Position Summary

The Revenue Cycle Assistant is responsible for supporting the financial operations of a Skilled Nursing Facility. This role assists with billing, payer verification, authorization management, accounts receivable follow-up, and reimbursement processes to ensure accurate and timely revenue collection. The Revenue Cycle Assistant collaborates with the Business Office, Admissions, MDS, and clinical teams to promote financial stability, regulatory compliance, and operational efficiency within the facility.

Essential Duties & Responsibilities

Billing & Reimbursement Support

Assist with Medicare (Part A & B), Medicaid, Managed Care, and private pay billing processes.

Prepare, review, and submit claims in a timely and accurate manner.

Monitor claim status and follow up on unpaid, denied, or rejected claims.

Support month-end billing processes and census reconciliation.

Maintain accurate payer source updates in the billing system.

Insurance Verification & Authorizations

Verify insurance eligibility and benefits prior to admission.

Track and manage payer authorizations and extensions.

Assist with tracking insurance changes and payor changes.

Communicate with insurance providers to ensure continued coverage and reimbursement accuracy.

Coordinate with Admissions and clinical staff to ensure documentation supports payer requirements.

Accounts Receivable & Collections

Oversee Accounts Receivable process including, but not limited to, processing invoices with coding and approvals, aging reports, payment processing, and vendor management.

Support collection efforts including follow-up calls and written communication.

Help resolve billing discrepancies and payment issues.

Maintain organized records of billing documentation and correspondence.

Interdisciplinary Collaboration

Work closely with MDS and clinical teams to ensure PDPM alignment and accurate reimbursement.

MDS and MCR certification assessment & 14/30 Day

Collaborate with Admissions to ensure correct payer setup upon admission.

Communicate with residents and families regarding billing questions when appropriate.

Support the Business Office Manager with reporting and financial tracking initiatives.

Regulatory Compliance

Ensure billing practices align with CMS, state Medicaid, and SNF regulatory requirements.

Assist with audit preparation and survey readiness activities.

Maintain confidentiality and HIPAA compliance at all times.

Quality Assurance & Improvement

Identify trends in denials, payment delays, and authorization challenges.

Recommend workflow improvements to enhance billing accuracy and cash flow.

Assist in revenue-related QAPI initiatives as needed.

Qualifications Required

High school diploma or equivalent required.

Strong attention to detail and organizational skills.

Proficiency in Microsoft Office (Excel, Word, Outlook).

Ability to manage multiple tasks and meet deadlines in a fast-paced environment.

Preferred

Experience in a Skilled Nursing Facility, hospital, or long-term care setting.

Knowledge of Medicare, Medicaid, Managed Care, and PDPM reimbursement.

Familiarity with PointClickCare or similar billing/EMR systems.

Prior experience in healthcare billing or revenue cycle operations.

Job Type: Full-time

Benefits:

• 401(k) matching

• Health insurance

Work Location: In person