What are the responsibilities and job description for the Revenue Cycle Manager position at Boutique Recruiting?
Position Title: Revenue Cycle Manager
The Revenue Cycle Manager plays a crucial role in overseeing the efficiency and accuracy of the revenue cycle operations within the organization. This position entails managing a team responsible for claims submission, payment posting, and denials management, ensuring compliance with various billing requirements. The manager will be instrumental in optimizing reimbursement processes, particularly within Medi-Cal and Managed Care frameworks. This role presents challenges related to adapting to diverse billing practices and managing multiple payer contracts. Strong analytical skills and a collaborative approach are essential for success in this dynamic and growing environment.
Salary Range: $95000 - $115000 / Year DOE
Revenue Cycle Manager Responsibilities
The Revenue Cycle Manager plays a crucial role in overseeing the efficiency and accuracy of the revenue cycle operations within the organization. This position entails managing a team responsible for claims submission, payment posting, and denials management, ensuring compliance with various billing requirements. The manager will be instrumental in optimizing reimbursement processes, particularly within Medi-Cal and Managed Care frameworks. This role presents challenges related to adapting to diverse billing practices and managing multiple payer contracts. Strong analytical skills and a collaborative approach are essential for success in this dynamic and growing environment.
Salary Range: $95000 - $115000 / Year DOE
Revenue Cycle Manager Responsibilities
- Oversee day-to-day revenue cycle operations, including claims submission, payment posting, denials management, and accounts receivable (AR)
- Ensure timely and accurate billing and reimbursement across Medi-Cal and Managed Care payer contracts
- Manage and reconcile capitated revenue streams, including member rosters, payment tracking, and variance analysis
- Oversee fee-for-service billing, including claims accuracy, submission, and reimbursement optimization
- Identify and resolve discrepancies between expected and actual payments across all payer arrangements
- Monitor AR performance and ensure timely follow-up on outstanding claims
- Analyze denial trends and implement corrective actions to improve reimbursement outcomes
- Ensure compliance with CMS, Medi-Cal, DHCS, and payer-specific billing requirements
- Support internal and external audits and maintain documentation to minimize recoupment risk
- Develop and maintain reporting dashboards related to AR, payments, denials, and revenue trends
- Utilize reporting tools to analyze financial performance and provide actionable insights
- Partner with operations and leadership to ensure alignment between services rendered and revenue captured
- 5–8 years of revenue cycle management experience (billing)
- Supervisory experience is required
- Experience with capitated payment models and fee-for-service billing
- Experience with Medi-Cal and Managed Care billing
- Strong proficiency in Excel and reporting/analytics (pivot tables/vlookups)
- Bachelor’s degree in Healthcare Administration, Finance, or related field (or could be associates degree)
- Experience with clearinghouses such as Waystar is preferred
- Medical/Dental/Vision benefits
- 401k plan with a 3% safe harbor non-elective contribution
- 10 paid holidays PTO with 40 hours of sick time front-loaded
- Referral bonus program
- Discounted events and attractions
- Employee Life, Long Term Disability, FSA Health Care, and more benefits available
Salary : $95,000 - $115,000