Remote Revenue Cycle Manager (CA)

Pacific Health Group; Carlsbad (CA); Hybride; USD 85 000 - 90 000; Plein temps

Résumé du poste

Pacific Health Group is seeking a Revenue Cycle Manager to lead and optimize our revenue cycle operations in a remote, California-based role.

You will oversee billing, coding, claims submission, AR, denials, and payer communications, ensuring compliance with HIPAA and payer requirements while driving continuous improvement and accurate financial reporting.

The role demands strong leadership, analytical thinking, and collaboration across departments to improve cash flow and performance metrics.

Qualifications

• Minimum of five (5) years of progressive experience in Revenue Cycle management or related field.
• Supervisory or management experience within Revenue Cycle operations.
• Knowledge of ICD-10, CPT, HCPCS, payer requirements and HIPAA compliance.

Responsabilités

• Lead Revenue Cycle operations and drive performance improvements.
• Oversee billing, coding, claims submission, AR, collections, denials, and appeals.
• Ensure compliance with payer contracts, regulatory requirements, and PHG policies.
• Develop and enforce policies, workflows, and internal controls.
• Collaborate with Finance, IT, QA, and program leadership to optimize revenue.

Connaissances

Leadership

Communication

Analytical thinking

Problem-solving

Formation

Bachelor's degree in Healthcare Administration, Finance, Accounting, Business Administration, or related field

Outils

Healthcare billing platforms

EHR systems

Microsoft Excel

Description du poste

Pacific Health Group is seeking a Revenue Cycle Manager to lead and optimize our revenue cycle operations in a remote, California-based role.

You will oversee billing, coding, claims submission, AR, denials, and payer communications, ensuring compliance with HIPAA and payer requirements while driving continuous improvement and accurate financial reporting.

The role demands strong leadership, analytical thinking, and collaboration across departments to improve cash flow and performance metrics.