Revenue Cycle Representative - Facilities SNF LTC Position Summary The Revenue Cycle Representative - Facilities SNF LTC is responsible for supporting the end to end revenue cycle operations for Skilled Nursing Facility SNF and Long Term Care LTC services This role performs a full range of activities including billing cash posting accounts receivable A R follow up and payer resolution The representative ensures accurate and timely reimbursement by maintaining compliance with payer guidelines resolving claim issues and delivering high quality financial support to the organization Key Responsibilities 1 Billing Claims Management Prepare review and submit electronic and paper claims for SNF and LTC services to Medicare Medicaid Managed Care plans and commercial payers Verify claim accuracy including rates patient liability room and board charges therapy services and ancillary items Monitor and resolve held rejected or denied claims prior to submission Ensure billing compliance with regulatory requirements specific to SNF and LTC including UB 04 claim standards and state Medicaid guidelines Coordinate with facility teams to reconcile documentation correct billing issues and ensure timely claim submission 2 Cash Posting Payment Reconciliation Post all incoming payments adjustments and remittance information accurately and timely into the billing system Reconcile daily deposits EFTs ERAs and lockbox transactions Identify and correct payment discrepancies underpayments and payer errors Process and document refunds or recoupments in accordance with internal and regulatory standards Maintain accurate cash logs and ensure proper month end balancing 3 Accounts Receivable A R Management Follow Up Manage an assigned A R portfolio to reduce outstanding balances and achieve department targets Conduct follow up with payers on unpaid denied or delayed claims Research claim statuses using payer portals provider lines and remittance details Initiate appeals and reconsiderations with the appropriate documentation Track and resolve authorization issues eligibility discrepancies and coverage conflicts affecting payment Collaborate with facilities to obtain clinical documentation medical records or supporting materials needed for claim resolution 4 Compliance Quality Assurance Maintain up to date knowledge of Medicare Medicaid and Managed Care SNF LTC billing regulations Follow HIPAA regulatory and organizational guidelines Support audit initiatives by providing billing records remittances and payer correspondence Document all actions accurately in the billing and A R systems 5 Cross Functional Collaboration Work closely with facility leadership admissions MDS teams therapy providers and case management to ensure billing accuracy Communicate payer trends denial patterns and process improvement opportunities to leadership Provide professional timely responses to internal and external partners Qualifications Required Education equivalent to a High school diploma college degree preferred Experience in healthcare revenue cycle operations billing cash posting or A R Knowledge of UB 04 billing SNF LTC payer rules and basic accounting principles Solid computer and EMR billing software skills Excellent attention to detail and organizational skills Preferred 1-2 years of SNF or LTC billing experience Familiarity with Medicare A B Medicaid Managed Care and PDPM reimbursement Experience with clearinghouses and payer portals Working knowledge of medical terminology and billing codes Core Competencies Accuracy attention to detail Problem solving analytical thinking Strong communication skills Time management and ability to prioritize Customer service orientation Team driven collaboration Joining us is more than saying yes to making the world a healthier place It s discovering a career that s challenging supportive and inspiring Where a culture driven by excellence helps you not only meet your goals but also create new ones We focus on creating a diverse and inclusive culture encouraging individual expression in the workplace and thrive on the innovative ideas this generates If this sounds like the workplace for you apply now We commit to respond to every applicant