Director of Revenue Cycle Management

About the company

Our client is a mission-driven healthcare company that operates state veterans homes, and that's its entire focus. States own the homes and contract the company to run them. It has done this since the late 1990s and now operates about 15 homes in South Carolina, Alabama and Texas, with Georgia and North Carolina on the way.

The company is a $300M+ organization with about 3,000 employees, and it expects to double in size over the next few years. People join for the mission: these aren't typical nursing homes, and the care, buildings and food reflect that. The support center is in Anderson, SC.

About the role

The Revenue Cycle Manager leads billing for the company's veterans homes and makes sure every home is billed accurately and paid on time. Most revenue comes from state partners under contract, with a smaller share from Medicare, Medicaid and resident payments.

You'll lead the billing team at the Anderson support center and partner with each home's business office coordinator, administrators and state representatives. This role is as much about relationships and clear communication as it is about billing.

Responsibilities

• Lead, train and develop the billing team at the support center, setting clear expectations and managing performance
• Ensure daily census and resident movement (admissions, discharges, hospital stays) are recorded accurately so billing is correct
• Oversee monthly billing to state partners and reconcile billed amounts to payments received
• Manage Medicare Part B billing, resident out-of-pocket payments and resident trust fund oversight
• Interpret aging reports and help home administrators resolve unpaid balances with state partners and veterans' families
• Partner with Finance and Accounting on month-end reconciliations and revenue reporting
• Build strong relationships with each home's business office coordinator, administrators and state representatives
• Serve as the go-to resource on billing questions, explaining data so others can act on it
• Improve billing processes and controls as the company adds new homes and states
• Travel periodically to homes in other states

Qualifications

Required:

• 5+ years of healthcare revenue cycle experience, including 3+ years managing people
• Experience leading billing across multiple locations, a chain of practices or a large department
• Working knowledge of Medicare and Medicaid billing
• Strong understanding of aging reports, collections and month-end reconciliation
• Professional, polished communication with leadership, outside partners and families
• Bachelor's degree preferred, or equivalent experience

Preferred:

• Skilled nursing, long-term care or post-acute revenue cycle experience
• Experience billing government or contract payers, such as state agencies or the VA
• Census-based billing, resident trust funds and patient liability experience
• PointClickCare (PCC) experience
• Experience supporting growth into new locations or states