Billing and Revenue Cycle Manager

IMMANUEL LIVING•Kalispell, MT

12h•Onsite

About The Position

The Manager of Billing & Revenue Cycle provides strategic and operational leadership for all billing and revenue cycle functions across Immanuel Living and its related business lines, including The Retreat, the Terraces, Immanuel Living at Home, Immanuel Direct and Growing Roots Early Learning Center. This role is responsible for the integrity, compliance, accuracy, and timeliness of all billing operations, collections, payor management, patient trust processes, and associated financial reporting. The Manager directly supervises billing personnel and provides indirect oversight and coordination to staff in other departments performing billing-related functions to ensure standardized processes and compliance across the organization. In addition, this position holds delegated financial approval authority for admissions to The Retreat and serves as a key financial partner to operational leadership. The Manager exercises independent judgment, maintains strict confidentiality, and works closely with the CFO and other executives to optimize cash flow, minimize risk, and support the financial sustainability of the organization.

Requirements

Minimum of 5 years of progressive healthcare billing experience, including at least 2 years in a supervisory or leadership capacity.
Extensive experience in skilled nursing revenue cycle management, including Medicare A & B, Medicaid, Managed Care, VA and third-party billing.
Strong knowledge of Medicaid application processes
Experience in balance sheet reconciliation.
Demonstrated experience improving revenue cycle processes and managing complex reimbursement environments.
Proficiency in Microsoft Office and healthcare billing systems.
Strong analytical, leadership, communication, and organizational skills.
Ability to exercise independent judgment and manage multiple priorities in a fast-paced environment.

Nice To Haves

Associate’s or Bachelor’s degree in Accounting, Finance, Business Administration, or related field preferred.
Equivalent experience may be considered.

Responsibilities

Manage and reconcile patient trust monthly
Back up medical records for Managed Care weekly renewals and authorizations.
Work safely, set an example of thorough and thoughtful compliance with safety activities.
Provide enterprise-wide leadership for all billing and revenue cycle operations across multiple service lines.
Develop, implement, and standardize billing policies, internal controls, and best practices across departments.
Directly supervise billing team members; provide training, performance management, and professional development.
Provide indirect oversight and coordination to staff in other departments responsible for billing-related functions to ensure alignment and compliance.
Serve as the primary liaison between Finance, Admissions, Clinical Services, and external vendors regarding billing operations.
Analyze key revenue cycle metrics including aging, reimbursement trends, denial rates, and cash collections; develop corrective action plans when necessary.
Lead process improvement initiatives to strengthen efficiency, compliance, and financial outcomes.
Ensure compliance with all Federal and State regulations, Medicare, Medicaid, Managed Care, and third-party payer requirements.
Partner with the CFO on financial forecasting, revenue projections, and audit preparation.
Ensure proper application of payments to resident accounts
Present revenue cycle reports and analysis to senior leadership as requested.
Oversee all aspects of billing operations for Immanuel Living at Buffalo Hill.
Ensure accurate and timely monthly billing for all services rendered.
Monitor and manage accounts receivable; conduct routine aging reviews and lead collection efforts.
Ensure proper application of payments and reconciliation of resident accounts.
Lead appeals and follow-up on unpaid or denied claims.
Maintain expertise in reimbursement regulations (Medicare A & B, Medicaid, VA, Workers’ Comp, MCOs, commercial payers).
Ensure accurate completion of UB-04 and CMS-1500 claims.
Oversee Triple Check process to validate documentation supporting billed services.
Complete RAC audits and coordinate external audit responses.
Track Medicaid applications and support families through the process.
Ensure timely communication of census and payor updates to ancillary vendors.
Submit PBJ reporting and oversee staffing hour review.
Reconcile applicable balance sheet accounts monthly.
Provide financial review and approval of all potential admissions.
Collaborate with Admissions and Clinical teams to prioritize admissions based on medical necessity and financial sustainability.
Monitor reimbursement trends and provide recommendations regarding payor mix strategy.
Model and promote Immanuel Living’s mission, core values, and guiding principles.
Lead with integrity, professionalism, accountability, and discretion.
Foster a culture of collaboration, positivity, and continuous improvement.
Ensure a safe and compliant working environment.
Protect confidentiality of all resident and organizational information.
Maintain predictable presence and responsible time management.
Serve as a role model of the Immanuel Spirit and Hospitality philosophy.