Job Description

LHH Recruitment Solutions is working with a healthcare client in the Fredericksburg, VA area to fill a Revenue Cycle Manager Position. The position is a full-time, direct hire role. Compensation is based on experience and ranges from $80-$90K plus health, dental, vision, PTO and 401K benefit options.

LOCATION: in office for first 2 to 3 months while training and then hybrid schedule.

The Revenue Cycle Manager will lead and oversee all functions of the revenue cycle, including billing, collections, accounts receivable, cash posting, insurance verification, and reimbursement activities. The role ensures optimization of revenue generation, timely collections, and compliance with relevant regulations such as Medicare, Medicaid, and private insurance guidelines. The ideal candidate will have a proven track record of driving process improvements, achieving operational efficiencies, and optimizing revenue cycle performance.

1. Responsible for all functions related to the revenue cycle including resident billing, insurance claims submissions, collections and payment processing.
2. Ensure timely and accurate billing of all resident services for Medicare, Medicaid, commercial payers and private pay sources
3. Oversee the resolution of denied and unpaid claims, ensuring timely resubmission and appeals processes
4. Monitor and manage Accounts Receivable aging
5. Create and provide monthly reporting to management related to AR balances, collections/cash flows, and trend analysis in payers
6. Ensure compliance with Federal, State and Local Regulations to include Medicare and Medicaid billing requirements
7. Be a liaison between community staff, clinical staff, admission teams, and administrative personnel to ensure accurate billing

EDUCATION and/or EXPERIENCE

1. Bachelor’s degree in healthcare administration, finance, business, or a related field preferred
2. 5+ years of progressive experience in revenue cycle management, preferably within a Skilled Nursing Facility or similar setting. Multiple location experience preferred.
3. Strong understanding of Medicare, Medicaid, and third-party payer regulations
4. Competency with Microsoft Office products, including intermediate level Excel knowledge (vlookups, pivot tables).

How to Apply: Please apply thru the link in this post and include an updated resume. We are an equal-opportunity employer and welcome candidates from diverse backgrounds.

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