Director of Revenue Cycle – Skilled Nursing (SNF/LTC)
Location: Charleston, Illinois — On-Site (NOT A REMOTE POSITION)
Travel: As needed for multi-state facility support
Reports To: Chief Financial Officer (CFO)
PLEASE READ BEFORE APPLYING — SNF/LTC EXPERIENCE REQUIRED
This position requires direct Revenue Cycle, Billing, Accounts Receivable, or Collections experience within the Skilled Nursing Facility (SNF) and/or Long-Term Care (LTC) industry.
Candidates whose revenue cycle experience is limited to hospitals, physician practices, outpatient clinics, dental offices, or other non-SNF healthcare settings will NOT meet the experience requirements for this position. Applicants without direct SNF/LTC revenue cycle experience will not be considered for an interview.
This is an on-site leadership position in Charleston, Illinois. Candidates must currently live within commuting distance or be willing to relocate to Charleston, IL or the surrounding area.
Required Qualifications
- Direct Skilled Nursing Facility (SNF) and/or Long-Term Care (LTC) revenue cycle experience REQUIRED
- Minimum 5–7+ years of revenue cycle, billing, accounts receivable, or collections experience within SNF/LTC
- Demonstrated experience leading and managing billing/AR teams and back-office revenue cycle operations
- Proven ability to train, coach, develop, and hold teams accountable
- PointClickCare (PCC) experience REQUIRED
- Strong knowledge of:
- Medicare and Medicaid billing
- Managed Care/Medicare Advantage
- SNF reimbursement
- PDPM
- Claims submission and payer follow-up
- AR aging and collections
- Denials and appeals
- Revenue cycle performance metrics
- Demonstrated success improving collections, reducing AR, and improving billing accuracy
- Strong organizational and time-management skills
- Ability to manage multiple facilities, priorities, deadlines, and competing demands
- Strong analytical and problem-solving abilities
- Excellent communication and leadership skills
Additional Requirements
- Must currently live within commuting distance or be willing to relocate to Charleston, Illinois or the surrounding area
- Must be able to work on-site; this is NOT a remote position
- Willingness to travel as needed to support facilities
- Must be highly organized and able to create structure within a growing environment
- Ability to remain fluid, flexible, and adaptable as business needs and priorities change
- Comfortable working in a fast-paced, multi-facility organization
- High level of accountability, urgency, and follow-through
- Willingness to be hands-on and step in when necessary
What We're Looking For
We are looking for a hands-on revenue cycle leader—not simply someone who manages from a distance.
The right individual will understand the complexities of Skilled Nursing and Long-Term Care revenue cycle operations, know how to identify where revenue is being lost or delayed, and have the leadership skills to develop a high-performing team.
This person must be highly organized, willing to train and develop others, comfortable holding people accountable, and adaptable enough to lead through change and growth.
We need someone who can evaluate what is working, identify what is not, implement solutions, and adjust quickly when priorities change—all while maintaining a strong focus on billing accuracy, collections, cash flow, and overall revenue cycle performance.
If your revenue cycle experience does not include direct SNF/LTC experience, you will not meet the minimum qualifications for this position.
About the Opportunity
A growing, multi-state skilled nursing organization is seeking an experienced and highly organized Director of Revenue Cycle to lead and optimize billing, accounts receivable, collections, and revenue cycle operations across its portfolio.
This is a hands-on leadership role requiring someone who understands the full lifecycle of skilled nursing reimbursement—from billing submission through final collection.
The ideal candidate is not only technically strong in SNF revenue cycle operations, but is also an effective leader, trainer, and team developer. This individual must be comfortable establishing structure and accountability while remaining flexible, adaptable, and solutions-focused as organizational needs and priorities evolve.
This position will play a critical role in developing the revenue cycle team, strengthening processes, improving collections, and ensuring revenue is accurately and timely captured across the organization.
Key Responsibilities - Revenue Cycle Leadership
- Oversee the entire revenue cycle process across multiple skilled nursing facilities, from billing through collections
- Provide leadership and direction to the centralized/back-office revenue cycle team
- Establish clear expectations, workflows, priorities, and accountability
- Ensure timely and accurate billing in accordance with Medicare, Medicaid, managed care, commercial payer, and regulatory requirements
- Drive collection performance with a goal of achieving and maintaining 95%+ collection rates
- Monitor AR aging and aggressively address outstanding balances and collection barriers
- Maintain strong oversight of revenue cycle performance across the portfolio
Team Leadership, Training & Development
- Lead, coach, train, and develop billing and AR team members
- Assess current workflows and identify opportunities for additional training or process improvement
- Develop consistent procedures and expectations across the revenue cycle department
- Provide hands-on guidance when complex billing, payer, or collection issues arise
- Hold team members accountable while providing the tools, training, and support necessary for success
- Build a collaborative team environment focused on accuracy, productivity, accountability, and continuous improvement
- Adapt leadership and workflows as organizational needs, payer requirements, and operational priorities change
Billing Operations & Oversight
- Directly oversee billing operations across multiple SNF facilities
- Ensure claims are submitted accurately, cleanly, and timely
- Monitor billing deadlines and identify issues before they impact reimbursement
- Identify and correct billing errors, missed charges, and potential revenue leakage
- Ensure appropriate follow-up occurs on outstanding and underpaid claims
- Establish effective processes for managing high-dollar and aging accounts
Accounts Receivable & Collections
- Monitor AR aging across the organization and establish collection priorities
- Drive consistent payer follow-up and resolution of outstanding accounts
- Identify trends contributing to aging AR and implement corrective action
- Develop strategies to improve cash flow and reduce Days in AR
- Ensure unpaid and underpaid claims are worked timely and appropriately
- Hold teams accountable for collection goals and follow-up expectations
Denials Management & Process Improvement
- Lead denial management efforts, including root-cause analysis and resolution
- Identify recurring denial patterns and implement corrective processes
- Improve first-pass claim acceptance and reduce preventable denials
- Establish workflows to ensure denied and rejected claims are corrected and resubmitted timely
- Continuously evaluate revenue cycle processes for opportunities to improve efficiency, accuracy, and cash flow
PointClickCare & Systems
- Provide oversight of revenue cycle operations within PointClickCare (PCC)
- Ensure appropriate and consistent utilization of PCC across the revenue cycle team
- Maintain accuracy and integrity of billing and financial data
- Utilize system reporting to identify trends and monitor performance
- Partner with operational and technical teams to improve workflows, reporting, and system efficiencies
Skilled Nursing Reimbursement
- Provide oversight of Medicare, Medicaid, Managed Care/Medicare Advantage, commercial, and other payer billing within the SNF environment
- Maintain a strong understanding of SNF reimbursement requirements, including PDPM
- Ensure billing practices remain compliant with payer and regulatory requirements
- Partner with clinical, MDS, operations, admissions, and facility leadership to ensure documentation and operational processes support accurate reimbursement
- Identify reimbursement issues and work cross-functionally to resolve them
Reporting & Performance Management
Monitor and report key revenue cycle performance indicators, including:
- Days in AR
- Collection rates
- Denial rates
- Billing timeliness
- Aging trends
- Outstanding and high-dollar accounts
Provide regular reporting, analysis, and recommendations to the CFO and executive leadership team.
Use data to identify trends, establish priorities, and hold the revenue cycle team accountable to established performance goals.
Cross-Functional & Multi-Facility Support
- Partner closely with Finance, Operations, Clinical, MDS, Admissions, and facility leadership
- Support CHOW transitions and maintain billing continuity during ownership changes
- Assist with audits, cost-reporting support, and compliance initiatives
- Travel to facilities as needed to provide support, training, or address revenue cycle concerns
- Adjust priorities quickly as operational and organizational needs evolve
Pay: $110,000.00 - $135,000.00 per year
Benefits:
- Health insurance
- Paid time off
Work Location: In person
