Revenue Cycle Manager

🔥 2 hours ago

🌪️ Kansas, Missouri – Remote

🌪️ Kansas – Remote 🏰 Missouri – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Tutera Senior Living and Health Care

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1983

🍽️ Food & Beverage

🏨 Hospitality

📦 Logistics

Food & Beverage • Hospitality • Logistics

Tutera Senior Living and Health Care is a company that provides high-quality senior living and healthcare services to older adults. They focus on creating a welcoming environment that promotes independence, well-being, and a high quality of life for their residents. With a team of dedicated professionals, Tutera offers various living options and healthcare solutions tailored to the individual needs of seniors.

📋 Description

• Provide day-to-day leadership and operational oversight of a remote Central Billing Office team of approximately 25 employees • Oversee billing operations for 45+ Skilled Nursing Facilities and 5 Senior Living Medicaid Waiver communities across multiple states • Establish expectations for billing accuracy, timeliness, productivity, account follow-up, documentation, and accountability • Ensure claims are billed accurately and timely and unresolved issues are prioritized and escalated • Monitor team workloads, performance, and productivity • Partner with team leads to identify performance concerns, knowledge gaps, and training needs • Provide coaching, education, and technical support to billing and denial resolution staff • Assist with hiring, onboarding, training, and employee development • Serve as subject-matter expert for Skilled Nursing Facility claims and reimbursement • Review complex SNF claims and identify billing, reimbursement, or payment errors • Provide technical guidance on unusual or complex claim situations • Maintain knowledge of changing payer and regulatory requirements • Escalate and resolve complex Medicare, Medicaid, Managed Care, and commercial insurance denials • Analyze denial trends and identify root causes and systemic reimbursement issues • Interpret payer contracts and reimbursement provisions • Support payer, contracting, credentialing, and payer relations issues • Participate in and provide leadership support for the Triple Check process • Train facility Business Office Managers and staff on Triple Check and claim accuracy • Monitor billing, revenue, cash collections, accounts receivable, denial activity, payer performance, and facility trends • Investigate negative revenue and cash trends, cash shortfalls, revenue leakage, and reimbursement risks • Communicate significant billing, payer, denial, revenue, and cash issues to Revenue Cycle and senior leadership • Work with facility Business Office Managers, Administrators, Regional Directors of Operations, and Regional Vice Presidents • Identify facilities requiring additional Revenue Cycle support • Develop targeted education and recommend process improvements for recurring billing and reimbursement issues • Operate independently as a critical extension of the Director of Revenue Cycle Management

🎯 Requirements

• Expert-level knowledge of Skilled Nursing Facility claims and reimbursement is required • Extensive hands-on experience with SNF billing and complex claim resolution • Strong knowledge of Medicare SNF billing requirements and reimbursement • Strong knowledge of Medicaid, Medicare Advantage/Managed Care, Medicaid Managed Care, commercial insurance, and other third-party payer billing within the SNF environment • Demonstrated ability to independently review and troubleshoot complex SNF claims • Thorough understanding of how census, payer information, eligibility, authorizations, MDS/PDPM/HIPPS, clinical information, rates, ancillary services, contracts, and other data affect SNF claims • Strong knowledge of claim edits, rejections, denials, adjustments, corrections, underpayments, and reimbursement resolution • Ability to identify root causes of claim and reimbursement problems • Working knowledge of payer contracts and ability to interpret contract provisions affecting billing and reimbursement • Experience with Triple Check and SNF claim validation • Demonstrated leadership experience within Revenue Cycle, billing, collections, denial management, or a related function • Experience managing centralized, remote, and/or multi-facility Revenue Cycle operations • Strong analytical and critical-thinking skills • Exceptional attention to detail • Strong organizational and prioritization skills • Ability to manage multiple competing priorities across a large facility portfolio • Ability to work effectively and make sound decisions in high-pressure situations • Strong written and verbal communication skills • Ability to communicate effectively with frontline employees, facility leadership, regional leadership, corporate departments, and senior executives • Strong proficiency with Microsoft Excel and Revenue Cycle reporting and analysis • Preferred: Strong experience with PointClickCare (PCC) • Preferred: Experience managing a large remote Central Billing Office • Preferred: Experience overseeing billing operations across multiple states • Preferred: Experience leading or supporting denial resolution teams • Preferred: Experience with Medicaid Waiver billing and Senior Living reimbursement • Preferred: Experience with payer contracting, credentialing, or payer relations teams • Preferred: Experience providing Revenue Cycle education to facility Business Office Managers and Administrators

🏖️ Benefits

• Advanced Pay • Financial Literacy Classes • Employee Assistance Program offering Mental Health Resources, Legal Guidance, Financial Information, and more! • Child Care Discount • Health Insurance • Dental Insurance • Vision Insurance • Life Insurance • 401(k) for Eligible Locations • Tuition Reimbursement • Paid Time Off • Holiday Pay • Exclusive Tutera Perks • Tutera University • Advancement Opportunities • Competitive starting wage • Stability from a family-owned company founded in 1985