Sr. Manager, Revenue Cycle

Heritage Health Network; Riverside (CA); On-site; USD 120,000 - 190,000; Full time

Benefits offered by this job

Paid Time Off

Company Holidays

Remote Work Flexibility

Professional Growth & Leadership Dev

Job summary

Heritage Health Network is seeking a Senior Manager, Revenue Cycle to lead end-to-end RCM operations across Medi-Cal managed care contracts. Reporting directly to the CEO, you will oversee billing performance, denial management, AR, payer compliance, and a team of revenue cycle professionals.

This is a hands-on leadership role requiring current RCM billing experience; you must be able to step into billing operations when needed.

Qualifications

• Bachelor’s degree in Business, Healthcare Admin, or related field, or equivalent experience.
• 5+ years of hands-on Revenue Cycle Management experience.
• 2+ years of leadership experience managing billing teams.
• Strong knowledge of Medi-Cal managed care billing and claim submissions.
• Experience with ECM, CalAIM, and managed care programs.

Responsibilities

• Lead Revenue Cycle team including supervisor and billing coordinators.
• Own revenue cycle performance including clean claim rate, denials, timely filing, and AR aging.
• Oversee denial management, appeals, payer escalations, and reimbursement strategies.
• Lead month-end close, AR reconciliation, and payer reporting.
• Partner with Clinical Operations to ensure documentation accuracy and billing compliance.
• Build and present revenue cycle performance reports and dashboards.
• Drive process improvements to maximize reimbursement and operational efficiency.
• Support audits, payer reviews, and compliance initiatives.
• Coach, mentor, and develop a high-performing billing team.
• Step into billing operations when needed to support claims, denials, and AR follow-up.

Skills

Revenue Cycle Management

Leadership

Billing Operations

Denials Management

Payer Communications

Education

Bachelor's degree in Business or related field

Tools

Office Ally

Availity

eClinicalWorks (eCW)

Microsoft Excel

Google Workspace

Power BI

Job description

Riverside, United States | Posted on 08/01/2026

Heritage Health Network (HHN) was born from a vision to bridge the gap in healthcare accessibility, intuitiveness, and responsiveness. Our story is deeply intertwined with the dedication of our founder, a seasoned prosthetist orthotist with over 15 years of experience serving our community. Committed to improving health outcomes, our founder's expertise and deep community ties have been instrumental in shaping HHN's approach and services. The genesis of HHN was fueled by the need to address the unique challenges faced by Black Americans and individuals with limb loss. Our logo, featuring a bridge, symbolizes our commitment to connecting these communities with comprehensive, empathetic healthcare solutions. It represents our role as a crucial link between medical care and the social determinants of health that are vital for holistic well-being. With a foundation in Enhanced Care Management (ECM), HHN has evolved into a holistic, person-centered network. We believe in treating the individual, not just the condition, by considering the full spectrum of their life's context. This approach stems from our founder's deep understanding of the intricacies of patient care, honed through years of hands-on experience. Today, HHN stands as a vibrant embodiment of community-centric healthcare, continually adapting to meet the changing needs of those we serve. Our journey, marked by resilience, innovation, and unwavering dedication, is a testament to our founder's vision of a healthier, more empowered community. We are proud to continue this legacy, forging new paths towards improved health outcomes and a brighter future for all.

Job Description

Senior Manager, Revenue Cycle

About the Role

Heritage Health Network is seeking an experienced Senior Manager, Revenue Cycle to lead our end-to-end Revenue Cycle Management (RCM) operations. Reporting directly to the CEO, you'll oversee billing performance, denial management, accounts receivable, payer compliance, and a team of Revenue Cycle professionals across multiple Medi-Cal managed care contracts.

This is a hands-on leadership role. Current RCM billing experience is required, and you must be able to step into billing operations when needed.

What You'll Do

• Lead the Revenue Cycle team, including the Revenue Cycle Supervisor and Billing Coordinators.
  
• Own revenue cycle performance, including clean claim rate, denials, timely filing, and AR aging.
  
• Oversee denial management, appeals, payer escalations, and reimbursement strategies.
  
• Lead month-end close activities, AR reconciliation, and payer reporting.
  
• Partner with Clinical Operations to ensure documentation accuracy and billing compliance.
  
• Build and present revenue cycle performance reports and dashboards.
  
• Drive process improvements to maximize reimbursement and operational efficiency.
  
• Support audits, payer reviews, and compliance initiatives.
  
• Coach, mentor, and develop a high-performing billing team.
  
• Step into billing operations when needed to support claims, denials, and AR follow-up.
  

Requirements

Required

• Bachelor's degree in Business, Healthcare Administration, Health Information Management, or related field (equivalent experience considered).
  
• 5+ years of hands-on Revenue Cycle Management experience.
  
• 2+ years of leadership experience managing billing teams.
  
• Strong knowledge of claim submission, denials, appeals, AR, and Medi-Cal managed care billing.
  
• Experience with Office Ally, Availity, eClinicalWorks (eCW), Microsoft Excel, and Google Workspace.
  
• Experience with ECM, CalAIM, and managed care programs.
  

Preferred

• Experience with IEHP, Molina, CalOptima, Health Net, and Anthem payer portals.
  
• Power BI experience.
  
• Experience with capitated and per-encounter billing models.
  
• CPB, CRCR, or other Revenue Cycle certification.
  
• Paid Time Off & Company Holidays
  
• Competitive Compensation
  
• Remote Work Flexibility
  
• Professional Growth & Leadership Development Opportunities