Revenue Cycle Manager, Medi-Cal

Rite of Passage Brand; Escondido (CA); Presencial; USD 90.000 - 130.000; Jornada completa

Descripción de la vacante

Rite of Passage is seeking a Revenue Cycle Manager focused on Medi-Cal to design and lead the end-to-end revenue cycle from clinical documentation to claim submission, payment, and posting. The role emphasizes building workflows, not just running them, with collaboration across clinical, billing, and finance teams in our California offices.

You will own the Medi-Cal process, develop clear handoffs, and drive data-driven improvements to increase accuracy and speed while staying current with DHCS,

Formación

• 5+ years in revenue cycle management, including Medi-Cal (behavioral health strongly preferred)
• Experience building or redesigning billing workflows
• Working knowledge of Medi-Cal claiming, authorization, and documentation standards
• Comfort with EHR and billing systems and 837/835 files
• Ability to translate between clinical and financial language
• A data-driven approach to tracking, measuring, and improving

Responsabilidades

• Map and own the end-to-end Medi-Cal revenue cycle
• Build clear handoffs and checkpoints between clinical, billing, and finance
• Partner with clinical leaders to align documentation with Medi-Cal medical necessity and billing requirements
• Create reporting that shows where every claim stands: submitted, pending, denied, paid
• Lead denial analysis and fix root causes, not just individual claims
• Keep processes current with DHCS, CalAIM, and county requirements
• Prepare the program for audits and payer reviews
• Train and coach clinical and administrative staff on their role in the cycle
• Work alongside our finance and billing colleagues to build on what's working and strengthen the connections between teams

Conocimientos

Revenue cycle management

Billing workflows

Medi-Cal claims & docs

EHR & billing systems

Clinical-financial translation

Data-driven analytics

Herramientas

837/835 files

Descripción del empleo

Revenue Cycle Manager, Medi-Cal Rite of Passage | Tustin, CA or San Diego, CA | Full-time | Primarily in-office (not a remote position)

About the Role

Our California programs bill exclusively through Medi-Cal. We're hiring a Revenue Cycle Manager to design and lead the connected process that carries a service from clinical documentation through claim submission, payment, and posting. You'll build the structure, standards, and visibility that help clinical, billing, and finance work as one team.

This is a system-builder role. We're looking for someone who designs workflows, not just someone who runs them.

What You'll Do

• Map and own the end-to-end Medi-Cal revenue cycle
• Build clear handoffs and checkpoints between clinical, billing, and finance
• Partner with clinical leaders to align documentation with Medi-Cal medical necessity and billing requirements
• Create reporting that shows where every claim stands: submitted, pending, denied, paid
• Lead denial analysis and fix root causes, not just individual claims
• Keep processes current with DHCS, CalAIM, and county requirements
• Prepare the program for audits and payer reviews
• Train and coach clinical and administrative staff on their role in the cycle
• Work alongside our finance and billing colleagues to build on what's working and strengthen the connections between teams

What You Bring

• 5+ years in revenue cycle management, including Medi-Cal (behavioral health strongly preferred)
• Experience building or redesigning billing workflows
• Working knowledge of Medi-Cal claiming, authorization, and documentation standards
• Comfort with EHR and billing systems and 837/835 files
• Ability to translate between clinical and financial language
• A data-driven approach to tracking, measuring, and improving

Nice to Have

• Experience with county mental health plans or specialty mental health services
• Youth residential or behavioral health experience
• EHR implementation or optimization experience

Work Location

This role is based in our Tustin or San Diego office and is primarily in-office, because the work depends on close, daily collaboration with clinical and finance teams. It is not a remote position.

After more than 40 years of improving the lives of youth, Rite of Passage continues to seek passionate individuals who believe in the power of growth, accountability, and second chances.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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