Manager of Revenue Cycle

Trilogy Health Services • Louisville, KY

70d • Hybrid

About The Position

The Revenue Cycle Manager oversees all aspects of the billing, collections, and reimbursement processes for a Skilled Nursing Facility (SNF) and Senior Housing portfolio. This role ensures accurate and timely billing, maximizes reimbursement, and drives process improvements across payer types including Medicare, Medicaid, Managed Care, and Private Pay. The manager will work closely with facility leadership, admissions, and accounting teams to ensure complete and compliant revenue capture, census reconciliation, and cash flow optimization.

Requirements

• High School / GED
• 5-8 years
• Bachelors Degree preferred
• Experience with multi-facility revenue cycle operations.
• Prior experience leading census reconciliation and payer audits.
• Working knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes and associated reimbursement methodologies.
• Proficiency with electronic billing systems and EHR platforms (e.g., PointClickCare, MatrixCare, or similar).
• Strong attention to detail, organization, and accuracy.
• Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.

Responsibilities

• Manages end-to-end billing and collections for SNF and senior housing entities, including Medicare A/B, Medicaid, Managed Care, and Private Pay accounts.
• Oversees the accuracy of census, charge capture, and claim submission processes to minimize denials and delays.
• Conducts regular revenue cycle audits to ensure compliance with regulatory and payer requirements.
• Monitors key performance indicators (KPIs) such as days in A/R, DSO, bad debt percentage, and collection rates.
• Leads monthly census reconciliation processes in collaboration with Admissions, MDS, and Finance.
• Supervises and mentors billing, collections, and cash posting staff.
• Collaborates with facility business office managers and regional operations leaders to resolve reimbursement and payment issues.
• Partners with accounting and financial reporting teams to ensure accurate month-end close and revenue recognition.
• Manages the appeals process for denied or underpaid claims-ensuring appeals are supported with appropriate documentation, clinical records, and regulatory references.
• Maintains current knowledge of Medicare/Medicaid regulations, managed care contract terms, and evolving reimbursement models.
• Ensures compliance with HIPAA, payer, and state/federal billing regulations.
• Oversees denial management, appeals process, and root cause analysis to implement corrective action plans.
• Identifies opportunities for automation and workflow enhancement to improve billing efficiency.
• Develops and distributes monthly revenue cycle reports and dashboards for leadership.
• Supports implementation and optimization of EHR, billing, and collection systems.
• Partners with Accounting to ensure accurate and timely month-end close processes for all SNF and senior housing entities.
• Partners with accounting to reconcile accounts receivable subledgers to the general ledger and resolve discrepancies.
• Reviews and validates monthly revenue and adjustment entries to ensure accuracy of financial reporting.
• Prepares and submits month-end revenue cycle reports and variance analyses to management.
• Provides detailed A/R aging, cash posting summaries, and payer trend data to support financial statements.
• Supports audit requests and provide documentation for internal and external financial reviews.
• Other duties as assigned

Benefits

• Competitive salaries and weekly pay
• 401(k) Company Match
• Mental Health Support Program
• Student Loan Repayment and Tuition Reimbursement
• Health, vision, dental & life insurance kick in on the first of the month after your start date
• First time homebuyers' program
• HSA/FSA
• And so much more!

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Nursing and Residential Care Facilities
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees