Revenue Cycle Manager el cajon cross
About The Position
We are seeking an experienced and driven Revenue Cycle Manager to lead and build our Revenue Cycle department from the ground up. This is an exciting opportunity for a healthcare revenue cycle professional who thrives in process improvement, operational leadership, and building high-performing teams. The Revenue Cycle Manager will oversee all aspects of the revenue cycle process, including insurance verification, coding, charge entry, claims submission, collections, payment posting, denial management, and regulatory compliance. This role will play a critical part in transitioning billing and coding operations fully in-house while establishing workflows, policies, and best practices for long-term success.
Requirements
- Bachelor's Degree in Business, Healthcare Administration, or related field preferred OR equivalent experience
- Minimum 5 years of medical billing/revenue cycle experience
- Minimum 3 years of supervisory or management experience
- Strong knowledge of: Professional fee billing, Medical terminology, Insurance reimbursement, Claims management, Third-party payer regulations
- Working knowledge of healthcare compliance and regulatory requirements
- Strong leadership, communication, and problem-solving skills
- High attention to detail and process improvement mindset
- Current CPR certification
Nice To Haves
- Physician credentialing experience
- Experience with: NextGen Dentrix QS30
- Tribal clinic or tribal enterprise experience
- Coding and billing expertise
Responsibilities
- Lead daily Revenue Cycle operations across billing, coding, claims, collections, and payment posting
- Develop and implement workflows, policies, and procedures to improve operational efficiency and cash flow
- Monitor Accounts Receivable aging, denied claims, unapplied credits, and reimbursement trends
- Ensure compliance with HIPAA, Medicare, Medicaid, and third-party payer regulations
- Analyze claims and revenue cycle data by payer, provider, procedure code, and clinic location
- Supervise and mentor Revenue Cycle staff, including billers/coders and front office support staff
- Coordinate insurance verification, authorizations, referrals, and credentialing support processes
- Train and support staff on billing regulations, coding practices, and payer requirements
- Collaborate with department leaders to improve patient financial processes and operational performance
- Prepare monthly performance and financial reports for leadership
- Monitor coding trends and identify undercoding or reimbursement irregularities
- Support continuous quality improvement initiatives and organizational goals
Benefits
- Competitive salary
- Annual bonus eligibility up to 5%
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What This Job Offers
Job Type
Full-time
Career Level
Manager
