Revenue Cycle Manager

Job Description Revenue Cycle Manager Tutera Senior Living & Health Care Are you a Revenue Cycle Professional seeking an exciting new career opportunity? Look no further! Tutera Senior Living & Health Care is seeking rockstars to join our team! If you are dedicated and compassionate, WE WANT YOU! What Will You Do in This Role? The Revenue Cycle Manager is responsible for the day-to-day leadership and operational oversight of the Central Billing Office supporting a multi-state portfolio of Skilled Nursing Facilities and Senior Living Medicaid Waiver communities. This position requires expert-level knowledge of Skilled Nursing Facility claims and reimbursement.  The Revenue Cycle Manager must be able to independently review and troubleshoot complex SNF claims, understand how information from facility operations and PointClickCare (PCC) ultimately impacts the claim, identify billing and reimbursement errors, interpret payer and contract requirements, and provide expert guidance to billing and denial resolution staff. The Revenue Cycle Manager oversees a remote Central Billing Office team of approximately 25 employees, including billers, team leads, and denial resolution staff. The team currently supports 45+ Skilled Nursing Facilities and 5 Senior Living Medicaid Waiver communities, with the expectation that the portfolio may increase rapidly. In addition to managing daily billing operations, this position serves as a primary Revenue Cycle resource for complex payer and claim issues, denial escalation, Triple Check accuracy, facility education, revenue and cash trend analysis, and communication of reimbursement risks and cash delays to Revenue Cycle and senior leadership. The successful candidate must combine deep SNF claims expertise with strong leadership, analytical ability, attention to detail, sound judgment, and the ability to operate effectively in a fast-paced, high-pressure environment. Do You Have What It Takes? Central Billing Office Leadership Provide day-to-day leadership and operational oversight of a remote Central Billing Office team of approximately 25 employees, including billers, team leads, and denial resolution staff. Oversee billing operations for 45+ Skilled Nursing Facilities and 5 Senior Living Medicaid Waiver communities across multiple states. Establish and maintain expectations for billing accuracy, timeliness, productivity, account follow-up, documentation, and accountability. Ensure claims are billed accurately and timely and that unresolved billing issues are appropriately prioritized and escalated. Monitor team workloads, performance, and productivity across a large and changing facility portfolio. 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 development of Central Billing Office employees. Ensure adequate team coverage and appropriate distribution of responsibilities as the organization grows or facility assignments change. Create a collaborative environment while maintaining clear accountability for Revenue Cycle expectations and results. SNF Claims & Billing Expertise Serve as a subject-matter expert for Skilled Nursing Facility claims and reimbursement. Independently review complex SNF claims and identify errors affecting billing, reimbursement, or payment. Maintain expert knowledge of Medicare, Medicaid, Medicare Advantage/Managed Care, Medicaid Managed Care, commercial insurance, and other payer billing requirements applicable to Skilled Nursing Facilities. Understand how information throughout the resident and Revenue Cycle process ultimately impacts the claim, including: Census and payer information Medicare eligibility and benefit periods Qualifying Hospital Stay requirements Authorizations MDS and PDPM/HIPPS information Clinical documentation Rates and reimbursement methodology Therapy and ancillary services Coinsurance Payer and contract requirements Consolidated billing requirements Claim adjustments and corrections Understand the complete lifecycle of a SNF claim from admission and payer verification through claim creation, submission, adjudication, payment, denial, adjustment, and final resolution. Identify upstream errors that may result in incorrect claims, denials, underpayments, delayed reimbursement, or revenue loss. Provide technical guidance when billing staff encounter unusual or complex claim situations. Maintain knowledge of changing payer and regulatory requirements affecting SNF billing. Denial Management & Complex Claim Resolution Serve as a primary escalation resource for claims that cannot be resolved through normal billing or denial resolution processes. Assist denial resolution staff with complex Medicare, Medicaid, Managed Care, and commercial insurance denials. Review denied, rejected, underpaid, or delayed claims to determine the underlying cause. Ensure the team is identifying root cause rather than simply correcting individual claims. Analyze denial trends to identify recurring issues by payer, facility, claim type, or operational process. Determine whether recurring issues originate from billing, payer setup, authorization, census, MDS/clinical information, contract configuration, facility processes, payer processing, or another source. Work with appropriate internal departments and payer representatives to resolve systemic reimbursement issues. Identify opportunities for education or process correction when preventable denials are recurring. Monitor high-value or high-risk claim issues through resolution. Payer & Contract Support Maintain a strong working understanding of payer contracts as they relate to billing and reimbursement. Interpret reimbursement methodologies, authorization requirements, covered services, exclusi