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Director of Medi-Cal Billing

Key Facts

Remote From: 
Full time
Expert & Leadership (>10 years)
English

Other Skills

  • β€’
    Collaboration
  • β€’
    Communication
  • β€’
    Resilience
  • β€’
    Problem Solving

Roles & Responsibilities

  • Experience overseeing Medi-Cal billing, enrollment, and revenue optimization
  • Proven leadership with the ability to partner across Finance, Clinical, Compliance, and Program teams
  • Strong problem-solving skills in payer systems and denial management
  • Experience building scalable billing infrastructure and ensuring reimbursement for services

Requirements:

  • Oversee all aspects of Cardea Health's Medi-Cal billing, enrollment, and revenue optimization to ensure financial sustainability
  • Maximize reimbursement, reduce denials, and develop scalable billing processes aligned with Medi-Cal requirements
  • Collaborate with Finance, Clinical, Compliance, and Program leadership to implement new programs and maintain compliance
  • Lead and develop the billing team, monitor performance metrics, and communicate outcomes to the CEO

Job description

About Cardea Health:  

Cardea Health is a non-profit organization dedicated to providing compassionate health care to marginalized populations. Our mission is to create and support programs that protect the health and autonomy of vulnerable individuals and promote equity and social justice to improve the well-being of our entire community. We provide medical support to populations that experience homelessness.  

At Cardea, we are dedicated to creating a workplace that celebrates diversity and actively seeks to include underrepresented communities. We believe that diversity drives innovation and fosters a more dynamic, inclusive, and productive work environment. We actively encourage individuals from underrepresented backgrounds to apply for our open positions. We value your unique perspectives, experiences, and talents, and we are committed to providing equitable opportunities for growth and advancement. Join us in building a team that reflects the rich diversity of our society and let's make a positive impact together. 

 

Primary Work Location:  

Hybrid, supporting all our physical clinical supportive housing sites. Work from home is at the discretion of the Medical Billing Manager. On-site presence is needed periodically at various sites across the Bay Area. 

 

Job Summary:   

The Director of Medi-Cal Billing is a strategic and operational leader responsible for overseeing all aspects of Cardea Health’s Medi-Cal billing, enrollment, and revenue optimization functions. This role ensures the financial sustainability of programs by maximizing reimbursement, reducing denials, and building scalable billing infrastructure to support organizational growth. 

Reporting to the CEO, this leader partners closely with Finance, Clinical, Compliance, and Program leadership to align billing operations with evolving Medi-Cal requirements and new program implementation. 

This role requires a highly driven, solutions-oriented leader who is relentlessly persistent in resolving billing challenges, navigating payer systems, and ensuring payment for services delivered. 

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