Revenue Cycle Manager

Salma Health•San Mateo, CA

2d•$75,000 - $100,000•Hybrid

About The Position

We are seeking a Revenue Cycle Manager to oversee the end-to-end revenue cycle operations for our clinics, from patient insurance verification and prior authorization through claims submission, denial management, and collections. This role is critical to ensuring accurate billing, efficient claims processing, provider engagement and timely reimbursements. In addition to traditional revenue cycle management responsibilities, this position requires hands-on expertise in mental health billing as well as experience working on third-party insurance verification, prior authorization, and revenue cycle management tools and systems. Location: Hybrid – preferred in-office Monday–Wednesday at our San Mateo headquarters, with flexibility to work remotely for candidates in California.

Requirements

Bachelor’s degree in Healthcare Administration, Business, Accounting, or related field
3–5 years of experience in medical billing and revenue cycle management, preferably in an outpatient or small clinic setting
Strong knowledge of medical billing, CPT coding, insurance verification, and payer requirements
Hands-on experience preparing and verifying CMS-1500 claim forms
Excellent organizational skills, attention to detail, and ability to manage multiple priorities
Strong communication and problem-solving skills, with experience coordinating with providers and external vendors
Demonstrated experience managing prior authorization workflows, including submission, follow-up, and appeals
Familiarity with payer-specific authorization requirements for behavioral health services

Nice To Haves

Experience in behavioral health billing specifically TMS, Spravato and IOP
Experience with facility billing (UB-04, CMS-1450)
Experience with eligibility verification tools or clearinghouses (e.g., Availity, Waystar)
Knowledge of Medicare/Medicaid authorization requirements for behavioral health

Responsibilities

Insurance Verification & Prior Authorization Verify patient insurance eligibility and benefits prior to service delivery, including confirming coverage for mental health and specialty services (TMS, Spravato, IOP)
Prepare, submit, and track prior authorization requests with payers, ensuring timely approvals before treatment begins
Follow up on pending and denied prior authorizations, escalating to payers as needed
Maintain an organized tracking system for authorization statuses, expiration dates, and renewal deadlines
Coordinate with clinical staff to gather required supporting documentation (clinical notes, treatment plans) for authorization submissions
Billing & Claims Management Accurately prepare, review, and verify CMS-1500 claim forms for submission
Ensure compliance with payer guidelines, coding requirements, and regulatory standards
Automate billing processes and coding in conjunction with our technology team
Setup and operate third-party tools to facilitate billing, claims submission and analytics
Revenue Cycle Oversight Manage all aspects of the revenue cycle, including charge capture, claims submission, payment posting, denial management, and patient collections
Monitor KPIs such as days in A/R, denial rates, and collections, providing regular reports to leadership
Prepare and present key RCM data and insights to broader team
Develop and implement processes to optimize cash flow and minimize errors
Reconcile differences with Finance & Accounting team
Track, categorize, and analyze claim denials to identify root causes and trends
Manage the denial appeals process, including preparing and submitting appeal letters with supporting documentation within payer-required timelines
Implement corrective actions to reduce denial rates (e.g., improving front-end verification, coding accuracy, or authorization compliance)
Collaboration & Communication Collaborate with clinic operations team to set up scalable and sustainable revenue cycle operations practices
Serve as the primary liaison between the clinic and third-party billing company.
Collaborate with providers and clinical staff to ensure accurate documentation , coding and denials management