Revenue Cycle Manager

TURN Behavioral Health Services; San Diego, Northern (CA, KY); Hybrid; USD 80,000 - 90,000; Full time

Job summary

TURN Behavioral Health Services in San Diego seeks a Revenue Cycle Manager to oversee billing across programs, ensuring timely submissions and denials resolution. The role collaborates with MHS Billers to optimize reimbursement and accuracy of billing records.

The ideal candidate brings Medi-Cal billing experience, CPT/ICD coding proficiency, and management skills to drive process improvements and staff training. This is a full-time position based at the corporate office.

Qualifications

• Medi-Cal/billing for state/funder programs.
• Experience with county funder service claim entry systems.
• Minimum 1 year in management.
• Experience with CPT and ICD coding.
• Typing at 50 wpm; proficient MS Word use.
• Familiar with administrative procedures and records management.

Responsibilities

• Oversee billing operations: coding, entry, submissions, AR follow-up.
• Audit procedures to improve billing and collections efficiency.
• Ensure compliance with regulations and payor guidelines.
• Analyze trends in charges and collections; update policies.
• Train billing staff on policies and systems.
• Coordinate reconciliation with MHS Billers and generate monthly reports.
• Support utilization review and participate in fiscal meetings.

Skills

Medi-Cal billing

County funder billing systems

Management experience

CPT/ICD Coding

MS Word

Typing 50 wpm

Administrative procedures

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Revenue Cycle Manager

Full Time 990 Corporate Office, San Diego, CA, US

6 days ago Requisition ID: 4803

Salary Range: $80,000.00 To $90,000.00 Annually

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

Reasonable accommodation may be made for individuals with disabilities to perform essential job functions.

• 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.
• 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 utilization 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.

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.

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).