California Licensed Revenue Cycle Manager

Job Summary

To oversee end-to-end revenue cycle operations for clinics, the full-time California Licensed Revenue Cycle Manager will manage insurance verification, claims submission, and denial management while ensuring accurate billing and timely reimbursements, with a hybrid work arrangement preferred in-office Monday through Wednesday at the San Mateo headquarters.

Key Responsibilities

• Verify patient insurance eligibility and manage prior authorization requests to ensure timely approvals
• Prepare and submit CMS-1500 claim forms, ensuring compliance with payer guidelines and regulatory standards
• Oversee all aspects of the revenue cycle, including charge capture, payment posting, denial management, and patient collections

Required Qualifications

• Bachelor's degree in Healthcare Administration, Business, Accounting, or related field
• 3-5 years of experience in medical billing and revenue cycle management, preferably in outpatient or small clinic settings
• Strong knowledge of medical billing, CPT coding, and insurance verification processes
• Hands-on experience with CMS-1500 claim forms preparation and verification
• Demonstrated experience managing prior authorization workflows, including submission and appeals