Revenue Cycle Manager

About us: At Spin, recruitment is about more than filling roles; it’s about creating real human connections. We partner with leading U.S. companies to help them hire exceptional talent through a true direct-hire process, ensuring candidates join our clients’ teams directly while we support them throughout the journey.About our partner: Be part of a fast-growing healthcare services organization that specializes in medical billing and revenue cycle management for surgical providers and ambulatory surgery centers across the United States. Their mission is to help healthcare practices maximize reimbursement, streamline operations, and deliver a more efficient financial experience for both providers and patients.With a strong focus on surgical and musculoskeletal specialties, the company partners closely with medical teams to navigate complex billing environments, optimize payer workflows, and ensure clean, accurate claims management. Their people-first culture values accountability, precision, collaboration, and proactive problem-solving—making them a trusted partner in the healthcare revenue cycle space.About the role: We are looking for a Revenue Cycle Manager who will be the operational foundation of the company’s client services workflow. You are responsible for the complete lifecycle of each case from provider intake through final resolution, ensuring that every case moves with precision, every deadline is protected, and every physician's office and patient who engages with the firm does so with the full confidence that they are in exceptional hands. You bring the technical command of a certified coder and the composure and warmth of a true client services professional. You are the central point of coordination between the company’s internal specialists, the remote billing team, and the physician practices. Both roles are equally important.What You'll DoCase Ownership and Coding ReviewYou will manage an active portfolio of complex insurance cases across all stages of the reimbursement lifecycle. Your coding expertise is applied to review and validate clinical documentation for accuracy and completeness before it advances, making you the quality checkpoint that protects the integrity of every case. You will track all critical deadlines across your caseload and ensure that pending items reach the appropriate team member well in advance of any window closing. Case records are maintained with meticulous precision at all times.Client and Patient CommunicationYou serve as the primary day-to-day liaison for physician practice staff, providing clear, organized, and professional communication at every touchpoint. You interact periodically with patients in a warm and reassuring manner during what are often complex and stressful insurance processes. You follow up directly and persistently with insurance carriers on claim status, authorizations, and pending items,professionally but firmly, until a resolution is reached. You coordinate daily with the remote billing team to ensure workflow runs at the standard clients expect.Case Preparation and Internal CoordinationYou read and interpret complex insurance documentation, including explanation of benefits, electronic remittance advice, denial letters, authorization decisions, and plan language, with confidence and precision.You assemble complete, thoroughly organized case packets so that the internal specialists can act decisively without reconstructing case history. You identify emerging bottlenecks early and escalate them promptly with full context.What Excellence Looks LikePhysician offices and patients feel genuinely supported and well-informed at every stage of their case. The internal specialists receive complete, organized files and never have to search for what they need. Every case moves forward with purpose. No deadline is missed. No follow-up is dropped. Every interaction with the firm reflects the white-glove standard physician clients have come to expect.What You BringActive CPC or CCS certification in good standing.A minimum of three years of hands-on coding and billing experience in a clinical or billing company setting.Surgical specialty coding experience, with strong preference for orthopedic, musculoskeletal, plastic and reconstructive surgery, or head and neck procedures.Demonstrated ability to manage multiple complex, time-sensitive cases simultaneously without compromising accuracy or professionalism.The ability to read and interpret complex insurance plans, medical records, EOBs, ERAs, and denial letters with confidence.A polite but firm communication style when working with insurance carriers, adjusters, and third- party administrators.A naturally warm, professional, and enthusiastic presence with physician offices, practice staff, and patients. Every interaction represents this firm.Prior authorization experience from the provider side.Exceptional attention to detail.Additional Strengths We ValueExperience in an out-of-network or specialty surgical billing environment.Familiarity with high-value, complex claim scenarios.A track record of performing at a high level in small, exacting environments where individual ownership defines outcomes.Salary & BenefitsLocation: Hybrid in Irvine, CA (Minimum three days in office)Salary: $42-$55 p/hr ($87,000 a $114,000 annually)This is a full-time, long-term position.The position is immediately available.Monday through Friday, during regular business hours.Additional perks and benefits.Ready to apply?We'd love to hear your story. The next step is a short application where you can share more about your background and upload your resume. Take your time — we read every response carefully.