Revenue Cycle Manager - Venice Family Clinic

Description

Seeking a knowledgeable and effective Revenue Cycle Manager to join our Venice Family Clinic team.

Venice Family Clinic is a leader in providing comprehensive, high-quality health care to people in need. The organization has more than 500 staff who serve 45,000 people with compassion, dignity, and respect across an area from the Santa Monica Mountains through the South Bay. We have a network of clinics, Early Head Start centers, and mobile clinics, plus an expansive street medicine program to reach people experiencing homelessness. Read more about us at venicefamilyclinic.org.

The Revenue Cycle Manager will report directly to the Chief Financial Officer and is responsible for overseeing all aspects of the revenue cycle for our fast-paced Community Health Center.

Key Duties:

• Managing billing and coding operations, monitoring key performance metrics (e.g., revenue, productivity, turnaround times), and using data analytics to identify trends, resolve issues, and drive financial performance

• Guidance and management of billing staff, ensuring accountability for outcomes, and developing both short- and long-term strategies to improve revenue cycle efficiency

• Ensure adherence to HIPAA, CMS, Medicaid, and all payer-specific billing and coding regulations

• Monitor regulatory changes and proactively adjust processes to maintain compliance

• Lead audit readiness and response efforts, including preparation, documentation review, and corrective action implementation

• Collaborates cross-functionally and provides education to leadership and staff on reimbursement processes across Medi-Cal, Medicare, Family PACT (FPACT), and other payers

The University of California, Los Angeles is required to provide a reasonable estimate of the compensation range for this role. This range takes into account the wide range of factors that are considered in making compensation decisions including but not limited to experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. It is not typical for an individual to be offered a salary at or near the top of the range for a position. Salary offers are determined based on final candidate qualifications and experience. The full salary range for this position is $95,400 - $208,300 annual.

Qualifications

Qualified applicants will have:

• Minimum of 5 years of work experience leading/managing healthcare Revenue Cycle Departments (Coders and Billers)

• Minimum of 7 years of experience working in FQHC and Community Clinic environments

• Professional Coder Certification

• Bachelor's degree in Business Administration, Finance, Accounting, Health Care Administration, or equivalent experience

• Extensive knowledge of the healthcare professional revenue cycle environment and a strong understanding of medical billing principles

• Strong knowledge and experience in Accounts Receivable Management

• Experience in revenue cycle system implementation, configuration, assessment and EMR

• Knowledge of Epic and medical records information system

• Current knowledge of Medicare/ Medi-Cal/ Medicaid billing requirements and guidelines

• Knowledgeable of accounting principles related to revenue cycle and to laws, regulations and guidelines pertaining to health care administration

• Demonstrated quantitative analytical skills and ability to generate reports, metrics and trend analyses independently

• Ability to establish and maintain effective working relationships with administrators, physicians, and peers

• Knowledge of medical terminology, CPT (Current Procedural Terminology) and ICD10

• Ability to distill information to different target audiences with excellent communications skills, verbal and written for technical and non-technical audiences

• Ability to develop, analyze, implement, and monitor productivity levels and implement strategies for efficient workflow and quality improvement strategies

Preferred: Master's degree in Business Administration, Finance, Accounting, Health Care Administration, or equivalent

UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person's unique achievements and experiences to further set us apart.