Senior Revenue Cycle AR Leader

Planned Parenthood Los Angeles; Los Angeles (CA); On-site; USD 105,000 - 126,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Free basic life/AD&D policy

Short Term Disability

403(b) Retirement plan with up to 3% {

Dependent Flexible Spending Accounts

Public Transportation and Commuter Pre

Generous vacation, sick, and holiday

Hiring Range: $104,683 - $125,620

Job summary

Planned Parenthood Los Angeles seeks an experienced Revenue Cycle Accounts Receivable Sr. Manager to lead the AR teams at our Downtown Los Angeles Headquarters. You will drive performance, ensure CMS/CA DHCS compliance, and optimize revenue capture across payers and vendors.

You will supervise AR supervisors, monitor denials, perform audits, and deliver KPI-driven improvements to revenue cycle operations while supporting our mission and patient care commitments.

Qualifications

• Bachelor's degree preferred in Business, Finance, Healthcare or related field.
• Coding certification required.
• Auditing certification preferred.
• Five (5) years of experience with revenue cycle operations management required.
• Five (5) years of coding and/or audit experience preferred.
• Thorough understanding of CMS billing regulations.
• Minimum eight (8) years of experience with ICD10, CPT/HCPCS and revenue codes, CMS billing regulations and healthcare reimbursement.
• In-depth knowledge of private and governmental insurance eligibility and verification, charge capture, CPT maintenance, coding, billing and collections, payment posting and self-pay.
• Strong knowledge of clinical practice and revenue cycle management including third-party reimbursement guidelines and procedures.
• Minimum five (5) years of supervisory experience required.

Responsibilities

• Audit accounts receivable, monitor age and trends for escalation.
• Lead AR supervisory team to identify and implement solutions in operational areas.
• Guide Supervisors on AR reviews and complex account problems.
• Monitor daily reconciliation dashboards to ensure accurate charges.
• Ensure timely processing and correction of rejected claims.
• Identify opportunities to improve charge capture and reimbursement.
• Conduct audits of payments, medical records and claims data.
• Report KPI metrics to manage productivity and quality.
• Oversee corrective action plans and undercharging monitoring.
• Ensure CMS/CA DHCS rule compliance and regulatory updates.

Skills

Revenue cycle

AR management

CMS billing

ICD10/CPT

Denials management

Staff supervision

Auditing

Compliance

Communication

Education

Bachelor's degree in Business/Finance/Healthcare

Tools

EHR/EMR systems

EPM systems

Job description

Planned Parenthood Los Angeles seeks an experienced Revenue Cycle Accounts Receivable Sr. Manager to lead the AR teams at our Downtown Los Angeles Headquarters. You will drive performance, ensure CMS/CA DHCS compliance, and optimize revenue capture across payers and vendors.

You will supervise AR supervisors, monitor denials, perform audits, and deliver KPI-driven improvements to revenue cycle operations while supporting our mission and patient care commitments.