California Licensed Revenue Cycle Manager

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