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Medical Billing Revenue Cycle Manager - Job Opportunity at Confidential

San Diego, US
Full-time
Senior
Posted: July 3, 2025
On-site
USD 100,000+ per year

Benefits

Comprehensive 401(k) retirement savings plan with potential employer matching to secure long-term financial stability
Full health insurance coverage providing medical protection and reducing out-of-pocket healthcare costs
Dedicated retirement planning services beyond 401(k) to maximize post-career financial security
Paid time off policy enabling work-life balance and personal wellness maintenance
Vision insurance coverage reducing eye care expenses and supporting preventive health measures
Dental insurance benefits covering routine and emergency dental care to maintain oral health

Key Responsibilities

Drive strategic oversight of the complete revenue cycle ecosystem from patient registration through final payment collection, directly impacting organizational cash flow and financial sustainability
Lead and develop a high-performing team of billing specialists while establishing performance metrics that align with organizational revenue goals and operational excellence standards
Analyze and optimize critical revenue cycle KPIs including days in accounts receivable, denial rates, and collection percentages to maximize organizational profitability and operational efficiency
Ensure comprehensive regulatory compliance across HIPAA, federal, and state billing requirements while maintaining payer guideline adherence to minimize audit risks and penalties
Collaborate cross-functionally with clinical and administrative teams to streamline front-end revenue processes, improving patient registration accuracy and insurance verification efficiency
Develop and implement evidence-based billing policies and procedures that establish industry best practices and drive continuous operational improvement
Identify and execute automation opportunities and process optimization initiatives that reduce operational costs and improve revenue cycle efficiency
Create and deliver executive-level financial performance reports that inform strategic decision-making and demonstrate revenue cycle impact on organizational success
Manage strategic relationships with insurance companies, clearinghouses, and external vendors to resolve complex billing issues and maintain optimal reimbursement rates
Maintain current expertise in evolving medical coding standards and payer requirements to ensure billing accuracy and maximize reimbursement potential

Requirements

Education

Bachelor's degree in Healthcare Administration, Business, Finance, or related field (required); Master's degree (preferred)

Experience

5+ years of experience in medical billing and revenue cycle management, with at least 2 years in a supervisory or managerial role

Required Skills

Strong knowledge of billing systems, EHR/EMR platforms, and claims processing software Expertise in medical coding, payer contract analysis, and reimbursement methodologies Excellent analytical, organizational, and leadership skills Strong interpersonal and communication abilities with a customer-service mindset

Certifications

Certification in medical billing/coding (e.g., CMRS, CPC) is a plus
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Sauge AI Market Intelligence

Industry Trends

Healthcare revenue cycle management is experiencing significant transformation through artificial intelligence and automation technologies that are reshaping traditional billing processes and creating demand for managers who can implement and oversee these technological solutions while maintaining compliance and accuracy standards. The shift toward value-based care reimbursement models is requiring revenue cycle managers to develop new expertise in quality metrics tracking, risk-based contracts, and alternative payment methodologies beyond traditional fee-for-service billing structures. Increasing regulatory complexity and payer requirement changes are driving demand for revenue cycle professionals who can navigate evolving compliance landscapes while maintaining operational efficiency and minimizing denial rates. Healthcare organizations are consolidating revenue cycle operations to achieve economies of scale, creating opportunities for experienced managers to oversee larger teams and more complex multi-location billing operations.

Salary Evaluation

The $100,000+ salary range represents competitive compensation for this senior-level position in the San Diego market, with total compensation likely reaching $115,000-$140,000 annually when including performance bonuses and benefits. This aligns with national averages for revenue cycle management roles requiring 5+ years of experience and team leadership responsibilities.

Role Significance

Revenue cycle management teams typically range from 5-15 billing professionals depending on organizational size, with this role likely overseeing 6-10 direct reports including billing specialists, collections staff, and coding professionals across multiple revenue cycle functions.
This senior management position represents a critical operational leadership role with direct responsibility for organizational financial performance and team development. The position requires strategic thinking combined with operational execution capabilities, positioning the role as a key contributor to executive-level financial planning and organizational success.

Key Projects

Implementation of new billing system technologies and EHR integrations that streamline revenue cycle processes and improve claim submission accuracy Development of denial management programs that reduce claim rejection rates and accelerate payment collection timelines Creation of compliance audit programs that ensure adherence to changing payer requirements and regulatory standards Design and execution of cross-departmental training initiatives that improve front-end revenue cycle processes and reduce downstream billing issues

Success Factors

Deep understanding of healthcare reimbursement methodologies and payer contract negotiations enables optimization of revenue capture and collection strategies while maintaining positive payer relationships. Strong analytical capabilities combined with technology proficiency allows for effective KPI monitoring, trend identification, and data-driven decision making that directly impacts organizational financial performance. Proven leadership and team development skills ensure high-performing billing operations while maintaining staff engagement and professional growth in a demanding healthcare environment. Comprehensive knowledge of regulatory compliance requirements and ability to adapt to changing healthcare legislation protects organizations from audit risks and maintains operational integrity. Cross-functional collaboration skills enable effective partnerships with clinical, administrative, and finance teams to optimize revenue cycle processes from patient registration through final payment collection.

Market Demand

High demand exists for experienced revenue cycle managers as healthcare organizations face increasing financial pressures and regulatory complexity, while the ongoing shortage of skilled billing professionals creates advancement opportunities for qualified candidates with proven leadership track records.

Important Skills

Critical Skills

Revenue cycle management expertise spanning the complete patient financial journey from registration through final payment collection is essential for optimizing organizational cash flow and maintaining financial stability in an increasingly complex healthcare reimbursement environment. Leadership and team development capabilities are crucial for managing diverse billing professionals while maintaining high performance standards and fostering professional growth in a demanding healthcare finance environment. Regulatory compliance knowledge covering HIPAA, federal, and state billing requirements protects organizations from costly audit findings and maintains operational integrity in an increasingly scrutinized healthcare regulatory landscape. Analytical and data interpretation skills enable effective KPI monitoring and trend analysis that drives strategic decision-making and continuous operational improvement in revenue cycle performance.

Beneficial Skills

Healthcare technology proficiency including EHR/EMR systems and billing software integration capabilities positions professionals for success in increasingly automated revenue cycle environments. Payer contract analysis and negotiation skills enable optimization of reimbursement rates and contract terms that directly impact organizational profitability and financial sustainability. Project management capabilities support successful implementation of process improvements and system upgrades that enhance revenue cycle efficiency and operational effectiveness. Financial reporting and presentation skills enable effective communication of revenue cycle performance to executive leadership and support strategic planning initiatives.

Unique Aspects

The combination of hands-on revenue cycle management with strategic leadership responsibilities creates a role that bridges operational excellence with executive-level financial planning and organizational development.
Direct collaboration with clinical teams distinguishes this position from purely administrative billing roles, requiring healthcare industry knowledge and understanding of clinical workflow impacts on revenue cycle processes.
The emphasis on automation and process improvement indicates an organization investing in technology advancement and operational efficiency, providing opportunities to lead transformational initiatives.
Comprehensive KPI oversight and reporting responsibilities position this role as a key contributor to organizational financial transparency and strategic decision-making processes.

Career Growth

Career advancement to director-level positions typically occurs within 3-5 years of successful performance in this role, with C-suite opportunities available within 7-10 years for professionals who demonstrate strategic leadership capabilities and comprehensive healthcare finance expertise.

Potential Next Roles

Director of Revenue Cycle Operations with expanded responsibility for multiple departments and strategic revenue optimization initiatives Chief Financial Officer or Assistant CFO roles in smaller healthcare organizations where revenue cycle expertise translates to broader financial management responsibilities Healthcare Consulting positions specializing in revenue cycle optimization and implementation services for healthcare organizations Vice President of Finance roles in healthcare systems where revenue cycle management expertise supports enterprise-level financial strategy development

Company Overview

Confidential

The confidential nature of this posting suggests either a healthcare organization seeking to maintain competitive discretion during a strategic hiring process or a recruitment firm representing a client who prefers initial anonymity. This approach is common in healthcare revenue cycle management roles where organizations may be restructuring financial operations or implementing new leadership structures.

Organizations utilizing confidential postings for senior revenue cycle positions typically represent established healthcare providers with sophisticated billing operations and competitive compensation packages, suggesting a stable organization with growth opportunities and professional development resources.
San Diego's healthcare market represents a significant regional hub with major health systems, specialty practices, and medical device companies creating diverse revenue cycle management opportunities and competitive compensation packages that reflect the area's cost of living and talent competition.
Healthcare revenue cycle management roles typically offer structured professional environments with clear performance metrics, collaborative team settings, and opportunities for continuous learning through industry changes and regulatory updates that keep the work intellectually engaging and professionally challenging.
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