Revenue Cycle Manager

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The Community Revenue Cycle Manager serves as the primary financial leader and subject matter expert for all private-pay revenue cycle activities across the Covenant Living Community. This role provides financial oversight, risk mitigation, and collaborative decision-making with campus executive leadership while maintaining hands-on accountability for resident billing, accounts receivable, and regulatory financial processes.

Acting as the central point of coordination between Community Operations, Revenue Cycle, and Central Office Finance, this role ensures accurate revenue capture, timely cash collections, and compliance with organizational policies and regulatory requirements.

The position owns complex resident financial matters, Medicaid eligibility oversight, entrance fee refund administration, and resident trust accounting, while serving as the escalation point for high-risk or sensitive financial issues. This role leads through influence rather than direct supervision and is accountable for the overall private-pay financial health of the campus.

ESSENTIAL RESPONSIBILITIES:

1. Campus Revenue Cycle Leadership & Executive Advisory

• Serve as the primary private-pay revenue cycle advisor to the Executive Director and campus leadership.
• Lead campus-level initiatives to optimize private-pay revenue, reduce AR exposure, and improve financial processes.
• Act as the escalation point for complex or high-risk resident financial cases.
• Respond to executive-level data requests and financial inquiries with clear, actionable insights.

2. Private Pay Billing & Revenue Integrity

• Responsible for campus-wide private-pay billing processes, ensuring accuracy, timeliness, and alignment with contractual terms.
• Prepare and review monthly resident billing statements and revenue reports.
• Audit monthly charges to ensure completeness, proper revenue recognition, and ancillary service capture.
• Partner with third-party billing vendors to validate hospice billing, ancillary charges, and copay accuracy.
• Audit census and payor data to ensure alignment between EMR, billing systems, and financial reporting.
• Investigate and resolve EMR census or billing discrepancies to protect revenue integrity.
• Provide direct support and resolution for resident and family billing inquiries requiring advanced financial expertise.

3. Accounts Receivable & Cash Collections Strategy

• Oversee private-pay accounts receivable performance and cash receipt processes, including ACH activity and reconciliations.
• Monitor AR aging and financial risk, preparing regular AR risk reports for campus and corporate leadership.
• Develop, recommend and manage payment plans in accordance with organizational policy.
• Lead financial conferences with residents, POAs, and interdisciplinary campus teams as needed.
• Ensure consistent application of collection procedures while maintaining resident-centered service standards.

4. Resident Financial Risk Management & Program Oversight

• Identify residents with Medicaid eligibility potential and educate families on application requirements.
• Monitor renewals and ongoing eligibility compliance.
• Coordinate with external Medicaid specialists, attorneys, and campus partners.
• Conduct financial intake meetings with new residents and POAs.
• Review disclosures and ensure compliance with financial admission guidance.
• Report identified financial risks to campus and corporate leadership.

5. Trust, Entrance Fee & Compliance Administration

• Identify, prepare and submit Entrance Fee refund requests for corporate approval and maintain refund schedules.
• Oversee Resident Trust Accounting, including deposits, disbursements, interest, and reporting.
• File and manage Social Security Representative Payee applications and reporting.
• Maintain resident data in actuarial systems for revenue recognition and regulatory reporting.

EDUCATION AND WORK EXPERIENCE:

• Required Degree: N/A
• Preferred Degree:
  • Bachelor's Associates Degree in Business Administration with concentration in accounting (or equivalent industry experience)
• Preferred Certificate(s): N/A
• Experience:
  • 5+ years' experience in a similar role or an accounting or bookkeeping role

KNOWLEDGE, SKILLS, AND ABILITY:

Knowledge:

Revenue Cycle & Financial Knowledge

• Accounts receivable (A/R) management
• End-to-end revenue cycle processes
• Healthcare finance principles and reimbursement methodologies

Technology & Data Knowledge

• Practice management systems (PMS) and electronic health records (EHR)
• Revenue cycle analytics and dashboard reporting
• Excellent computer skills, including proficiency in Microsoft Office products, specifically Excel.

Skills:

Leadership & Management

• Cross-functional collaboration with clinical, IT, compliance, and finance teams
• Project planning and productivity management
• Change management and process improvement leadership

Analytical & Problem-Solving

• Interpreting financial and operational data
• Identifying trends, gaps, and opportunities for improvement
• Translating complex data into actionable strategies
• Prioritizing initiatives based on operational and financial impact

Operational

• Workflow optimization
• AR Collection strategy development
• Process standardization

Communication & Interpersonal

• Clear communication with executive leadership and clinical stakeholders
• Negotiation with customers • Resident financial communication and escalation resolution

Ability to:

• Sustain focus on patient experience while optimizing financial outcomes
• Interpret complex regulations and apply them operationally
• Manage multiple priorities in a high-volume, deadline-driven environment
• Anticipate risks and proactively prevent revenue loss
• Adapt to regulatory, payer, and technology changes
• Maintain confidentiality and uphold compliance standards
• Lead through change and uncertainty

PHYSICAL REQUIREMENTS:

• Regular, predictable attendance is required.
• Sufficient physical ability and mobility to work in an office/community setting.
• Ability to stand or sit for prolonged periods of time.
• Ability to occasionally stoop, bend, kneel, crouch, reach, and twist.
• Ability to lift, carry, push, and/or pull light to moderate amounts of weight up to 50 lbs.
• Ability to operate various equipment base on department and weather conditions
• Engaging in repetitive movements of wrists, hands, and fingers - typing and/or writing.
• Clarity of Vision
  • For near visual acuity Clarity of vision at approximately 20 inches or less (i.e., working with small objects or reading small print), including use of computers.
  • For Far visual acuity, Clarity of vision at 20 feet or more. This is not just the ability to see a person or object, but the ability to recognize features as well.
  • For peripheral vision, observing an area that can be seen up and down or to right or left while eyes are fixed on a given point.

COMPETENCIES:

• Leadership : Guide and inspire a high-performing Customer Success team that achieves and exceeds revenue targets while fostering customer loyalty and growth
• Customer Success : As a customer advocate build strong relationships with our customers, understanding their needs and ensuring their success with our platform. Promote increased adoption and expansion of our solutions within customer organizations
• Continuous Improvement : Advocate for and implement a culture of continuous learning and improvement within the team. Drive initiatives that improve customer satisfaction and team efficiency
• Account Strategy : Define and execute strategies to drive customer retention, renewal, upsell, and cross-sell, contributing directly to our growth objectives
• Cross-Functional : Collaboration Collaborate with other departments to align on company goals, relay customer feedback, and ensure a unified customer experience

#Corporate

Compensation Pay Range:

$67,295.00 - $93,610.25 per year

Reasonable Pay Estimate
A reasonable estimate of the pay range for this position is $67,295.00 - $93,610.25 per year. There are numerous factors taken into consideration in determining the actual offered rate of pay, including but not limited to: job-related qualifications, experience, skills, education, geographic location, and consideration of internal and external equity.

For full time employees, we offer a generous benefits package that includes:

• Medical, dental and vision insurance
• Employer paid group term life and disability
• Paid Time Off (PTO) & six paid holidays
• 403(b) with a 3% employer match
• Fitness center use at most facilities.
• Various voluntary benefits:
• • Life, AD&D
  • Tuition assistance and scholarships
  • Employee assistance program
  • Legal services, home/auto insurance, discount purchasing program
  • Pet Insurance

For more information about Covenant Living and CovenantCare at Home, please visit or

Covenant Living and CovenantCare Home Health and Hospice are equal opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin or ancestry, age, disability, marital status, pregnancy, protected veteran status, protected genetic information, or any other characteristics protected by local laws, regulations, or ordinances.