Senior Revenue Cycle AR Manager

Planned-Parenthood; Los Angeles (CA); Presencial; USD 105.000 - 126.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical coverage

Dental coverage

Vision coverage

Life insurance

Disability insurance

401(k) with match

Transit benefits

Paid time off

Descripción de la vacante

Planned Parenthood Los Angeles is seeking an experienced Revenue Cycle Accounts Receivable Sr. Manager to lead AR teams at our Downtown Los Angeles Headquarters. The role ensures compliant, efficient revenue capture across EHR/EPM systems, overseeing denial management and payer relationships.

Ideal candidate brings extensive revenue cycle management, coding and auditing experience, and supervisory leadership to drive performance and ensure adherence to CMS and CA DHCS guidelines.

Formación

• Five years of experience with revenue cycle operations management.
• Five years of coding and/or audit experience preferred.
• Thorough understanding of CMS billing regulations.
• Eight+ years of experience with ICD10, CPT/HCPCS and revenue codes.
• 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.
• Five+ years of supervisory experience.

Responsabilidades

• Lead the Revenue Cycle supervisory team to identify and implement solutions to operational areas with difficulties.
• Monitor and improve denial management and ensure timely processing of claims.
• Provide guidance to Supervisors on AR reviews, troubleshooting and complex problems.
• Oversee audits of payments, claims data and medical records.
• Produce monthly KPI reports to track productivity and performance.
• Ensure compliance with CMS and CA DHCS rules and other applicable regulations.
• Oversee timesheet reviews and performance management for staff.

Conocimientos

Revenue cycle management

Supervisory leadership

Auditing

Coding knowledge

CMS billing regulations

ICD10 CPT/HCPCS knowledge

Insurance verification

Educación

Bachelor's degree in Business, Finance, Healthcare or related field

Coding certification

Auditing certification

Descripción del empleo

Planned Parenthood Los Angeles is seeking an experienced Revenue Cycle Accounts Receivable Sr. Manager to lead AR teams at our Downtown Los Angeles Headquarters. The role ensures compliant, efficient revenue capture across EHR/EPM systems, overseeing denial management and payer relationships.

Ideal candidate brings extensive revenue cycle management, coding and auditing experience, and supervisory leadership to drive performance and ensure adherence to CMS and CA DHCS guidelines.