quickly, and own the result without being managed through it. You will report directly to the CFO and work closely with the Operations, Customer Service, and Finance teams.

Requirements

  • 5 or more years in medical billing and revenue cycle, including at least 2 years owning a book of business end to end, from submission through appeal and collection.
  • Direct, hands-on experience billing outpatient physical, occupational, or speech therapy.
  • Working knowledge of Medicaid and Medicaid managed care, commercial HMO and PPO plans, and Medicare Part B therapy rules.
  • Ability to audit and correct a coder's work.
  • Experience with authorization-heavy payors and visit limits, and a track record of preventing authorization-driven denials.
  • Strong Excel, including pivot tables, lookups, and reconciling two datasets against each other.
  • Practice management, EHR, clearinghouse, and payor portal fluency.
  • Comfort setting priorities for a remote team across time zones and following up when work is not right.

Nice To Haves

  • Texas and Nevada experience is a strong plus, but we care more that you can pick up a new state's program quickly.
  • Formal management experience is a plus.
  • Taking billing in-house from an agency, or standing up a billing function, including the data and credential handover.
  • Managing billing staff, or directing offshore teams.
  • Multi-state and multi-entity billing across more than one tax ID; pediatric therapy, teletherapy, or school-district contracts.
  • Legacy A/R recovery, out-of-network claims, and single-case agreements.
  • Familiarity with an ERP such as NetSuite and comfort partnering with accounting through close.
  • Certification such as CPB, CPC, COC, CRCR, CBCS, or CMRS.
  • A Bachelor's degree in healthcare administration, business, finance, or health information management, or equivalent work experience.

Responsibilities

  • Submit all claims accurately and on time, covering physical, occupational, and speech therapy across clinic, teletherapy, home, and school-based settings.
  • Verify eligibility, benefits, visit limits, and prior authorization before service, building a process that catches gaps before they become write-offs.
  • Own coding accuracy for CPT, ICD-10-CM, timed units, and modifiers.
  • Own the A/R by working aging payors and buckets to drive down balances.
  • Take denials to root cause, fix upstream processes, file appeals and corrected claims with necessary documentation, and reconcile EOBs against payments.
  • Identify underpayments and absorb legacy A/R by triaging against filing deadlines.
  • Own patient statements, balances, and payment plans.
  • Run the billing inquiry desk and set service standards.
  • Resolve disputes accurately and with empathy to ensure families receive clear answers the first time.
  • Own EDI, ERA, and EFT enrollment, coordinate credentialing, and maintain payor fee schedules and authorization rules.
  • Work within HIPAA guidelines, safeguard protected health information, and support all internal and external audits.
  • Set daily priorities and quality standards for the offshore billing team.
  • Act as the single escalation point for billing in TX and NV.
  • Publish monthly revenue cycle packages.
  • Ensure A/R reconciles with the general ledger.
  • Document internal processes.
  • Proactively bring problems forward with supporting data.

Benefits

  • Competitive compensation that recognizes your expertise
  • A clear pathway for career advancement through leadership development and internal promotion opportunities
  • Comprehensive benefits for full-time employees, including medical, dental, vision, 401(k), and paid time off
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