Senior Revenue Cycle Specialist
SMP Health St. Catherine
Position Summary
As a Senior Revenue Cycle Specialist at St. Catherine, you will play a key role in managing resident billing, reimbursement, and accounts receivable processes in a long-term care setting.
You’ll serve as a trusted resource for residents, families, and internal teams by ensuring accurate billing, resolving complex financial issues, and supporting compliance with Medicare, Medicaid, VA, and other payer requirements.
Working collaboratively across departments, you’ll help maintain efficient revenue cycle operations while delivering excellent customer service and financial clarity to those we serve.
What You’ll Do
- Manage billing and accounts receivable for Medicare, Medicaid, private pay, VA, managed care, and other payer sources
- Ensure timely and accurate billing, payment posting, and account reconciliation
- Monitor aging reports and proactively resolve unpaid claims, denials, and discrepancies
- Communicate with residents, families, insurance providers, and agencies regarding billing and account questions
- Assist residents and families in understanding financial obligations, coverage, and payment options
- Maintain accurate resident account records in compliance with regulations and policies
- Collaborate with nursing, admissions, social services, MDS, and finance teams to support reimbursement
- Research and resolve complex billing, eligibility, and reimbursement issues
- Prepare reports and maintain documentation related to accounts receivable and collections
- Stay up to date on Medicare, Medicaid, VA, and payer regulations affecting reimbursement
- Provide professional, compassionate customer service while maintaining confidentiality
What We’re Looking For
- Associate’s degree or equivalent combination of education and experience
- Minimum of three years of experience in healthcare billing, revenue cycle, finance, or related field
- Strong analytical, organizational, and problem-solving skills
- Excellent verbal and written communication skills
- Proficiency in Microsoft Office, especially Excel
- Ability to manage multiple priorities and work independently
Preferred:
- Bachelor’s degree in Business, Accounting, Finance, Healthcare Administration, or related field
- Experience with Medicare, Medicaid, managed care, VA billing, or long-term care reimbursement
- Experience with PointClickCare or similar healthcare systems
- Knowledge of skilled nursing facility revenue cycle processes
Work Environment
This role is based in a long-term care setting and primarily performed in an office environment. You’ll collaborate closely with internal departments as well as residents and families. The pace can be fast and detail-oriented, requiring strong focus and problem-solving skills.
Physical Requirements (Summary)
- Primarily seated work with frequent computer use
- Occasional standing, walking, and light lifting
- Ability to communicate clearly in person and over the phone
- Ability to manage extended periods of screen time and data entry
Benefits
- Health, dental, and vision insurance
- Retirement plan with employer match
- Paid time off
- Flexible spending and health savings accounts
- Life insurance and employee assistance program
- Professional development opportunities
- Stable Monday–Friday schedule
About SMP Health – St. Catherine South
SMP Health – St. Catherine South is a skilled nursing and rehabilitation community dedicated to providing compassionate, high-quality care. Our team is committed to serving residents with dignity, respect, and excellence while fostering a supportive and collaborative work environment.
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