Manager of Revenue Cycle

Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.

Job Summary
The Revenue Cycle Manager oversees all aspects of the billing, collections, and reimbursement processes for a Skilled Nursing Facility (SNF) and Senior Housing portfolio. This role ensures accurate and timely billing, maximizes reimbursement, and drives process improvements across payer types including Medicare, Medicaid, Managed Care, and Private Pay. The manager will work closely with facility leadership, admissions, and accounting teams to ensure complete and compliant revenue capture, census reconciliation, and cash flow optimization.

Roles and Responsibilities
* Manages end-to-end billing and collections for SNF and senior housing entities, including Medicare A/B, Medicaid, Managed Care, and Private Pay accounts.
* Oversees the accuracy of census, charge capture, and claim submission processes to minimize denials and delays.
* Conducts regular revenue cycle audits to ensure compliance with regulatory and payer requirements.
* Monitors key performance indicators (KPIs) such as days in A/R, DSO, bad debt percentage, and collection rates.
* Leads monthly census reconciliation processes in collaboration with Admissions, MDS, and Finance.
* Supervises and mentors billing, collections, and cash posting staff.
* Collaborates with facility business office managers and regional operations leaders to resolve reimbursement and payment issues.
* Partners with accounting and financial reporting teams to ensure accurate month-end close and revenue recognition.
* Manages the appeals process for denied or underpaid claims-ensuring appeals are supported with appropriate documentation, clinical records, and regulatory references.
* Maintains current knowledge of Medicare/Medicaid regulations, managed care contract terms, and evolving reimbursement models.
* Ensures compliance with HIPAA, payer, and state/federal billing regulations.
* Oversees denial management, appeals process, and root cause analysis to implement corrective action plans.
* Identifies opportunities for automation and workflow enhancement to improve billing efficiency.
* Develops and distributes monthly revenue cycle reports and dashboards for leadership.
* Supports implementation and optimization of EHR, billing, and collection systems.
* Partners with Accounting to ensure accurate and timely month-end close processes for all SNF and senior housing entities.
* Partners with accounting to reconcile accounts receivable subledgers to the general ledger and resolve discrepancies.
* Reviews and validates monthly revenue and adjustment entries to ensure accuracy of financial reporting.
* Prepares and submits month-end revenue cycle reports and variance analyses to management.
* Provides detailed A/R aging, cash posting summaries, and payer trend data to support financial statements.
* Supports audit requests and provide documentation for internal and external financial reviews.
* Other duties as assigned

Qualifications
Education: High School / GED
Experience: 5-8 years

Licenses and Certifications
Bachelors Degree preferred
Experience with multi-facility revenue cycle operations.
Prior experience leading census reconciliation and payer audits.
Working knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes and associated reimbursement methodologies.
Proficiency with electronic billing systems and EHR platforms (e.g., PointClickCare, MatrixCare, or similar).
Strong attention to detail, organization, and accuracy.

Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.

• Competitive salaries and weekly pay
• 401(k) Company Match
• Mental Health Support Program
• Student Loan Repayment and Tuition Reimbursement
• Health, vision, dental & life insurance kick in on the first of the month after your start date
• First time homebuyers' program
• HSA/FSA
• And so much more!

Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged.

Flexibility is what you want, and flexibility is what you'll get.

Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you.

Six months of training, orientation, and fun!

We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back.

As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws.

FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.