Medi-Cal Revenue Cycle Architect - On-Site

Rite of Passage; Escondido (CA); On-site; USD 100,000 - 140,000; Full time

Job summary

Rite of Passage in California seeks a Revenue Cycle Manager (Medi-Cal) to design and lead the end-to-end revenue cycle from clinical documentation to claim posting. This system-builder role emphasizes workflows and cross-team collaboration in an in-office setting in Tustin or San Diego.

You will map Medi-Cal processes, ensure alignment with medical necessity and billing rules, develop reporting, and train staff to strengthen clinical-finance handoffs.

Qualifications

• 5+ years in revenue cycle management including Medi-Cal, behavioral health preferred.
• Experience redesigning billing workflows.
• Knowledge of Medi-Cal claiming, authorization, and documentation standards.
• Experience with EHR/billing systems and 837/835 files.
• Ability to translate clinical and financial language.
• Data-driven approach to tracking and improvement.

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 knowledge

EHR & billing systems

Clinical-financial translation

Data-driven

Job description

Rite of Passage in California seeks a Revenue Cycle Manager (Medi-Cal) to design and lead the end-to-end revenue cycle from clinical documentation to claim posting. This system-builder role emphasizes workflows and cross-team collaboration in an in-office setting in Tustin or San Diego.

You will map Medi-Cal processes, ensure alignment with medical necessity and billing rules, develop reporting, and train staff to strengthen clinical-finance handoffs.