Director of Revenue Cycle Skilled Nursing SNF LTC

Serenity Estates; Charleston (IL); On-site; USD 110,000 - 150,000; Full time

Job summary

Serenity Estates in Charleston, Illinois, is seeking a Director of Revenue Cycle to lead billing and collections for a multi-site SNF portfolio. This hands-on leader will drive end-to-end revenue cycle performance, ensure compliant submissions, and maximize cash flow across facilities.

The role requires extensive SNF billing experience, PCC proficiency, and a track record of improving collections and denials. On-site with travel as needed; reports to CFO.

Qualifications

• Must have direct Skilled Nursing Facility (SNF) experience.
• 5–7+ years in revenue cycle, billing, or collections within SNF/long-term care.
• Experience managing back-office billing teams and workflows.
• Required/PCC experience with PointClickCare (PCC).
• Deep understanding of Medicare/Medicaid billing, PDPM, and payer guidelines.
• Proven success improving collections, AR reduction, and billing accuracy.

Responsibilities

• Oversee the entire revenue cycle across all facilities, from billing through collections.
• Ensure timely, accurate billing submissions in line with Medicare/Medicaid requirements.
• Drive collections performance with a target of 95%+ collection rates.
• Monitor AR aging and aggressively reduce outstanding balances.
• Direct back-office billing teams across multiple facilities and set clear expectations.
• Lead denials management and implement processes to reduce denials.
• Improve PCC system usage and billing workflows with IT and operations.
• Report KPIs to CFO and executive leadership; hold teams accountable.

Skills

SNF billing experience

PCC experience

Revenue cycle management

Leadership

Denials management

Tools

PointClickCare (PCC)

Job description

Location: Charleston, Illinois — On-Site (NOT A REMOTE POSITION)

PLEASE READ BEFORE APPLYING: Skilled Nursing Facility Experience REQUIRED- This position REQUIRES prior billing, accounts receivable, or payer follow-up experience in Skilled Nursing Facility (SNF) or Long Term Care (LTC) environment. Candidates whose billing is limited to hospitals, physician practices, outpatient clinics, dental offices or NON- SNF facilities, WILL NOT meet the requirements for this position.

Director of Revenue Cycle
Travel: As needed (multi-state support)
Reports To: Chief Financial Officer (CFO)

About the Opportunity

A growing, multi-state skilled nursing organization is seeking a highly experienced and results-driven Director of Revenue Cycle to lead and optimize all billing and collections operations across the portfolio.

This role is critical to the financial health of the organization and requires a hands‑on leader who understands the full lifecycle of skilled nursing billing—from submission to collections—and can drive accountability, accuracy, and performance across the back‑office team.

Key Responsibilities

Revenue Cycle Leadership (CORE FOCUS)

• Oversee the entire revenue cycle process across all facilities, from billing through collections

• Ensure timely, accurate billing submissions in accordance with Medicare, Medicaid, and payer requirements

• Drive collections performance with a target of 95%+ collection rates

• Monitor AR aging, identify trends, and aggressively work to reduce outstanding balances

Billing Operations & Oversight

• Directly manage and oversee back‑office billing teams (billers) across multiple facilities

• Establish clear expectations, workflows, and accountability for billing staff

• Ensure all claims are submitted cleanly and promptly, minimizing rework and delays

• Identify and correct billing errors, missed charges, and revenue leakage

Denials Management & Process Improvement

• Lead denial management efforts, including root cause analysis and resolution

• Implement systems and processes to reduce denials and improve first-pass acceptance rates

• Continuously improve billing workflows to increase efficiency and cash flow

Systems & Technology

• Utilize and oversee billing operations within PointClickCare (PCC)

• Ensure proper system utilization, accuracy of data entry, and optimization of workflows within PCC

• Partner with IT and operations teams to improve system efficiencies and reporting capabilities

Skilled Nursing Reimbursement Expertise

• Oversee billing for Medicare, Medicaid, and other payers within SNF environments

• Ensure compliance with PDPM, payer guidelines, and regulatory requirements

• Partner with clinical and facility teams to ensure documentation supports reimbursement

Reporting & Performance Management

• Track and report on key revenue cycle KPIs, including:

  • Days in AR

  • Collection rates

  • Denial rates

  • Billing timeliness

• Provide regular reporting and insights to the CFO and executive leadership

• Hold teams accountable to performance metrics and deadlines

Cross-Functional Collaboration

• Work closely with finance, operations, and clinical leadership to align processes and improve outcomes

• Support CHOW transitions and ensure billing continuity during ownership changes

• Assist with audits, cost reporting support, and compliance initiatives

Qualifications

• MUST have direct Skilled Nursing Facility (SNF) experience

• Minimum of 5–7+ years of experience in revenue cycle, billing, or collections within SNF or long‑term care

• Proven experience managing billing teams and back‑office operations

• Required experience with PointClickCare (PCC)

• Deep understanding of:

  • Medicare and Medicaid billing

  • SNF reimbursement and PDPM

  • Claims submission, AR management, and collections strategies

  • Denials management and revenue optimization

• Demonstrated success improving collections, reducing AR, and increasing billing accuracy

• Strong leadership, problem‑solving, and organizational skills

• Detail‑oriented with a proactive, hands‑on approach

Additional Requirements

• Must be based in or willing to relocate to Charleston, Illinois

• Willingness to travel as needed to support facilities

• Ability to thrive in a fast‑paced, high‑growth environment

• High level of accountability, urgency, and follow‑through

What We’re Looking For

We are seeking a leader who takes full ownership of the revenue cycle and understands that strong financial performance starts with disciplined billing and collections execution. This individual will be expected to lead from the front—driving results, holding teams accountable, and ensuring no revenue is left on the table.