Revenue Cycle Manager

UHY-US; Goshen (IN); On-site; USD 85,000 - 120,000; Full time

Job summary

UHY-US is seeking a Revenue Cycle Manager in Goshen, IN to serve as a senior operations lead for SNF reimbursement, overseeing monitoring, revenue integrity, payer coordination, aged collections, cost-report coordination, and cross-campus initiatives.

You will partner with campus Business Office Managers, clinical/MDS teams, Central Finance, payers, and outsourced specialists, providing leadership and process oversight across the organization.

Qualifications

• Bachelor’s degree or higher in a related field.
• 5–7+ years in accounts receivable or reimbursement operations.
• SNF/long-term care reimbursement experience preferred.
• Direct Medicare/Medicaid reimbursement experience preferred.

Responsibilities

• Lead SNF reimbursement improvement and reliability initiatives.
• Monitor payer rules, filing deadlines, and documentation needs.
• Oversee aged receivables, denials, and settlements processes.
• Coordinate Medicaid supplemental payments and cost reports.
• Provide executive reporting on revenue-cycle KPIs.
• Coach Revenue Cycle Analyst and cross-campus managers.
• Ensure accuracy of rates, terms, and billing in systems.
• Drive process improvements to reduce delays and write-offs.

Skills

Revenue cycle leadership

Payer coordination

Accounts receivable

Data analysis

Excel proficiency

Cross-functional collaboration

Billing systems

Leadership

Education

Bachelor’s degree in Accounting, Finance, Business, Healthcare Administration, or related field

Tools

PointClickCare

M&S

Medicaid portals

Enterprise accounting/reporting systems

Excel

Job description

A great UHY client is seeking a Revenue Cycle Manager to serve as the senior revenue cycle operations resource and internal lead for skilled nursing facility (SNF) reimbursement. This role will oversee reimbursement monitoring, revenue integrity, payer coordination, aged collections, cost-report coordination, and cross-campus revenue cycle initiatives.

The Revenue Cycle Manager role is based in Goshen, IN and will partner closely with campus Business Office Managers, clinical/MDS teams, Central Finance, payers, and outsourced specialists. The position will provide functional leadership, technical guidance, and process oversight across the organization.

• Serve as the internal operational lead for SNF reimbursement across Medicare, Indiana Medicaid, managed care, and private-pay transitions
• Maintain current knowledge of payer rules, billing requirements, rate components, filing deadlines, and documentation expectations
• Monitor reimbursement changes and coordinate operational requirements, calendars, training, checklists, and validation processes
• Partner with clinical and MDS leadership to identify reimbursement-impacting assessment, census, diagnosis, authorization, and documentation issues
• Coordinate Medicaid supplemental-payment and reimbursement programs, including data gathering, validation, deadlines, reconciliations, and settlements
• Own daily, weekly, and monthly revenue-cycle validation processes across admissions, payer setup, census, billing, claims, remittances, denials, collections, and account closure
• Maintain consolidated exception logs and lead corrective actions for recurring revenue-cycle issues
• Validate rates, payer rules, and resident-specific terms within billing systems and coordinate corrections when necessary
• Coordinate payer, vendor, and outsourced revenue-cycle activities, including workplans, deadlines, documentation, and issue resolution
• Produce executive reporting on revenue-cycle KPIs, including denial rates, collection rates, aged accounts receivable, and write-off rates
• Lead enterprise workplans for aged receivables, denials, appeals, payer settlements, recoupments, credit balances, and difficult account resolution
• Lead operating workplans for SNF cost reports and related reimbursement filings
• Support allowance and reserve analysis by providing aging, collection, Medicaid-pending, denial, appeal, and settlement information
• Support financial close, audit, and reimbursement accounting activities by resolving payer and account questions and providing supporting documentation
• Provide validated payer, census, and reimbursement information to Strategic Finance for forecasting and decision support
• Provide direct management and technical coaching to the Revenue Cycle Analyst and functional direction to Business Office Managers
• Develop and maintain standard procedures, payer guides, training materials, calendars, and control checklists
• Lead process improvements designed to reduce delayed billing, denials, rework, payer leakage, unapplied cash, and avoidable write-offs
• Bachelor’s degree in Accounting, Finance, Business, Healthcare Administration, or related field preferred
• 5–7+ years of progressive experience in accounts receivable, accounting, or CCRC operations
• SNF, long-term care, or senior-living revenue cycle and reimbursement experience preferred
• Direct Medicare and Medicaid reimbursement experience strongly preferred
• Working knowledge of Indiana Medicaid, Medicare SNF reimbursement, managed care, MDS/case-mix dependencies, resident liability, and payer eligibility strongly preferred
• Experience with PointClickCare, M&S, comparable Medicaid/reimbursement portals, Excel, and enterprise accounting or reporting systems strongly preferred
• Strong account research and analytical skills across aging, claims, remittances, authorizations, census, rates, denials, settlements, and supporting documentation
• Strong Excel, reconciliation, and data-validation skills with disciplined documentation and an auditable trail
• Ability to interpret reimbursement guidance and identify when clinical, accounting, legal, or executive judgment is required
• Strong leadership and influencing skills with the ability to coordinate multiple teams and hold stakeholders accountable to deadlines
• Excellent written and verbal communication skills
• Strong judgment, professionalism, confidentiality, and attention to detail
• Ability to work onsite and travel among campuses as needed
• High level of accountability, accuracy, ethics, and commitment to continuous improvement

-------------------------------------------------------------------------------------