Revenue Cycle Manager

Balboa Nephrology • San Diego, CA

1d • $90,000 - $110,000 • Hybrid

About The Position

The Revenue Cycle Manager is responsible for leading the daily operations of the complete healthcare revenue cycle, ensuring accurate billing, timely reimbursement, regulatory compliance, and optimized financial performance. This role serves as the primary daily operational leader responsible for front-end, mid-cycle, and back-end revenue cycle functions while driving process improvement, and team performance. The manager reports to the Director of Revenue Cycle and works collaboratively to evaluate department and organizational performance, evaluate optimizations, and translation of strategy into execution.
This is an ideal opportunity for an individual experienced in full revenue cycle operations for 10 or more physicians/APPs, has been responsible for the Revenue Cycle Management (RCM) functions, has leadership experience, and enjoys being close to the work: hands-on, coaching supervisors and staff, solving operational problems, and owning results.

Requirements

• Reside in San Diego County, California.
• High school diploma or equivalent required.
• Five (5) years of current/progressive, related experience leading & being responsible for the revenue cycle management for a practice of 10 or more physicians/APP’s.
• OR a bachelor’s degree in Business Administration, Healthcare Administration, or a related field plus three (3) years of current/progressive, related experience leading revenue cycle for a practice of 10 or more physicians/APP’s.
• Three (3) years prior experience managing employees at different levels.
• Demonstrated hands-on experience and knowledge to successfully lead full revenue cycle operations.
• Strong demonstrated knowledge of medical billing, coding, claims, collections processes and strategy, reimbursement methodologies, and payer processes.
• Advanced analytical skills with the ability to interpret financial and operational data.
• Excellent communication, leadership, and problem-solving skills.
• While performing duties, the employee is regularly required to talk, hear, read, write, type and respond in English and understand clinical/medical vocabulary written and spoken.
• Vision requirements include close vision, ability to adjust focus, and see color.

Nice To Haves

• Seven (7) of current experience leading & being responsible for revenue cycle management for a practice of 10 or more physicians/APP’s.
• Bachelor’s degree in Business Administration, Healthcare Administration, or related field.
• Professional certifications such as CRCR, CPC, CPB, or related Epic certifications in revenue cycle.
• Demonstrated, hands-on knowledge of Epic EHR revenue cycle functionality.
• Knowledge of value-based care, risk adjustment, and alternative payment models.

Responsibilities

• Oversee daily execution of the revenue cycle, including patient access, charge capture, coding, billing, accounts receivable, denials management, patient collections and release of information.
• Ensure clean claim submission, timely follow‑up, and optimal cash flow performance.
• Monitor workflow effectiveness and identify opportunities to streamline processes and reduce revenue leakage.
• Act as primary escalation point for daily revenue cycle operations support.
• Ensure accuracy of patient demographics, insurance verification, eligibility, prior authorizations, and point‑of‑service collections.
• Collaborate with front‑end teams to improve operations and reduce preventable denials.
• Ensure coding processes are followed to ensure accuracy, completeness, and compliance with regulatory and payer requirements.
• Support clinical documentation improvement (CDI) initiatives in partnership with stakeholders.
• Ensure compliance with CMS, OIG, payer guidelines, and internal policies.
• Manage claim submission processes, edits, and work queues to maximize first‑pass yield.
• Analyze denial trends, identify root causes, and implement corrective action plans.
• Oversee insurance and self‑pay A/R follow‑up, underpayment recovery, and payer escalation strategies.
• Monitor payer reimbursement accuracy against contract terms and fee schedules.
• Support payer contract modeling, variance analysis, and underpayment appeals.
• Partner with contracting and finance teams to improve net revenue performance.
• Track and report key revenue cycle KPIs, including days in A/R, denial rates, first‑pass yield, cash collections, and write‑offs.
• Prepare operational and financial reports for leadership and support data‑driven decision‑making.
• Benchmark performance against industry standards and organizational goals.
• Optimize processes and standard operating procedures to support best practices and standardization
• Participate in system upgrades, testing, and end‑user training initiatives.
• Lead, coach, and develop revenue cycle staff to achieve operational and performance goals.
• Establish clear performance expectations and conduct regular evaluations.
• Foster collaboration across departments, including clinical operations, finance, compliance, and IT.
• Other duties as assigned.

Benefits

• Comprehensive benefits package that includes medical, dental & vision on the 1st of the month 30 days after hire.
• Employer contribution of up to 7.5% of annual pay for your 401K.
• Generous paid time off plus 8 paid holidays!
• Company paid life insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED