Revenue Cycle Manager

Florence Health

. Own billing, provider enrollment, and billing compliance for Integrated Complex Care Associates .

Posted 10/27/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $95,000 - $100,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Expertise in Medicare Part B billing, provider enrollment, and claims management, with a strong focus on compliance and coding standards. Proven ability to manage billing processes, conduct audits, and communicate effectively with healthcare professionals and patients.

Highest-signal resume keywords

Medicare Part B BillingProvider EnrollmentClaims ManagementCPC or CPB CertificationICD-10-CM and CPT/HCPCS Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim ReviewDenials and Appeals ManagementBilling ComplianceCPT/HCPCS CodingICD-10-CM CodingHCC Risk-Adjustment DocumentationClaims SubmissionMedicare EFT SetupClaims TrackingDocumentation Audits

Soft Skills

Clear CommunicationPatient InteractionIndependent WorkProcess Building

Tools & Technologies

Billing PortalClearinghouseEMR Systems

Certifications & Qualifications

CPC (AAPC)CPB (AAPC)CCS-P (AHIMA)

Industry Keywords

MedicarePECOS855I Reassignments855B EnrollmentMSSPACO REACHLEADOIG Exclusion ScreeningHIPAA ComplianceMedicare Overpayments

About the role

Key responsibilities & impact

Own billing, provider enrollment, and billing compliance for Integrated Complex Care Associates
Enroll and onboard physicians, including 855I reassignments, 855B practice locations, PECOS and NPPES updates, revalidations, and Medicare EFT/remittance setup
Configure physician offices to submit ICC patient claims through ICC's payer ID and confirm end-to-end claims flow
Maintain the provider roster, including physician payment arrangements
Serve as the main billing contact for physician offices and conduct onboarding sessions
Review every claim before submission to Medicare, checking CPT/HCPCS codes, modifiers, place of service, units, and diagnosis codes
Approve, correct, or return claims to physician offices; release approved claims to Medicare under ICC's TIN
Track claims through payment or denial
Sample claims against physician EMRs, monitor physician error rates, and issue compliant documentation queries when appropriate
Provide coding feedback and escalate patterns to physician leadership
Post and reconcile Medicare remittances, work rejections and denials, and file corrections, reopenings, and appeals
Reconcile Medicare payments to ICC with payments made to physicians or physician practices
Explain ICC billing to patients and answer billing questions
Screen rendering physicians and billing staff monthly against OIG and SAM exclusion lists
Maintain billing and coding policies, document audits, and report findings to physician leadership
Identify, report, and return Medicare overpayments within the federal 60-day rule
Use physician EMR access only for ICC patients and as necessary under HIPAA
Work under ICC physician leadership while employed and administratively supported by Integrated Complex Care MSO LLC

Requirements

What you’ll need

5+ years of Medicare Part B professional billing for physician groups, including claim review, denials, and appeals
Hands-on Medicare provider enrollment, including PECOS, 855I reassignments, 855B group enrollment, and revalidations
Current coding credential: CPC or CPB (AAPC) or CCS-P (AHIMA)
Working knowledge of ICD-10-CM, CPT/HCPCS, modifiers, and HCC risk-adjustment documentation standards
Claims management experience through a clearinghouse or billing portal, including 837P, 277CA, and 835
Billing compliance experience with audits, exclusion screening, overpayment refunds, and HIPAA
Familiarity with Medicare ACO programs such as MSSP, ACO REACH, or LEAD is a plus
Clear, patient phone and writing skills with physicians, office staff, and older patients
Spanish is a plus
Comfort building processes from scratch and working independently
Must live in California
Ability to work Pacific time business hours

Benefits

Comp & perks

Remote work within California
Pacific time business hours
Occasional travel to physician offices around California
Background check after a conditional offer
OIG and SAM exclusion check
HIPAA training before system access