Revenue Cycle Manager

Welby Health Inc•Carlsbad, CA

55d

About The Position

The Revenue Cycle Manager is a highly skilled professional responsible for establishing and leading the foundation of Welby Health’s revenue cycle management operations. In this position, you will design, implement, and oversee end-to-end billing systems, including workflows, technology platforms, and claims operations, ensuring efficiency, accuracy, and regulatory compliance. As a Revenue Cycle Manager at Welby Health, you will build scalable revenue cycle infrastructure that supports organizational growth while managing day-to-day claims processing, payer interactions, and financial reporting. Furthermore, you will oversee claims and denial management, build reporting dashboards, and provide insights that drive financial performance and growth.

Requirements

Bachelor’s degree in healthcare administration, accounting, finance, or a closely related discipline
Minimum of five years of direct experience in revenue cycle operations with demonstrated ownership of billing and claims functions
Proven success reducing denials, improving collections, and managing accounts receivable workflows
Experience across multiple electronic medical record and practice management systems
Strong payer knowledge across Medicare, Medicaid, and commercial plans
Proficiency in advanced Excel functions, including pivot tables, complex formulas, and data analysis tools
Exceptional written and verbal communication skills
Ability to work independently in a technology-enabled environment
Strong organizational skills with attention to detail and follow-through

Nice To Haves

Experience selecting and implementing revenue cycle management software or clearinghouses
Proficiency in building or scaling billing operations within a high-growth healthcare organization
Familiarity with healthcare reimbursement analytics, forecasting, and performance reporting
Professional certification in medical billing or coding

Responsibilities

Establish billing policies, processes, and standard operating procedures for claims submission, payment posting, appeals, and denials
Manage claims operations across multiple electronic medical record and practice management systems, including Tebra, eClinicalWorks, Athenahealth, and Epic Systems
Oversee payment posting, payer follow-up, and denial management to drive improvements in denial rates, days sales outstanding, and net collections
Audit payer and client payments for accuracy and initiate corrective actions when necessary
Manage client invoicing, accounts receivable aging, and collections processes
Evaluate, select, and implement revenue cycle technology platforms including clearinghouses, automation tools, and reporting systems
Develop internal and client-facing financial reports on collections, payment integrity, and revenue performance
Ensure compliance with Medicare, Medicaid, and commercial payer requirements, as well as coding and reimbursement standards
Collaborate cross-functionally with relevant departments to ensure reliable and scalable claims processes
Build scalable workflows, documentation, and playbooks to support operational consistency and future departmental expansion