Billing Process & Quality Manager
About The Position
The Billing Process & Quality Manager role supports the successful transition and ongoing performance of centralized billing operations across communities. It ensures consistent, compliant, and efficient revenue cycle workflows by partnering with community‑based admissions teams, providing process oversight, training, and hands‑on support. This position serves as an organizational subject matter expert in healthcare billing, admissions‑to‑billing alignment, payer requirements. It identifies gaps, builds standardized workflows, strengthens community readiness for TOM onboarding, and ensures high‑quality billing inputs from decentralized admissions teams. Experience is Everything. At LCS, experience is everything. We provide you the opportunity to use your talents in a progressive, growing organization that makes a positive difference in the lives of the seniors we serve. If you are seeking an organization that gives back, you’ll love working here. Our principles and hospitality promises define our company culture. LCS employees can be found participating in volunteer activities, getting involved in our committees or collaborating with team members in our innovative workspace. You’ll find several opportunities to grow as a professional, serve the community, and enhance the lives of seniors.
Requirements
- 5+ years in healthcare billing or revenue cycle management; SNF experience.
- Strong understanding of admissions‑to‑billing workflows, payer rules, and census documentation.
- Excellent communication, facilitation, and training skills.
- Proficiency in PointClickCare
Responsibilities
- Conduct workflow reviews to ensure community documentation, admissions accuracy, and billing inputs meet centralized billing standards.
- Monitor and audit billing queues, claim quality, and required documentation to reduce denials and AR risk.
- Partner closely with centralized billers to troubleshoot issues driven by upstream workflow breakdowns.
- Validate community compliance with payer requirements, MSPQ completion, auth process, and financial paperwork.
- Serve as the liaison between centralized billing and community admissions teams.
- Train and coach admissions staff on: required billing‑critical documentation auth/LOA workflows census accuracy managed care expectations PointClickCare best practices
- Provide guidance to ensure a clean hand‑off from admissions to billing.
- Support discovery, onboarding, and readiness assessments for communities entering TOM.
- Assist in mapping current workflows and aligning them to centralized RCM SOPs.
- Identify trends across communities to recommend standardization, automation, and training needs.
- Develop and maintain educational materials for admissions, billing teams, and leadership.
- Deliver virtual or on‑site training to reinforce standardized processes and reduce error rates.
- Create quick‑reference guides, checklists, and SOP updates tied to centralized billing workflows.
- Continuously monitor federal and state regulatory updates impacting RCM and billing, and translate those changes into updated training, documentation, and standardized processes.
- Review denials, involved in ADRs, and claims requiring follow‑up to identify upstream admissions and billing issues.
- Partner with RCM leadership to recommend process changes that improve AR aging, DSO, and denial prevention.
- Present findings on recurring trends and performance metrics.
- Work with OneEHR, Operations, Clinical, and Finance to optimize systems and workflows.
- Participate in onboarding/disengagement discussions as the RCM workflow SME.
Benefits
- Competitive pay, great benefits and vacation time.
- medical, dental, life insurance, disability, 401(K) with company match and paid parental leave.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
11-50 employees
