Revenue Cycle Leader: PA & Billing Manager (Hybrid)

Advantage Healthcare Services; Huntington Beach (CA); Hybrid; USD 100,000 - 150,000; Full time

Benefits offered by this job

Vacation and Sick Pay

Day shift schedule

Nights and Weekends Off

Medical/Vision/Drug Insurance

Dental Insurance

401k Plan with Matching up to 5%

Tuition Reimbursement Program

Referral Bonus Program

Life Insurance

Wellness Resources

Holidays and floating holidays

Job summary

Advantage Healthcare Services seeks a Revenue Cycle Management Manager in Huntington Beach, CA, to lead the centralized Prior Authorization and Medical Billing teams in a hybrid Corporate Office setting. You will drive end-to-end revenue cycle performance, improve turnaround times, and ensure payer compliance while partnering with clinical and operations leaders.

You will develop training, implement automation, monitor KPIs, and guide staff across distributed locations to scale with the

Qualifications

• MBA or master's degree required or equivalent.
• CPC certification required; CHCO or equivalent compliance certification preferred.
• Minimum 5 years in revenue cycle leadership, with experience in specialty pharmacy or behavioral health.
• Experience with authorization tracking and clearinghouse platforms.
• Experience leading offshore or distributed teams.

Responsibilities

• Provide day-to-day leadership and performance management for Prior Authorization and Medical Billing teams.
• Establish and monitor KPIs such as authorization turnaround time and denial rates.
• Develop and improve SOPs for authorization and billing workflows.
• Partner with payers to resolve delays, appeals, and disputes.
• Ensure billing practices comply with contracts and regulations.
• Oversee use of tracking, clearinghouse, and billing platforms.
• Analyze denials and delays and implement corrective actions.
• Train and develop team members, including offshore staff.
• Prepare regular performance reports for senior leadership.
• Stay current on payer policy changes and coding updates.

Skills

Payer reimbursement

Prior authorization

Billing systems

Analytics

Leadership

Communication

Project management

Denial management

Regulatory compliance

Education

MBA or master's degree

CPC (Certified Professional Coder)

CHCO or comparable healthcare compliance certification

Tools

Authorization tracking software

Clearinghouse platforms

Billing platforms

Job description

Advantage Healthcare Services seeks a Revenue Cycle Management Manager in Huntington Beach, CA, to lead the centralized Prior Authorization and Medical Billing teams in a hybrid Corporate Office setting. You will drive end-to-end revenue cycle performance, improve turnaround times, and ensure payer compliance while partnering with clinical and operations leaders.

You will develop training, implement automation, monitor KPIs, and guide staff across distributed locations to scale with the