Company Overview
Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.
With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations.
Job Description
The Regional Revenue Cycle Manager (CA) directs a regional team that actively manages pre-bill edits, denials resolution, and enterprise-wide denial prevention strategies to protect and optimize net revenue performance for our Shriners California locations. The manager serves as the primary contact between the Hospitals, SHC Headquarters, and external business office vendors. The Manager drives accountability across departments by partnering with clinical leaders, physicians, and operational teams to ensure timely documentation, eliminate root causes of claim edits and denials, and implement sustainable process improvements. Through KPI analysis and revenue cycle analytics, this position prioritizes initiatives based on financial impact and operational risk. The Manager champions continuous improvement initiatives and represents the organization in both local and system-wide revenue cycle strategy and performance discussions.
Key Responsibilities
-
Direct a regional revenue cycle team responsible for pre-bill edits, denials resolution, and enterprise-wide denial prevention to safeguard and optimize net revenue.
-
Serve as the primary liaison between the Hospital, SHC Headquarters, and external vendors, ensuring strategic alignment and operational accountability.
-
Lead cross-functional collaboration with clinical and operational leaders to eliminate root causes of claim barriers and drive sustainable process improvement.
-
Oversee denial management strategy, including trend analysis, payer performance monitoring, corrective action implementation, and revenue recovery optimization.
-
Leverage KPI analysis and revenue cycle analytics to prioritize initiatives, mitigate financial risk, and present performance outcomes and strategic recommendations to leadership.
Required Qualifications:
-
5 or more years of revenue cycle experience
-
3 or more years of supervisor/manager experience
-
Strong proficiency in Excel and revenue cycle reporting tools
-
Demonstrated ability to analyze complex datasets and translate findings into operational recommendations.
-
Knowledge of billing, coding, payer reimbursement methodologies, and denial workflows.
-
Bachelor's Degree or equivalent combination of education, training and experience
Preferred Qualifications:
-
Candidate based in California highly preferred
-
Epic EMR experience
-
Denials management experience
The pay range for this position is $107,702.40 - $161,574.40. Compensation is determined based on years of relevant experience and departmental equity.
