Revenue Cycle Manager - Billing - Behavioral Health

County of Ventura, CA; Oxnard (CA); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Bilingual incentive

Educational incentive

Deferred compensation

Health plans

Flexible Spending Accounts

Pension plan

13 paid holidays

Job summary

County of Ventura Health Care Agency – Behavioral Health seeks a Revenue Cycle Manager with strong leadership and deep knowledge of Medi-Cal, Medicare, and other payer systems. The role focuses on optimizing billing processes, ensuring compliance, and improving reimbursement performance within an EHR environment.

The successful candidate will lead a team, drive process improvements, and collaborate with internal and external stakeholders to support financial sustainability and service delivery

Qualifications

• Five (5) or more years' experience with Short-Doyle Medi-Cal, Drug Medi-Cal, Medicare, and other payer billing and reimbursement processes.
• Three (3) years in a lead or supervisory capacity.
• Experience managing billing in an Electronic Health Record system.

Responsibilities

• Plan, organize, and supervise the Behavioral Health Revenue Cycle division staff.
• Provide guidance on revenue cycle policies, payer requirements, and regulatory changes.
• Develop, review, and update revenue cycle policies to promote efficiency and compliance.
• Improve claim accuracy, timeliness, and revenue recovery through workflow optimization.
• Coordinate with clinical, IT, and contracting teams to support reimbursement strategies.

Skills

Medi-Cal revenue cycle

EHR systems

Leadership

Billing compliance

Analytical thinking

Education

Bachelor’s degree in healthcare administration

Four years in revenue cycle

Three years lead/supervisory

Tools

NetSmart

SmartCare

Cerner

Job description

Under general direction, plans, organizes, manages, and directs Ventura County Behavioral Health (VCBH) Revenue Cycle operations supporting Inpatient, Outpatient Mental Health, and Substance Use Disorder services provided by County programs and contracted providers. Provides leadership and oversight of billing operations, accounts receivable, reimbursement processes, revenue integrity, fiscal analysis, compliance, and continuous improvement initiatives.

The VCBH Revenue Cycle Manager ensures effective, compliant, and efficient revenue cycle operations that support the department’s financial sustainability and operational goals. Provides expertise and guidance related to Short-Doyle Medi-Cal, Drug Medi-Cal, Medicare, commercial insurance, and other payer requirements; monitors revenue performance; resolves complex billing issues; and implements strategies to improve reimbursement and operational effectiveness while maintaining compliance with DHCS, CMS, and applicable regulations.

The ideal candidate will have extensive behavioral health revenue cycle experience, including knowledge of Medi-Cal Specialty Mental Health, Drug Medi-Cal Organized Delivery System, Medicare, third-party reimbursement, and governmental healthcare funding. The candidate must have experience managing billing functions within an electronic health record (EHR) system, analyzing complex reimbursement requirements, and implementing process improvements to enhance claim accuracy, timeliness, and revenue recovery.

A successful candidate will be a collaborative leader with strong analytical, problem-solving, and organizational skills. The position requires the ability to manage competing priorities, coordinate with internal and external teams, improve revenue cycle processes, support compliance efforts, and provide guidance and support to staff and stakeholders.

Payroll Title

Staff/Services Manager III

What We Offer

The County of Ventura offers an attractive compensation and benefits package. In addition to the annual salary an employee within these positions may also be eligible for the following:

• Bilingual Incentive- Incumbents may be eligible for bilingual incentive depending upon operational needs and certification of skill.
• Educational Incentive- Incumbents may also be eligible for an educational incentive of 2.5% for completion of an associate degree, 3.5% for completion of a bachelor’s degree, or 5% for completion of a graduate degree for educational attainments not specifically required by the position.
• Deferred Compensation- Eligible to participate in the County's 401(k) Shared Savings Plan and/or the Section 457 Plan.
• Health Plans- Full-time employees are afforded a flexible credit allowance for purchasing medical, dental, and/or vision insurance from a group of authorized plans.
• Flexible Spending Accounts- Choice of participation in the Flexible Spending Accounts which increase spending power through reimbursement of pre-tax dollars for IRS approved dependent care and health care expenses.
• Pension Plan- Both the County and employees contribute to the County's Retirement Plan and to Social Security. If eligible, reciprocity may be established with other public retirement systems, such as CalPERS.
• Holidays- 13 paid days per year which includes a scheduled floating holiday.

Department/Agency

Health Care Agency – Behavioral Health

Staff/Services Manager III is a Management classification and is not eligible for overtime compensation.

The eligible list established from this recruitment may be used to fill current andfuture Regular (including Temporary and Fixed-term), Intermittent, and Extra Helpvacanciesfor this position only, which is a Regular position.

Tentative Schedule

Opening Date: 7/23/26

Continuous and may close at any time; therefore, the schedule for the remainder of the process will depend upon when we receive enough qualified applications to meet business needs.

Duties may include but are not limited to the following:

• Plans, organizes, coordinates, and supervises the activities of administrative, technical, and operational staff within the Behavioral Health Revenue Cycle division.
• Provides guidance to managers and staff on revenue cycle policies, procedures, and operational issues; interprets and applies applicable County policies, payer requirements, and government regulations;
• Develops, reviews, and updates Revenue Cycle policies and procedures to promote operational efficiency, compliance, and effective reimbursement practices;
• Reviews billing workflows and processes to improve claim accuracy, timeliness of claim submission, revenue integrity, and overall reimbursement performance;
• Monitors and implements regulatory, payer, and industry changes impacting behavioral health billing and reimbursement requirements;
• Manages, supervises, and supports billing staff by ensuring appropriate training, resources, and ongoing development related to billing and reimbursement processes;
• Oversees the identification, analysis, and resolution of billing issues to support timely claims submission, accurate payment posting, and reduction of accounts receivable delays;
• Identifies opportunities for improvement and leads revenue cycle performance initiatives related to charge capture, claim processing, billing accuracy, and workflow optimization;
• Maintains oversight of electronic health record (EHR) revenue cycle configuration, including rate tables, billing rules, and system enhancements to support accurate reimbursement;
• Oversees the preparation and analysis of revenue cycle reports, financial data, and performance metrics to identify trends, operational needs, and opportunities for improvement;
• Coordinates and implements EHR system changes related to revenue cycle operations, including testing, workflow improvements, and user support;
• Establishes and promotes effective customer service practices while identifying opportunities to enhance revenue performance and operational effectiveness;
• Serves as a liaison with clinical, fiscal, information technology, administrative teams, contracted providers, and external agencies regarding revenue cycle operations, regulatory requirements, and process improvements;
• Represents the County in meetings and collaborative efforts with governmental agencies, community partners, vendors, and other stakeholders related to revenue cycle activities;
• Attends meetings, analyzes operational issues, develops recommendations, and presents findings and improvement strategies to management and leadership; and
• Performs other related duties as required.

These are entrance requirements to the exam process and ensure neither continuance in the process nor placement on an eligible list.

Education, Training, and Experience

The required knowledge, skills, and abilities can also be obtained by:

• A Bachelor’s degree in business administration, healthcare administration, finance, accounting, public administration, or a related field
• Four (4) years of progressively responsible experience managing healthcare revenue cycle operations, including patient access, billing, coding, claims processing, accounts receivable, denials management, or reimbursement analysis
• Three (3) years in a lead or supervisory capacity

Necessary Special Requirements

• Five (5) or more years' experience with Short-Doyle Medi-Cal, Drug Medi-Cal, Medicare, and other payer billing and reimbursement processes
• Three (3) or more years’ experience working within an Electronic Health Record system. (Experience with NetSmart, SmartCare, and/or Cerner is a plus.)
• Excellent written communication skills must be demonstrated in the completion of the application materials
• Proven ability to manage workplace relationships with stakeholders at various levels of the organization
• Considerable data/fiscal/program management experience

Knowledge, Skills, and Abilities

Considerable to thorough knowledge of:

• the principles of supervision and management
• the principles and techniques of fiscal and program management
• Short Doyle Medi-Cal and Drug Medi-Cal claims processing
• revenue cycle management
• organization and staffing
• application of office automation business processes

Ability to

• analyze administrative and fiscal problems
• prepare a variety of reports and recommendations
• communicate effectively in an oral and written manner
• plan, organize, and supervise the work of others
• develop and present training programs for Behavioral Health staff and others

Final Filing Date

Applications must be received by County of Ventura Human Resources, Health Care Agency in Ventura, California, no later than 5:00 p.m. on Wednesday, August 6, 2026.

Application Evaluation – Qualifying

All applications will be reviewed to determine whether the stated requirements are met. Those individuals meeting the stated requirements may be invited to the oral examination.

Training & Experience Evaluation

A Training and Experience Evaluation (T&E) is a structured evaluation of the job application materials submitted by a candidate, including the written responses to the supplemental questionnaire. The T&E is NOT a determination of whether the candidate meets the stated requirements; rather, the T&E is one method for determining who are the better qualified among those who have shown that they meet the stated requirements. Candidates are typically scored/ranked in relation to one another; consequently, when the pool of candidates is exceptionally strong, many qualified candidates may receive a score or rank which is moderate or even low resulting in them not being advanced in the process.

Oral Examination - 100%

A job-related oral examination may be conducted to evaluate and compare participating examinees' knowledge, skills, and abilities in relation to those factors which job analysis has determined to be essential for successful performance of the job. Examinees must earn a score of seventy percent (70%) or higher to qualify for placement on the eligible list.

Note

The selection process may consist of an Oral Exam, which may be preceded or replaced with the score from a Training and Experience Evaluation (T&E), contingent upon the size and quality of the candidate pool. In a typical T&E, your training and experience are evaluated in relation to the background, experience and factors identified for successful job performance during a job analysis. For this reason, it is recommended that your application materials clearly show your relevant background and specialized knowledge, skills, and abilities. It is also highly recommended that the supplemental questions within the application are completed with care and diligence, using proper grammar and complete sentences to showcase your writing skills. Responses such as "See Resume" or "Refer to Resume" are not acceptable and may disqualify an applicant from further evaluation.

If there are three (3) or fewer qualified applicants, an Oral Examination will not be conducted. Instead, each applicant will be placed on the eligible list.

Applicants successfully completing the exam process may be placed on an eligible list for a period of one (1) year.

Background Investigation

A thorough pre-employment, post offer background investigation which may include inquiry into past employment, education, and driving record may be required for this position.

For further information about this recruitment, please contact Nathan Wood by e-mail at [e-mail] or by telephone at [phone].

Equal Employment Opportunity

The County of Ventura is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.