This position provides leadership and direction to Revenue Cycle operations for all centers, including revenue optimization, collections, system optimization and ensure best practices resulting in a highly effective Revenue Cycle Department for all of MGM Healthcare. Directing the Revenue Cycle department by setting process and outcome metric goals while ensuring continuous progress for overall success of the Revenue Cycle Department. Responsible to ensure the overall revenue cycle goals for the organization are met. Directs and provides oversight and expertise to ensure the successful optimization and utilization of the billing module for MGM Healthcare.

Essential Functions:

• Develop and implement workflows to reduce accounts receivable balances for Medicaid Pending and Private Pay, standardizing revenue cycle operations across all centers.
• Establish billing and collection policies for Medicaid Pending and Private Pay at both Central Billing Offices and individual centers.
• Incorporate best practices into MGM’s Policies and Procedures, guiding RBOMs (Regional Business Office Managers) and BOMs (Business Office Managers).
• Oversee hiring, onboarding, training, and ongoing development for RBOMs and BOMs.
• Identify root causes of accounts receivable issues and implement solutions.
• Optimize billing modules for accurate, efficient billing and reporting.
• Define Revenue Cycle goals aligned with national benchmarks and ensure these metrics are met.
• Manage timely billing and collections for Medicaid, Private Pay, and Hospice services at Skilled Nursing Facilities (SNFs).
• Conduct regular accounts receivable reviews to drive successful billing and collection outcomes.
• Oversee month-end close activities, including RAM workflow, census reconciliation, and cash posting.
• Manage Resident Account Trust Accounts, including RFMS and resident refund requests.
• Ensure an efficient Medicaid application process across all centers.
• Assist with policy development, maintenance, and implementation as needed.
• Perform additional duties as assigned.

Qualifications (LNHA):

• Education: Associate degree and relevant job experience required; bachelor’s degree preferred.
• Experience: Minimum 2 years of regional leadership experience in SNF revenue cycle management; progressively advancing leadership roles required.
• Skills: At least 3 years experience in Medicaid processes, including applications, and familiarity with PointClickCare (PCC) preferred. Demonstrated ability to lead and develop teams with a results-driven approach.

Physical Requirements: This role requires frequent standing, walking, and sitting, as well as frequent handling and fingering. Occasional reaching is necessary, both outward and above the shoulder level. Rarely, the position may involve climbing, crawling, squatting, kneeling, or bending. Speaking, hearing, and seeing are required constantly.

Lifting Requirements: The role involves lifting or carrying weights of 11-20 pounds, with similar requirements for pushing and pulling.

Frequency Definitions: "Rarely" denotes tasks performed less than 5% of the time (fewer than 30 minutes per day). "Occasionally" refers to tasks performed up to 33% of the time (up to 2.5 hours per day). "Frequently" covers tasks performed 33%-66% of the time (2.5-5.5 hours per day), while "Constantly" indicates tasks performed more than 66% of the time (over 5.5 hours per day).

Supervisory Responsibilities:

• Regional Business Office Managers (RBOM)
• Traveling BOM
• Additional roles as assigned

Travel:
Occasional travel required, which may include overnight stays.

Classifications:

• FLSA: Salaried, Exempt
• EEO: Category 1.2 - First/Mid-Level Officials and Managers
• Census Code: 010 - Financial Managers
• Job Code: 11-3031 - Financial Managers