Revenue Cycle Manager, Medi-Cal

Rite of Passage•Escondido, CA
•Onsite

About The Position

Rite of Passage is hiring a Revenue Cycle Manager to design and lead the connected Medi-Cal revenue cycle for its California programs, which bill exclusively through Medi-Cal. The role owns the process from clinical documentation through claim submission, payment, and posting, and builds the structure, standards, and visibility needed for clinical, billing, and finance teams to work together. This is a system-building position focused on designing workflows, not simply operating existing processes. The role is based in the Tustin or San Diego office and is primarily in-office because it depends on close, daily collaboration with clinical and finance teams. It is not a remote position.

Requirements

  • At least 5 years of revenue cycle management experience, including Medi-Cal; behavioral health experience is strongly preferred.
  • Experience building or redesigning billing workflows.
  • Working knowledge of Medi-Cal claiming, authorization, and documentation standards.
  • Comfort using EHR and billing systems and working with 837/835 files.
  • Ability to translate between clinical and financial language.
  • A data-driven approach to tracking, measuring, and improving processes.

Nice To Haves

  • Experience with county mental health plans or specialty mental health services.
  • Youth residential or behavioral health experience.
  • EHR implementation or optimization experience.

Responsibilities

  • Map and own the end-to-end Medi-Cal revenue cycle.
  • Build clear handoffs and checkpoints between clinical, billing, and finance teams.
  • Partner with clinical leaders to align documentation with Medi-Cal medical necessity and billing requirements.
  • Create reporting that tracks each claim as submitted, pending, denied, or paid.
  • Lead denial analysis and address root causes.
  • Keep processes current with DHCS, CalAIM, and county requirements.
  • Prepare the program for audits and payer reviews.
  • Train and coach clinical and administrative staff on their roles in the revenue cycle.
  • Work with finance and billing colleagues to build on effective practices and strengthen connections between teams.
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