Revenue Cycle Manager

Description

Job Title: Revenue Cycle Manager (Medi-Cal Focus) 

Location: Sacramento, CA (On-Site Position – Not Remote)
Employment Type: Full-Time, Exempt
Salary Range: The salary for this position ranges from $76,960 to $104,000, depending on qualifications and experience. Our typical starting salary for candidates is in the mid-range of this scale.

Post Date: February 24, 2025

Close Date: Open until filled

About Us 

Since 1998, Community HealthWorks has been training and empowering compassionate, hardworking individuals from the communities we serve. Our team members share a deep commitment to addressing barriers to healthcare access, and many of them bring relatable experiences that fuel their tenacity and empathy. This unique perspective drives our success and ensures our work creates real impact. 

At Community HealthWorks, we’re more than a team — we’re community movers and shakers, barrier removers, connectors of resources, navigators of systems, and advocates for our clients. We believe in breaking down barriers and supporting our clients and communities at every step. The unwavering dedication of our staff has been the cornerstone of our growth, and we are excited to welcome new individuals ready to shape our future. 

About the Role 

Are you ready to lead, build, and grow? As a Revenue Cycle Manager, you’ll play a critical role in optimizing Medi-Cal billing processes, leading claims reconciliation efforts, and collaborating with internal teams and external partners. You’ll join a dynamic team at a pivotal time, where your work will directly impact the communities we serve and help shape the future of our operations. 

This is a hands-on role where you’ll take ownership of processes, solve complex problems, and build scalable systems. A typical day might include leading a team meeting, analyzing reconciliation reports, presenting insights to leadership, and collaborating with health plans to resolve billing issues. If you’re excited to be part of a growing organization and make a tangible difference, this is the opportunity for you! 

This is a fully on-site role based in Sacramento, CA. The position requires in-person collaboration with teams across departments and does not offer remote work. 

Key Responsibilities 

1. Lead and Innovate: 

• Develop and refine Medi-Cal billing, claims, and reconciliation processes. 
• Identify opportunities for efficiency and implement solutions in collaboration with stakeholders. 
• In coordination with vendors, handle the management of aged receivable balances by aging category, addressing outstanding balances greater than 1 year. 
• Develop and maintain key performance indicators (KPIs) to evaluate and report on the financial health of the revenue cycle. 

2. Team Leadership and Supervision: 

• Supervise and mentor the billing and reconciliation team. 
• Provide clear direction, training, and professional development opportunities while fostering a collaborative culture. 
• Monitor workload distribution and ensure team accountability to meet organizational goals. 
• Ensure accurate and timely submission of claims to insurance providers/vendors fand follow up on denied or underpaid claims.

3. Collaborate and Represent: 

• Serve as the organizational lead in payor/vendor meetings related to claims and billing. 
• Work closely with the Finance Department, data management team, program teams, and third-party vendors to identify process improvements/ streamline workflows, reduce denied claims and optimize collections. 

4. Analyze and Report: 

• Prepare actionable reports and dashboards to inform leadership and guide decision-making. 
• Use data insights to improve payment trends and performance. 
• Formulates and makes recommendations on policies and practices relating to revenue cycle improvements. 
• Facilitates compliance with administrative/legal requirements and governmental regulations as they relate to revenue cycle operations. 
• Manages invoice preparation and submission for various funding streams. 

5. Grow with Us: 

• Embrace opportunities to shape and implement new systems as we grow. 
• Be a thought leader in transitioning from manual to automated processes. 

Why Join Us? 

At Community HealthWorks, we offer more than a job—we offer a mission. When you join us, you’ll gain: 

• Personal Fulfillment: Make a real impact in the communities we serve. 
• Collaborative Environment: Join a supportive, team-oriented culture where your leadership makes a difference. 
• Competitive Benefits:
• Competitive salary ($76,960–$104,000). This range represents what Community HealthWorks reasonably expects to pay for this position, based on qualifications and experience. 
• 100% Medical Coverage for employees and dependents. 
• 4% Retirement Contributions (no match required). 
• Paid Training, Time Off, and Professional Development Opportunities. 
• Flexible Spending Accounts, Life Insurance, and yes—some cool swag! 

Requirements

 What We’re Looking For The ideal candidate is a hands-on leader with proven supervisory experience who thrives in a growing organization. They are adaptable, collaborative, and excited to manage and build a high-performing team while improving processes and driving results. 

Education: Bachelor’s degree in Business, Accounting, Healthcare Administration, or a related field (or equivalent experience). 

Experience: 

• 3+ years in revenue cycle management, billing, or financial reconciliation. 
• 3+ years of supervisory experience, preferably in revenue cycle management or a related field. 
• Experience with Accounting Software systems (QuickBooks) is preferred. 
• Experience with Salesforce database is a plus. 
• Strong understanding of Accounting Functions including payment posting and accounts receivable follow-up.  
• Experience with Accounts Receivables (AR) is required. 
• Strong understanding and familiarity with medical billing rules and regulations, including Medi-Cal or Medicaid billing is preferred.  
• Proven ability to lead, manage, and inspire a team to achieve goals. 

Skills: 

• Strong analytical and organizational skills. 
• Proficiency in Excel and comfort with data tools. 
• Exceptional communication and problem-solving abilities. 

 How to Apply To apply, please submit the following: 

1. A resume detailing your relevant experience and skills. 
2. A cover letter explaining why you’re excited to join Community HealthWorks and how your experience aligns with the role. 

We look forward to hearing from you and welcoming you to our team!