Welby Health
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Overview
The Revenue Cycle Manager is a highly skilled professional responsible for establishing and leading the foundation of Welby Health’s revenue cycle management operations. In this position, you will design, implement, and oversee end-to-end billing systems, including workflows, technology platforms, and claims operations, ensuring efficiency, accuracy, and regulatory compliance. You will build scalable revenue cycle infrastructure that supports organizational growth while managing day-to-day claims processing, payer interactions, and financial reporting. You will oversee claims and denial management, build reporting dashboards, and provide insights that drive financial performance and growth. Key Responsibilities
Establish billing policies, processes, and standard operating procedures for claims submission, payment posting, appeals, and denials Manage claims operations across multiple electronic medical record and practice management systems, including Tebra, eClinicalWorks, Athenahealth, and Epic Systems Oversee payment posting, payer follow-up, and denial management to drive improvements in denial rates, days sales outstanding, and net collections Audit payer and client payments for accuracy and initiate corrective actions when necessary Manage client invoicing, accounts receivable aging, and collections processes Evaluate, select, and implement revenue cycle technology platforms including clearinghouses, automation tools, and reporting systems Develop internal and client-facing financial reports on collections, payment integrity, and revenue performance Ensure compliance with Medicare, Medicaid, and commercial payer requirements, as well as coding and reimbursement standards Collaborate cross-functionally with relevant departments to ensure reliable and scalable claims processes Build scalable workflows, documentation, and playbooks to support operational consistency and future departmental expansion Required Qualifications
Bachelor’s degree in healthcare administration, accounting, finance, or a closely related discipline Minimum of five years of direct experience in revenue cycle operations with demonstrated ownership of billing and claims functions Proven success reducing denials, improving collections, and managing accounts receivable workflows Experience across multiple electronic medical record and practice management systems Strong payer knowledge across Medicare, Medicaid, and commercial plans Proficiency in advanced Excel functions, including pivot tables, complex formulas, and data analysis tools Exceptional written and verbal communication skills Ability to work independently in a technology-enabled environment Strong organizational skills with attention to detail and follow-through Preferred Qualifications
Experience selecting and implementing revenue cycle management software or clearinghouses Proficiency in building or scaling billing operations within a high-growth healthcare organization Familiarity with healthcare reimbursement analytics, forecasting, and performance reporting Professional certification in medical billing or coding About Us
Welby Health is a San Diego-based healthcare organization committed to transforming the way complex conditions are managed. Our mission is to advance patient outcomes by integrating efficient care coordination, data-driven insights, and enhanced communications across the care continuum. Through a technology-enabled, clinically grounded service model, we partner with physicians and health systems to deliver scalable solutions that improve quality of care, increase practice efficiency, and empower patients to live healthier lives. Equal Opportunity Employer
Welby Health, Inc. is an equal opportunity employer committed to diversity and inclusion. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital or veteran status, pregnancy, or disability. We provide reasonable accommodations for applicants and employees in alignment with their needs related to disability, mental health, or religious practices. Seniority level:
Mid-Senior level Employment type:
Full-time Job function:
Finance Industries:
Wellness and Fitness Services Referrals increase your chances of interviewing at Welby Health by 2x Get notified about new Revenue Cycle Manager jobs in
Carlsbad, CA . For context, the following positions were listed nearby: Vice President of Revenue Cycle- Healthcare; Business Consulting - Healthcare Transformation - Manager - Patient Access; SAP Finance - Tech Consulting - Oil & Gas- SAP Production Revenue Accounting (PRA) Senior; Office Manager for Home Care Agency in Carlsbad; Agent Experience Manager (Del Mar Office).
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The Revenue Cycle Manager is a highly skilled professional responsible for establishing and leading the foundation of Welby Health’s revenue cycle management operations. In this position, you will design, implement, and oversee end-to-end billing systems, including workflows, technology platforms, and claims operations, ensuring efficiency, accuracy, and regulatory compliance. You will build scalable revenue cycle infrastructure that supports organizational growth while managing day-to-day claims processing, payer interactions, and financial reporting. You will oversee claims and denial management, build reporting dashboards, and provide insights that drive financial performance and growth. Key Responsibilities
Establish billing policies, processes, and standard operating procedures for claims submission, payment posting, appeals, and denials Manage claims operations across multiple electronic medical record and practice management systems, including Tebra, eClinicalWorks, Athenahealth, and Epic Systems Oversee payment posting, payer follow-up, and denial management to drive improvements in denial rates, days sales outstanding, and net collections Audit payer and client payments for accuracy and initiate corrective actions when necessary Manage client invoicing, accounts receivable aging, and collections processes Evaluate, select, and implement revenue cycle technology platforms including clearinghouses, automation tools, and reporting systems Develop internal and client-facing financial reports on collections, payment integrity, and revenue performance Ensure compliance with Medicare, Medicaid, and commercial payer requirements, as well as coding and reimbursement standards Collaborate cross-functionally with relevant departments to ensure reliable and scalable claims processes Build scalable workflows, documentation, and playbooks to support operational consistency and future departmental expansion Required Qualifications
Bachelor’s degree in healthcare administration, accounting, finance, or a closely related discipline Minimum of five years of direct experience in revenue cycle operations with demonstrated ownership of billing and claims functions Proven success reducing denials, improving collections, and managing accounts receivable workflows Experience across multiple electronic medical record and practice management systems Strong payer knowledge across Medicare, Medicaid, and commercial plans Proficiency in advanced Excel functions, including pivot tables, complex formulas, and data analysis tools Exceptional written and verbal communication skills Ability to work independently in a technology-enabled environment Strong organizational skills with attention to detail and follow-through Preferred Qualifications
Experience selecting and implementing revenue cycle management software or clearinghouses Proficiency in building or scaling billing operations within a high-growth healthcare organization Familiarity with healthcare reimbursement analytics, forecasting, and performance reporting Professional certification in medical billing or coding About Us
Welby Health is a San Diego-based healthcare organization committed to transforming the way complex conditions are managed. Our mission is to advance patient outcomes by integrating efficient care coordination, data-driven insights, and enhanced communications across the care continuum. Through a technology-enabled, clinically grounded service model, we partner with physicians and health systems to deliver scalable solutions that improve quality of care, increase practice efficiency, and empower patients to live healthier lives. Equal Opportunity Employer
Welby Health, Inc. is an equal opportunity employer committed to diversity and inclusion. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital or veteran status, pregnancy, or disability. We provide reasonable accommodations for applicants and employees in alignment with their needs related to disability, mental health, or religious practices. Seniority level:
Mid-Senior level Employment type:
Full-time Job function:
Finance Industries:
Wellness and Fitness Services Referrals increase your chances of interviewing at Welby Health by 2x Get notified about new Revenue Cycle Manager jobs in
Carlsbad, CA . For context, the following positions were listed nearby: Vice President of Revenue Cycle- Healthcare; Business Consulting - Healthcare Transformation - Manager - Patient Access; SAP Finance - Tech Consulting - Oil & Gas- SAP Production Revenue Accounting (PRA) Senior; Office Manager for Home Care Agency in Carlsbad; Agent Experience Manager (Del Mar Office).
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