Revenue Cycle & Billing Specialist

Suna Solutions; Irvine (CA); On-site; USD 36,000 - 37,000; Part time

Job summary

Suna Solutions is seeking a Revenue Cycle & Billing Specialist in Irvine, CA for a contract role with potential temp-to-hire. The position oversees full-cycle billing, reconciliation, and revenue optimization across multiple payors and service lines.

The ideal candidate has California Regional Centers and DDS-funded program experience, strong Excel skills, and the ability to collaborate with Finance, IT, and Compliance teams.

Qualifications

• 3–4 years' experience in Regional Center and/or DDS-funded services.
• Strong experience in revenue cycle billing optimization.
• Proven ability to manage complex projects from concept to implementation.

Responsibilities

• Manage monthly full-cycle billing across multiple service lines.
• Reconcile billing with cash receipts and perform detailed income worksheets.
• Collaborate with California Regional Centers, DOR, Private Pay and third-party payors.
• Develop centralized billing procedures to ensure accurate invoicing and reporting.
• Monitor DSO, denial rates, and first-pass billing acceptance.
• Support audits related to POS, billing, revenue, and compliance.

Skills

Full-cycle billing

Excel

Regional Center

DDS funding

Analytical skills

Communication

Education

Bachelor's degree

Tools

Power BI

Billing systems

POS knowledge

Job description

Employment Type: Contract (Possible temp to hire)

Location: Irvine, CA 92614

Pay Rate: $26-$27/hr on W2

Position Overview

We are seeking an experienced Revenue Cycle & Billing Specialist to oversee full-cycle billing, reconciliation, collections support, and revenue cycle optimization across multiple service lines and payor types.

The ideal candidate will have strong experience working with California Regional Centers, Department of Rehabilitation (DOR), DDS-funded services, Private Pay, and Third-Party Payors. This role requires excellent analytical skills, attention to detail, and the ability to collaborate across Accounting, Finance, IT, Compliance, and Program teams.

Key Responsibilities

• Manage the monthly full-cycle billing process, including bill generation, billing corrections, reporting, reconciliation, and research of billing and accounting issues across multiple billing systems.
• Consolidate monthly office and regional billing totals for assigned service lines and/or regions.
• Develop and maintain centralized billing procedures, processes, and guidelines to ensure accurate and timely invoicing and management reporting.
• Serve as the primary point of contact for California Regional Centers, DOR, Private Pay, and Third-Party Payors regarding Point of Service (POS), revenue relationships, rates, and changes to billing practices.
• Prepare detailed income worksheets across multiple service lines and payors, including complex reconciliations.
• Reconcile direct deposits from multiple payors and service lines to the cashbook.
• Maintain accurate authorization, rate, eligibility, and utilization records to support compliance, service continuity, and billing accuracy.
• Partner with service teams to ensure billing practices align with applicable Regional Center and DOR rates and requirements.
• Review POS and billing data to identify billing risks, compliance gaps, operational issues, and opportunities for process improvement.
• Collaborate with cross-functional teams to research and resolve billing discrepancies and payment issues.
• Partner with Program, Accounting, Finance, IT, and Compliance teams to resolve operational issues and implement system, process, and policy changes.
• Support internal and external audits related to POS, billing, revenue, and compliance.
• Develop and implement automated solutions to address secondary payor billing, coding issues, formatting errors, rejected invoices, and payment denials.
• Prepare and distribute billing and receivables documentation, including correspondence, statements, reports, and supporting documentation for Regional Centers, DOR, families, and other stakeholders.
• Monitor and report key revenue cycle metrics, including Days Sales Outstanding (DSO), net collection rate, first-pass billing acceptance, billing accuracy, and denial/rejection rates.
• Identify opportunities to improve billing submission accuracy and maximize first-pass payment rates while reducing manual intervention.
• Lead or support billing and revenue cycle improvement initiatives from concept through implementation and deployment.
• Perform other duties and special projects as assigned.

Required Qualifications

• 3–4 years of progressively responsible experience in Regional Center and/or DDS-funded services.
• Experience in revenue cycle billing optimization and full-cycle collections management.
• Demonstrated experience working with California Regional Centers and/or Department of Developmental Services (DDS)-funded programs.
• Experience leading or directing Regional Center and DDS-related initiatives.
• Proven ability to manage complex projects from concept through implementation.
• Strong analytical and problem-solving skills.
• Advanced proficiency in Microsoft Excel.
• Experience with Power BI or similar data analytics and reporting tools.
• Strong understanding of billing, authorization, eligibility, utilization, reconciliation, and revenue cycle processes.
• High level of accuracy and attention to detail, particularly when managing billing and authorization documentation.
• Ability to interpret and apply regulatory and payer requirements across different service delivery environments.
• Strong written and verbal communication skills.
• Ability to collaborate effectively with Accounting, Finance, IT, Compliance, Program, and Operations teams.
• Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field, or equivalent relevant work experience.

EQUAL EMPLOYMENT OPPORTUNITY STATEMENT:

Suna Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Applicants, with criminal histories, are considered in a manner that is consistent with local, state, and federal laws.

REQUESTING AN ACCOMODATION

Suna Solutions is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Suna Solutions and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired.

PAY TRANSPARENCY POLICY STATEMENT

Compensation for roles at Suna Solutions varies depending on a wide array of factors including but not limited to the specific client, office or remote location, role, skill set and level of experience. As required by local law, Suna Solutions provides a reasonable pay scale to include the hourly or salary range that Suna Solutions reasonably expects to pay for roles that may be hired in California, Colorado, New York City or Washington as set forth below.