Revenue Cycle Manager

University of the Pacific; San Francisco (CA); On-site; USD 95,000 - 119,000; Full time

Job summary

University of the Pacific in San Francisco seeks a Revenue Cycle Manager to oversee the clinic's billing, coding, and reimbursement operations. You will direct the end-to-end claims process, manage denials, and lead a team to maximize cash collections while ensuring regulatory compliance.

The role requires 3–5 years in dental insurance claims processing and 3+ years of management, with strong knowledge of Medi-Cal, HIPAA, and fee schedules. This is a full-time on-site position in San Francisco.

Qualifications

• Bachelor's degree or 4 years related experience.
• 3–5 years dental insurance claims processing experience.
• 3+ years of progressive management experience.
• Knowledge of HIPAA, CMS rules, Medi-Cal and contracted fee schedules.
• Proficiency with Excel, Word, and Access for reporting.

Responsibilities

• Direct and oversee all clinic revenue cycle management activities.
• Manage claims lifecycle: entry, submission, payment posting, denials, and appeals.
• Ensure timely billing and reimbursement from Medicare, Medi-Cal, commercial plans and self-pay.
• Monitor KPIs: net/gross collection rate, days in AR, denial rates, and productivity.
• Develop and implement optimized workflows to improve revenue capture and speed.
• Oversee follow-up on unpaid claims and reduce aged receivables.
• Coordinate with vendors, clearinghouses, and insurance representatives.
• Lead budgeting, audits, and compliance with billing regulations.

Skills

Insurance billing

Appeals

Collections

Credentialing

Regulatory knowledge

Education

Bachelor's degree or 4 years relevant experience

Tools

Microsoft Excel

Microsoft Word

Microsoft Access

Job description

Posting Details

• Job Title: Revenue Cycle Manager
• Union Level:
• Department: Dental Clinic Regist/Ins/Compliance
• Campus: San Francisco
• Posting Number: 201304398P
• Full or Part Time: Full Time
• Number of Months: 12
• Work Schedule: M-F 8 hours per day
• Position End Date:
• Open Date: 10/29/2026
• Close Date:
• Open Until Filled: Yes
• Sponsorship: This position is not eligible for a visa sponsorship now or in the future.

Primary Purpose

Under the general supervision of the Director of Patient Financial & Revenue Cycle (DPFRC) The Revenue Cycle Manager is responsible for the overall management and performance of the Clinic and patient revenue cycle, ensuring timely and accurate reimbursement from Medicare, Medi-Cal, commercial insurance, managed care, and private payers. This position oversees all billing office operations from pre-claim review through final payment resolution, including coding, claims submission, accounts receivable, denials management, collections, credentialing, compliance, and reporting.

The Revenue Cycle Manager develops policies, monitors key performance indicators (KPIs), ensures regulatory compliance, improves operational efficiencies, and leads the billing team to maximize cash collections while maintaining exceptional organization and regulatory compliance.

University of the Pacific recognizes that diversity, equity, and inclusion is foundational to the success of our valued students and employees. We prioritize policy and decision-making that demonstrates awareness of, and responsiveness to, the ways socio-cultural forces related to race, gender, ability, sexuality, socio-economic status, etc. impede or propel students, faculty, and staff.

Essential Functions

• Direct and oversee all aspects of the clinic revenue cycle management function, ensuring efficient and compliant billing operations.
• Manage the complete claims lifecycle, including charge entry, claims submission, payment posting, denial management, and account resolution.
• Ensure accurate and timely billing and reimbursement for Medicare, Medi-Cal, commercial insurance, managed care, and self-pay accounts.
• Monitor billing accuracy, clean claim rates, and key revenue cycle performance metrics.
• Develop, implement, and optimize revenue cycle workflows, processes, and improvement initiatives to enhance revenue capture, billing accuracy, collection performance, reimbursement speed, workflow efficiency, automation, customer satisfaction, and overall financial outcomes while reducing claim turnaround times.
• Oversee and ensure timely follow-up on unpaid claims to maximize collections and reduce accounts receivable aging.
• Monitor accounts receivable aging and collection performance.
• Establish collection priorities and productivity goals, analyze reimbursement trends.
• Identify and resolve payment delays through corrective actions, reduce aged receivables, and oversee write-offs and contractual adjustments.
• Develop and implement denial prevention strategies by analyzing denial trends, coordinating appeals, and ensuring timely submission of reconsiderations, corrected claims, and rebilling activities to maximize reimbursement and reduce future claim denials.
• Maintain compliance and documentation with all applicable regulations, including the contracted fee schedules, California Medi-Cal regulations, HIPAA, CMS documentation requirements, and state and federal billing regulations.
• Responsible for monitoring, reporting and improving on the following key performance indicators but not limited to. Net Collection Rate, Gross Collection Rate, Days in Accounts
• Receivable, Aging by Payer, Cash Collections, Charge Lag, Denial Rates, Payment Variances, Bad Debt Trends, and Productivity Metrics.
• Provide recommendations to executive leadership for improvements.
• Supervise and mentor billing office personnel by establishing productivity standards, delivering training and development programs, and fostering a collaborative, accountable, and high-performing team environment.
• Conduct introductory and annual performance reviews.
• Coordinate with billing software vendors, clearinghouses, collection agencies, payment vendors, and insurance representatives and monitor vendor performance.
• Coordinate and oversee internal billing audits, Medicare audits, Medi-Cal audits, ROC audits, and documentation reviews, and implement corrective action plans as needed to ensure regulatory compliance.
• Perform all other duties as assigned by the Director of Patient Financial & Revenue Cycle.

Minimum Qualifications

Knowledge of:

• Insurance billing, appeals, collections, and contractual adjustments.
• Dental/Medical insurance credentialing
• Demonstrated ability to manage time effectively, balance multiple priorities, and drive tasks and projects to successful completion. Proven track record of navigating complex and urgent issues with clarity and efficiency.
• Dental terminology/treatment and insurance procedures.
• Electronic dental billing systems.
• Accounting/billing procedures.
• Principles of management and supervision.
• Microsoft Excel, Word, and Access.

Ability to:

• Communicate effectively with a diverse population of patients, students, staff, faculty and administration.
• Produce professional and concise reports and written correspondence.
• Analyze financial reports, and KPI's to make appropriate recommendations.
• Ability to meet benchmarks in a fast-pace high-volume setting
• Work independently with minimal supervision.
• Provide effective leadership, training, and supervision.
• Maintain confidentiality of information.
• Demonstrate professional judgment in all situations.
• Manage multiple projects and consistently meet deadlines.

Experience:

• Minimum of 3-5 years dental insurance claims processing experience.
• Minimum 3 years increasingly responsible management experience, preferably in a dental or medical office.
• Minimum 3 years experience in Revenue Cycle Management.

Education:

• Bachelor's degree in related field or 4 years relevant experience.

Preferred Qualifications

Ability to:

• Communicate effectively with a diverse population of patients, students, staff, faculty and administration.
• Provide effective leadership, training, and supervision.
• Demonstrate professional judgment in all situations.

Experience:

• Experience in dental group practice or dental school is highly desirable.
• Bilingual skills helpful.

Other:

• Experience and sensitivity in working with people of diverse backgrounds and cultures.
• Ability to engage and integrate culturally responsive practices and knowledge in their work.

Physical Requirements

• Work performed is primarily office/administrative with frequent use of computer, mouse, and telephone.
• Requires sitting most of the working day; occasionally standing, bending and walking.

Hiring Range

$95,000.00 - $119,000.00 per year. We consider factors such as, but not limited to, scope and responsibilities of the position, candidate's qualifications, internal equity, as well as market and organizational considerations when extending an offer.

Background Check Statement

All applicants who receive a conditional offer of employment are required to execute a release and authorization for a background screening.

AB 810 Misconduct Disclosure Requirement: University of the Pacific complies with California Assembly Bill 810, requiring candidates accepting conditional job offers to disclose any final administrative or judicial findings, ongoing proceedings, allegations, resignations under investigation, or appeals related to sexual harassment or misconduct within the past seven years.

Anti-Discrimination/EEO Policy Statement

University of the Pacific is an equal opportunity employer dedicated to workforce diversity across backgrounds, experiences, and viewpoints. Pacific does not unlawfully discriminate in its hiring of faculty and staff, or in the provision of its employment benefits to its faculty and staff on the basis of race, color, religion, national origin, ancestry, age, genetic information, sex/gender, marital status, military and veteran status, sexual orientation, medical condition, pregnancy, gender identity, gender expression, or mental or physical disability, or other legally protected characteristics or combination of such characteristics. While we strive to attract a broad and representative pool of candidates, all hiring decisions are made based on merit, selecting the most qualified individual for each position.