Revenue Cycle Manager - Billing - Behavioral Health

About the role

The VCBH Revenue Cycle Manager oversees billing operations, accounts receivable, reimbursement processes, revenue integrity, fiscal analysis, compliance, and continuous improvement initiatives for Inpatient, Outpatient Mental Health, and Substance Use Disorder services.

Responsibilities

• Plans, organizes, coordinates, and supervises the activities of administrative, technical, and operational staff within the Behavioral Health Revenue Cycle division.
• Guides managers and staff on revenue cycle policies, procedures, and operational issues; interprets and applies applicable County policies, payer requirements, and government regulations.
• Develops, reviews, and updates Revenue Cycle policies and procedures to promote operational efficiency, compliance, and effective reimbursement practices.
• Reviews billing workflows and processes to improve claim accuracy, timeliness of claim submission, revenue integrity, and overall reimbursement performance.
• Maintains oversight of electronic health record (EHR) revenue cycle configuration, including rate tables, billing rules, and system enhancements to support accurate reimbursement.
• Serves as a liaison with clinical, fiscal, information technology, administrative teams, contracted providers, and external agencies regarding revenue cycle operations, regulatory requirements, and process improvements.
• Attends meetings, analyzes operational issues, develops recommendations, and presents findings and improvement strategies to management and leadership.

Requirements

• Extensive behavioral health revenue cycle experience, including knowledge of Medi-Cal Specialty Mental Health, Drug Medi-Cal Organized Delivery System, Medicare, third-party reimbursement, and governmental healthcare funding.
• Experience managing billing functions within an electronic health record (EHR) system, analyzing complex reimbursement requirements, and implementing process improvements to enhance claim accuracy, timeliness, and revenue recovery.
• Collaborative leadership with strong analytical, problem-solving, and organizational skills.

Qualifications

• A Bachelor’s degree in business administration, healthcare administration, finance, accounting, public administration, or a related field.
• Four (4) years of progressively responsible experience managing healthcare revenue cycle operations, including patient access, billing, coding, claims processing, accounts receivable, denials management, or reimbursement analysis.
• Three (3) years in a lead or supervisory capacity.
• Five (5) or more years' experience with Short-Doyle Medi-Cal, Drug Medi-Cal, Medicare, and other payer billing and reimbursement processes.
• Three (3) or more years’ experience working within an Electronic Health Record system.
• Excellent written communication skills.
• Considerable data/fiscal/program management experience.

Skills

• Knowledge of principles of supervision and management.
• Knowledge of principles and techniques of fiscal and program management.
• Knowledge of Short Doyle Medi-Cal and Drug Medi-Cal claims processing.
• Knowledge of revenue cycle management.
• Ability to analyze administrative and fiscal problems.
• Ability to prepare a variety of reports and recommendations.
• Ability to communicate effectively in an oral and written manner.
• Ability to plan, organize, and supervise the work of others.
• Ability to develop and present training programs for Behavioral Health staff and others.

Benefits

The County of Ventura offers an attractive compensation and benefits package, including:

• Bilingual Incentive
• Educational Incentive
• Deferred Compensation
• Health Plans
• Flexible Spending Accounts
• Pension Plan
• Holidays

Pay

Staff/Services Manager III - Salary Range: $75,000 - $100,000 annually

Schedule

Regular full-time schedule