Revenue Cycle Manager

Covenant Retirement Communities & Covenant Care; Carol Stream (IL); On-site; USD 67,000 - 94,000; Full time

Job summary

Covenant Retirement Communities & Covenant Care seeks a Community Revenue Cycle Manager to serve as the primary financial leader for private-pay revenue cycle across the Covenant Living Community. This role oversees resident billing, AR and regulatory processes, while partnering with campus executive leadership to ensure accurate revenue capture and timely cash collections.

Acting as a central coordinating point among Community Operations, Revenue Cycle, and Central Office Finance, the role

Qualifications

• 5+ years in a similar role or accounting/bookkeeping
• Knowledge of revenue cycle & healthcare finance principles
• Experience with Medicaid eligibility, entrance fee refund admin, and resident trust accounting
• Ability to lead through influence without direct supervision

Responsibilities

• Lead campus private-pay revenue cycle initiatives and act as executive advisor
• Oversee private-pay billing processes, statements, and revenue reporting
• Manage AR, cash collections, and payment plans per policy
• Oversee Medicaid eligibility oversight and admissions disclosures
• Coordinate with campus operations, Revenue Cycle, and Central Office Finance

Skills

Revenue Cycle Knowledge

Leadership

Analytical Thinking

Cross-functional Collaboration

Regulatory Compliance

Education

Bachelor's/Associate in Business Administration with accounting concentration

Tools

PMS

EHR

Job description

We Are Inspired to Serve. Join us!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 AdvisoryServe 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 IntegrityResponsible 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 StrategyOversee 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 OversightIdentify 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 AdministrationIdentify, 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/APreferred Degree:Bachelor’s Associates Degree in Business Administration with concentration in accounting (or equivalent industry experience)Preferred Certificate(s): N/AExperience:5+ years’ experience in a similar role or an accounting or bookkeeping roleKNOWLEDGE, SKILLS, AND ABILITY:Knowledge:Revenue Cycle & Financial KnowledgeAccounts receivable (A/R) managementEnd-to-end revenue cycle processesHealthcare finance principles and reimbursement methodologiesTechnology & Data KnowledgePractice management systems (PMS) and electronic health records (EHR)Revenue cycle analytics and dashboard reportingExcellent computer skills, including proficiency in Microsoft Office products, specifically Excel.Skills:Leadership & ManagementCross-functional collaboration with clinical, IT, compliance, and finance teamsProject planning and productivity managementChange management and process improvement leadershipAnalytical & Problem-SolvingInterpreting financial and operational dataIdentifying trends, gaps, and opportunities for improvementTranslating complex data into actionable strategiesPrioritizing initiatives based on operational and financial impactOperationalWorkflow optimizationAR Collection strategy developmentProcess standardizationCommunication & InterpersonalClear communication with executive leadership and clinical stakeholdersNegotiation with customers • Resident financial communication and escalation resolutionAbility to:Sustain focus on patient experience while optimizing financial outcomesInterpret complex regulations and apply them operationallyManage multiple priorities in a high-volume, deadline-driven environmentAnticipate risks and proactively prevent revenue lossAdapt to regulatory, payer, and technology changesMaintain confidentiality and uphold compliance standardsLead through change and uncertaintyPHYSICAL 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 conditionsEngaging in repetitive movements of wrists, hands, and fingers - typing and/or writing.Clarity of VisionFor 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 growthCustomer 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 organizationsContinuous Improvement: Advocate for and implement a culture of continuous learning and improvement within the team. Drive initiatives that improve customer satisfaction and team efficiencyAccount Strategy: Define and execute strategies to drive customer retention, renewal, upsell, and cross-sell, contributing directly to our growth objectivesCross-Functional: Collaboration Collaborate with other departments to align on company goals, relay customer feedback, and ensure a unified customer experience#CorporateCompensation Pay Range:$67,295.00 - $93,610.25 per yearReasonable Pay EstimateA 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 insuranceEmployer paid group term life and disabilityPaid Time Off (PTO) & six paid holidays403(b) with a 3% employer matchFitness center use at most facilities.Various voluntary benefits:Life, AD&DTuition assistance and scholarshipsEmployee assistance programLegal services, home/auto insurance, discount purchasing programPet InsuranceFor more information about Covenant Living and CovenantCare at Home, please visit www.covliving.org or www.covenantcareathome.org.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.