Revenue Operations Manager (499)

Kings View is a nonprofit leader in providing behavioral health services to the underserved community, is currently seeking a driven Residential Care Manager Lead to join our mission to provide compassionate services to those with limited resources. Our ideal candidate will have a passion to promote social justice and societal awareness, respect for human dignity, and lead with integrity while listening and responding to the community in need. Revenue Operations Manager (499) Fresno, CA The Revenue Operations Manager is responsible for the oversight and direction of billing and reimbursement functions related to Kings View fee-for-service and private-pay programs. This includes timely and accurate billing, collection, payment application, denial management and other related duties as assigned. The Revenue Operations Manager will lead and support the fee-for-service and private-pay billing teams, monitor workflows, optimize reimbursement processes, and maintain strong relationships with insurance payers and program management. How will I contribute Manage daily activities of the fee-for-service and private-pay billing teams, including claim preparation, submission, follow-up, denial management, collections (including self-pay), prior authorizations, and electronic claims submission. Ensure the accurate and timely submission of claims to a variety of payers, in accordance with payer requirements, internal timelines, and applicable regulatory standards. Oversee the review, correction, and resubmission of denied or rejected claims to ensure prompt resolution and maximize reimbursement. Monitor updates to payer policies, billing rules, and regulations to ensure ongoing compliance with all applicable federal, state, and payer-specific requirements. Provide ongoing training, support, mentorship, and professional development opportunities for billing team members; conduct performance evaluations and support a culture of continuous learning. Collaborate with the billing teams (fee-for-service, private-pay, and KVPS billing teams), applicable program teams, and finance team to investigate and resolve outstanding balances, account discrepancies, workflow issues, and electronic health record system (EHRS) concerns. Audit billing processes, documentation, and workflows to ensure accuracy, efficiency, and compliance; identify and recommend process improvements. Prepare and maintain accurate and timely reports analyzing billing team performance, clean claim rates, denial trends, accounts receivable aging and write-offs, and other key metrics; present findings to finance and leadership teams to support financial reporting and decision-making. Serve as the primary resource for complex billing questions and payer-related issues, including acting as a liaison to clearing houses, payers, and remittance vendors Collaborate with internal and external teams to connect and align revenue cycle activities, goals, and outcomes across multiple teams, and departments as it pertains to ongoing implementation and development of EHRS applications, revenue, billing, and collections support. Monitor key performance indicators to promptly identify and resolve EHRS or revenue-related issues Support EHRS testing, system builds, and training to ensure authorization, billing, payment, and collection processes align with revenue cycle best practices. Serve as a subject matter expert and resource as it relates to the EHRS billing application implementation, development, and enhancement to support effective revenue procedures. Perform additional duties as assigned to promote the overall effectiveness and success of the billing operations, team, and applicable/supported programs. What I bring Bachelors degree and 5+ years of recent experience in medical, healthcare, behavioral health, or nonprofit billing; proficiency with medical coding, billing software, and EHR systems; and 1 year of supervisory or equivalent leadership experience. Valid CA Class C drivers license with an insurable record and current auto insurance; roles that operate company vehicles require consent to in-vehicle dashcam monitoring (video, limited audio, and telematics) for safety/compliancerefusal may disqualify from driving responsibilities; monitoring complies with California privacy laws. In-depth knowledge of CPT, ICD-10, HCPCS, and payer requirements for government and commercial insurance. Proficient in EHRS platforms (e.g., Epic, Cerner, eClinicalWorks, Credible) and experienced with clearinghouse platforms (e.g., Availity, Office Ally). Proficient in business software and reporting tools with a moderate level of experience in Excel. Demonstrated ability to lead and motivate billing teams in a fast-paced environment, ensuring effective communication and fostering cross-departmental collaboration. Strong analytical and problem-solving skills are essential for interpreting billing data, resolving claim and payer issues, and identifying trends. Highly organized with the ability to manage multiple priorities, meet deadlines, and maintain accuracy. Must have a clear understanding of HIPAA and regulatory compliance in all billing and remittance functions and effectively manage complex billing inquiries with staff, payers, and leadership. Detail-oriented, proactive, and highly organized. Strong leadership skills with the ability to motivate and guide a team effectively. A problem-solving mindset, along with excellent communication skills for navigating complex billing issues and ensuring accuracy in processes. Adaptability is key, with the ability to manage multiple priorities in a fast-paced environment. Committed to maintaining a strong commitment to compliance with industry regulations and organizational standards. Preferred: Certified Professional Biller (CPB), Certified Revenue Cycle Representative (CRCR), or equivalent certification. Experience working with both hospital and physician billing. The Benefits Medical, Dental, Vision Insurance Life and Long-Term Disability Insurance 401k plan Vacation time Twelve (12) Paid Holidays Education Reimbursement Program up to $1000 per year Referral Program Employee Assistance Program An environment of like-minded people reaching for the same goal Serving the underserved community A sense of purpose Who We Are Since 1951, Kings View leads the community in providing behavioral health services to the underserved population. We have a strong tradition of commitment, and we focus on serving rural communities where health resources are often limited. Our people treat the community with care and compassion. We stand by our cornerstone and philosophy of valuing each persons worth, dignity and wholeness in body, mind, and spirit. Our principal core values echo throughout the organization and into our patient-focused programs. At Kings View we are dedicated to continuing our demonstration in the unparalleled commitment to wellness and recovery within each community we serve. Join us and apply today.