Revenue Cycle Lead — Billing, Denials & Cash Flow

Serene Health; San Diego (CA); On-site; USD 82,667,000 - 99,187,000; Full time

Benefits offered by this job

Medical, Dental, Vision benefits

401(k)

Paid vacation

Paid holidays

EAP

Job summary

Optima Medical Management Group in California seeks a Revenue Cycle Supervisor to lead the billing department, ensure accurate submission, denials management, and regulatory compliance; reports to Financial Controller and collaborates to translate strategy into execution.

The role requires a Bachelor's in business/healthcare, prior supervisory experience, and knowledge of medical billing and payer processes; offers competitive pay and comprehensive benefits.

Qualifications

• Demonstrated knowledge of medical billing, coding, claims, collections processes and strategy, reimbursement methodologies, and payer processes required.
• Advanced analytical skills with the ability to interpret financial and operational data required.
• Excellent communication, leadership, and problem-solving skills required.
• Three (3) years of current experience for revenue cycle management environment preferred.
• Professional certifications such as CRCR, CPC, CPB, or related Epic certifications in revenue cycle preferred.
• Experience Medi-Cal and Managed Care billing preferred.
• Experience with capitated payment models and fee-for-service billing preferred.

Responsibilities

• Oversee daily execution of the billing, accounts receivable, denials management, patient collections and release of information.
• Ensure clean claim submission, timely follow-up, and optimal cash flow performance.
• Monitor workflow effectiveness and identify opportunities to streamline processes and reduce revenue leakage.
• Act as primary escalation point for daily revenue cycle operations support.
• Collaborate with front-end teams to improve operations and reduce preventable denials.
• Ensure coding processes are followed to ensure accuracy, completeness, and compliance with regulatory and payer requirements.
• Manage claim submission processes, edits, and work queues to maximize first-pass yield.
• Analyze denial trends, identify root causes, and implement corrective action plans.
• Monitor payer reimbursement accuracy against contract terms and fee schedules.
• Support payer contract modeling, variance analysis, and underpayment appeals.
• Partner with contracting and finance teams to improve net revenue performance.
• Optimize processes and standard operating procedures to support best practices and standardization.
• Perform other duties as assigned.

Skills

Medical billing

Coding

Denials management

Analytical skills

Leadership

Communication

Problem-solving

Epic certifications

Education

Bachelor’s degree in Business Administration, Healthcare Administration, or a related field

Supervisory experience preferred

CRCR CPC CPB Epic certifications in revenue cycle

Job description

Optima Medical Management Group in California seeks a Revenue Cycle Supervisor to lead the billing department, ensure accurate submission, denials management, and regulatory compliance; reports to Financial Controller and collaborates to translate strategy into execution.

The role requires a Bachelor's in business/healthcare, prior supervisory experience, and knowledge of medical billing and payer processes; offers competitive pay and comprehensive benefits.