Medi-Cal Revenue Cycle Architect | In-Office

Rite of Passage Brand; Escondido (CA); On-site; USD 90,000 - 130,000; Full time

Job summary

Rite of Passage is seeking a Revenue Cycle Manager focused on Medi-Cal to design and lead the end-to-end revenue cycle from clinical documentation to claim submission, payment, and posting. The role emphasizes building workflows, not just running them, with collaboration across clinical, billing, and finance teams in our California offices.

You will own the Medi-Cal process, develop clear handoffs, and drive data-driven improvements to increase accuracy and speed while staying current with DHCS,

Qualifications

• 5+ years in revenue cycle management, including Medi-Cal (behavioral health strongly preferred)
• Experience building or redesigning billing workflows
• Working knowledge of Medi-Cal claiming, authorization, and documentation standards
• Comfort with EHR and billing systems and 837/835 files
• Ability to translate between clinical and financial language
• A data-driven approach to tracking, measuring, and improving

Responsibilities

• Map and own the end-to-end Medi-Cal revenue cycle
• Build clear handoffs and checkpoints between clinical, billing, and finance
• Partner with clinical leaders to align documentation with Medi-Cal medical necessity and billing requirements
• Create reporting that shows where every claim stands: submitted, pending, denied, paid
• Lead denial analysis and fix root causes, not just individual claims
• 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 role in the cycle
• Work alongside our finance and billing colleagues to build on what's working and strengthen the connections between teams

Skills

Revenue cycle management

Billing workflows

Medi-Cal claims & docs

EHR & billing systems

Clinical-financial translation

Data-driven analytics

Tools

837/835 files

Job description

Rite of Passage is seeking a Revenue Cycle Manager focused on Medi-Cal to design and lead the end-to-end revenue cycle from clinical documentation to claim submission, payment, and posting. The role emphasizes building workflows, not just running them, with collaboration across clinical, billing, and finance teams in our California offices.

You will own the Medi-Cal process, develop clear handoffs, and drive data-driven improvements to increase accuracy and speed while staying current with DHCS,