Sr. Manager, Revenue Cycle

Heritage Health Network is seeking an experienced Senior Manager, Revenue Cycle to lead our end-to-end Revenue Cycle Management (RCM) operations. Reporting directly to the CEO, you'll oversee billing performance, denial management, accounts receivable, payer compliance, and a team of Revenue Cycle professionals across multiple Medi-Cal managed care contracts.

This is a hands-on leadership role. Current RCM billing experience is required, and you must be able to step into billing operations when needed.

• Lead the Revenue Cycle team, including the Revenue Cycle Supervisor and Billing Coordinators.
  
• Own revenue cycle performance, including clean claim rate, denials, timely filing, and AR aging.
  
• Oversee denial management, appeals, payer escalations, and reimbursement strategies.
  
• Lead month-end close activities, AR reconciliation, and payer reporting.
  
• Partner with Clinical Operations to ensure documentation accuracy and billing compliance.
  
• Build and present revenue cycle performance reports and dashboards.
  
• Drive process improvements to maximize reimbursement and operational efficiency.
  
• Support audits, payer reviews, and compliance initiatives.
  
• Coach, mentor, and develop a high-performing billing team.
  
• Step into billing operations when needed to support claims, denials, and AR follow-up.
  

• Bachelor's degree in Business, Healthcare Administration, Health Information Management, or related field (equivalent experience considered).
  
• 5+ years of hands-on Revenue Cycle Management experience.
  
• 2+ years of leadership experience managing billing teams.
  
• Strong knowledge of claim submission, denials, appeals, AR, and Medi-Cal managed care billing.
  
• Experience with Office Ally, Availity, eClinicalWorks (eCW), Microsoft Excel, and Google Workspace.
  
• Experience with ECM, CalAIM, and managed care programs.
  

• Experience with IEHP, Molina, CalOptima, Health Net, and Anthem payer portals.
  
• Power BI experience.
  
• Experience with capitated and per-encounter billing models.
  
• CPB, CRCR, or other Revenue Cycle certification.
  

• Medical, Dental & Vision Insurance
  
• Paid Time Off & Company Holidays
  
• Competitive Compensation
  
• Remote Work Flexibility
  
• Professional Growth & Leadership Development Opportunities