Revenue Cycle Manager

Mental Health Systems; San Diego (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

TURN in San Diego is seeking a Revenue Cycle Manager (Billing Systems Manager) to oversee billing operations across programs, ensuring timely submissions to funders and resolution of denied or open claims.

You will lead service coding, charge entry, and accounts receivable follow-up, audit processes for efficiency, train staff, and generate monthly reports for accounting and program management. This role requires Medi-Cal billing experience and strong organizational skills.

Qualifications

• Experience with Medi-Cal, Short/Doyle or ODS-DMC Medi-Cal billing.
• Advanced knowledge of county funder service claim entry systems; County Behavioral Health billing experience.
• One year of management experience.
• Administrative and clerical procedures and systems for office tasks.
• Experience with CPT and ICD coding.
• Typing at 50 wpm; basic MS Windows and MS Word skills.
• Resourcefulness and ability to work with minimal direction.

Responsibilities

• Oversee the billing operations of service coding, charge entry, claims submissions, payment postings, accounts receivable follow-up, and collections.
• Audit procedures to monitor and improve billing and collections efficiency.
• Ensure billing activities conform to MHS protocols, regulations, payor guidelines.
• Analyze trends in charges, coding, collection and AR; revise policies as needed.
• Provide training to billing staff on policies, systems, standards and procedures.
• Ensure daily entry of service claims by billers.
• Review daily billing receipts to monthly system reports.
• Assist with charge corrections and denials for MHS Billers.
• Coordinate billing reconciliation with billers.
• Generate monthly data reports for Accounting and Program Manager reimbursement.
• Collaborate with programs to monitor billing procedures and conduct utilization review.
• Attend Fiscal meetings and communicate with fiscal staff regarding billing units and productivity.
• Perform word processing, spreadsheet and database tasks using MS Windows and MS Office.

Skills

Medi-Cal billing

County billing systems

Management experience

Office procedures

CPT/ICD coding

Typing 50 wpm

Self-motivation

MS Windows

MS Office

Tools

MS Windows

MS Word

MS Office

Job description

At TURN our mission is Improving Lives. Our organization embraces the tenets of client-centered care, and our core values People, Culture and Growth are at the forefront of everything we do. We hire exceptional individuals seeking meaningful opportunities in a purpose-driven environment.

Job Summary

The Revenue Cycle Manager (Billing Systems Manager) will oversee billing functions at all programs for unit/service billing entry and reconciliation. The Revenue Cycle Manager (Billing Systems Manager) will work with MHS Billers to ensure timely submission into all funder billing systems and work in resolving any outstanding denied or open claims.

Responsibilities

• Oversee the billing operations of service coding, charge entry, claims submissions, payment postings, accounts receivable follow-up, collections, and reimbursement management.
• Audits current procedures to monitor and improve efficiency of billing and collections operations.
• Ensures that billing activities are conduced consistently with MHS protocol, Federal, State and local regulations as well as payor guidelines and requirements.
• Analyze trends impacting charges, coding, collection, and accounts receivable and take appropriate action to revise policies and procedures.
• Provides training to new and existing billing staff on applicable operating policies, systems and procedures, standards, and techniques.
• Ensures all MHS Billers enter service claims daily.
• Reviews daily billing receipts to monthly system reports.
• Assist with MHS Billers with charge correction/denials.
• Check billing logs for completion/errors. Coordinate billing reconciliation process with the MHS Billers.
• Generates data reports required monthly by MHS’ Accounting Department and the Program Manager to ensure reimbursement by the Insurance for services rendered.
• Collaborates with the programs to monitor billing procedures and conduct utilisation review.
• Attend Fiscal meetings as assigned by supervisor and communicate with fiscal staff regarding billing units and productivity.
• Performs word processing, spread sheet operations and database operations using an MS Windows compatible computer format and MS Office software.

Qualifications

• Experience with Medi-Cal, Short/Doyle or ODS-DMC Medi-Cal billing.
• Advanced knowledge of county funder service claim entry systems. One year experience in County Behavioral Health billing systems and policies.
• One year experience in management.
• Administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
• Experience with CPT and ICD Coding.
• Typing at 50 wpm. Complete basic computer skills using MS Windows operating system, including file back-up and problem troubleshooting. Word processing skills utilizing MS Word.
• Resourcefulness, initiative and the ability to work with minimal direction and supervision.

Physical Requirements

These physical demands represent what must be met to successfully perform the essential functions of this position. As mentioned above, reasonable accommodation may be made for qualified disabilities.

• Seeing
• Hearing
• Speaking
• Stooping/Bending
• Working in cramped spaces
• Moving around facility
• Moving between offices/clients
• Driving
• Climbing
• Lifting/carrying heavy items
• Pushing/pulling/dragging items
• Standing for long periods
• Working outside/underground
• Using hands/fingers
• Sitting for long periods

I Can Perform The Above Functions

Without accommodation With accommodation. If so, please specify:

Other Duties

This job description isn’t a comprehensive list of activities, duties or responsibilities required for this job. Duties, responsibilities and activities may change at any time with or without notice.

Employee signature constitutes an understanding of the job requirements, essential functions, and duties.

Equal Opportunity Employer

TURN is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), gender, gender expression, gender identity, sexual orientation, marital status, medical condition, military or veteran status, national origin, race, religious creed, and sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions).