Join us at LifeSpire of Virginia where we impact lives and build careers! We are comprised of 5 nonprofit senior life plan communities, have over 1200 team members across Virginia, and believe strongly in our mission of empowering individuals with choices in purposeful living.
We have a collaborative and supportive team that supports work/life integration and personal development. Together we can make a difference for residents and their families. If you have strong benefit communication skills and a drive for excellence, we'd love to talk to you.
GENERAL OVERVIEW:
The Revenue Cycle Manager will lead and oversee all functions of the revenue cycle, including billing, collections, accounts receivable, cash posting, insurance verification, and reimbursement activities. The role ensures optimization of revenue generation, timely collections, and compliance with relevant regulations such as Medicare, Medicaid, and private insurance guidelines. The ideal candidate will have a proven track record of driving process improvements, achieving operational efficiencies, and optimizing revenue cycle performance.
KEY DUTIES AND RESPONSIBILITIES:
- Supports the Mission, Values and Vision of LifeSpire of Virginia.
- Responsible for all functions related to the revenue cycle including resident billing, insurance claims submissions, collections and payment processing.
- Ensure timely and accurate billing of all resident services for Medicare, Medicaid, commercial payers and private pay sources.
- Oversee the resolution of denied and unpaid claims, ensuring timely resubmission and appeals processes.
- Monitor and manage Accounts Receivable aging.
- Create and provide monthly reporting to management related to AR balances, collections/cash flows, and trend analysis in payers.
- Ensure compliance with Federal, State and Local Regulations to include Medicare and Medicaid billing requirements.
- Be a liaison between community staff, clinical staff, admission teams, and administrative personnel to ensure accurate resident billing.
EDUCATION and/or EXPERIENCE:
- Bachelor’s degree in healthcare administration, finance, business, or a related field preferred.
- 5+ years of progressive experience in revenue cycle management, preferably within a Skilled Nursing Facility or similar healthcare setting. Multiple locations preferred.
- Strong understanding of Medicare, Medicaid, and third-party payer regulations.
- Ability to maintain and strengthen good working relationships within companies and staff. Positive, can-do attitude required.
- Ability to multi-task, meet deadlines, and adapt to change.
- Competency with Microsoft Office products, including intermediate level Excel knowledge (vlookups, pivot tables).
PHYSICAL DEMANDS:
- The employee must occasionally push/pull or lift and move up to 25 pounds.
- Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.
- Dexterity of hands and fingers to operate a computer keyboard, mouse, and other standard office equipment.
We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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