Revenue Cycle Manager, Medi-CalRite of Passage | Tustin, CA or San Diego, CA | Full-time | Primarily in-office (not a remote position)
About the RoleOur California programs bill exclusively through Medi-Cal. We're hiring a Revenue Cycle Manager to design and lead the connected process that carries a service from clinical documentation through claim submission, payment, and posting. You'll build the structure, standards, and visibility that help clinical, billing, and finance work as one team.
This is a system-builder role. We're looking for someone who designs workflows, not just someone who runs them.
What You'll Do- Map and own the end-to-end Medi-Cal revenue cycle
- Build clear handoffs and checkpoints between clinical, billing, and finance
- Partner with clinical leaders to align documentation with Medi-Cal medical necessity and billing requirements
- Create reporting that shows where every claim stands: submitted, pending, denied, paid
- Lead denial analysis and fix root causes, not just individual claims
- Keep processes current with DHCS, CalAIM, and county requirements
- Prepare the program for audits and payer reviews
- Train and coach clinical and administrative staff on their role in the cycle
- Work alongside our finance and billing colleagues to build on what's working and strengthen the connections between teams
What You Bring- 5+ years in revenue cycle management, including Medi-Cal (behavioral health strongly preferred)
- Experience building or redesigning billing workflows
- Working knowledge of Medi-Cal claiming, authorization, and documentation standards
- Comfort with EHR and billing systems and 837/835 files
- Ability to translate between clinical and financial language
- A data-driven approach to tracking, measuring, and improving
Nice to Have- Experience with county mental health plans or specialty mental health services
- Youth residential or behavioral health experience
- EHR implementation or optimization experience
Work LocationThis role is based in our Tustin or San Diego office and is primarily in-office, because the work depends on close, daily collaboration with clinical and finance teams. It is not a remote position.
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