Revenue Manager (Skilled Nursing And Senior Living)

Job Title: Revenue Manager

Location: Westport, CT

Employment Type: Full Time Salaried Exempt

Salary Range: $100,000 - $115,000 annual

Department: Accounting

About Us: Maplewood Senior Living, is a leading operator of premier senior living communities across 5 states and Washington, D.C., featuring two distinguished brands: Maplewood and Inspīr. Known nationally for innovation in the senior living space, Maplewood is a growing company dedicated to excellence in care, offering personalized and thoughtful services in independent living, assisted living and memory care.

Our success is built on a foundation of personalized, compassionate care and communities designed to enrich the quality of life for our residents. We foster a dynamic and supportive work environment that empowers our teams to excel, inspire, and make a meaningful impact every day. If you are a passionate about driving growth and innovation in senior living, Maplewood offers the opportunity to be part of a forward-thinking organization that values your expertise. Join us and help shape the future of senior living!

Position Summary: The Revenue Manager is responsible for overseeing all revenue including accounts receivable functions related to third-party billing, private pay billing, collections, and reimbursement processes. This position ensures accurate billing, timely collections, compliance with Medicaid and Medicare regulations in MA & NJ, and proper reconciliation of financial records. The role requires strong analytical skills, attention to detail, and the ability to coordinate with internal teams and external agencies to expedite payments and resolve account discrepancies.

Essential Functions:

Billing & Revenue Cycle Management

• Manage private pay billing processes
• Release private invoices as status changes occur
• Oversee and manage the team within billing process
• Manage Medicare Part A and Part B billing and electronic invoice submission
• Manage Medicaid billing and electronic invoice submission for NJ and MA
• Process insurance and co-insurance claims (electronic and paper)
• Manage and process long term care insurance
• Post and review daily cash receipts
• Prepare bank deposits

Medicaid Pending & Eligibility Coordination

• Collaborate with responsible parties to review MassHealth/Medicaid eligibility requirements and enrollment processes
• Coordinate with outside Medicaid specialists and elder law attorneys to provide necessary documentation and expedite eligibility determinations
• Assist with Medicaid redetermination processes to ensure deadlines are met

Collections & Re-Billing

• Reconcile remittance advices from Medicaid and Medicare
• Review Skilled Nursing Facility ("SNF") consolidated billing claims for proper Medicare fee schedule payment and send to A/P for payment
• Adjust billings due to Medicaid MDS audits
• Submit retroactive billings (including 90-day waiver submissions when applicable)
• Prepare and submit UB-04 claim forms as needed
• Submit written appeals for denied claims (including code denials)
• Reconcile co-insurance and insurance remittances
• Reconcile discrepancies between Accounts Receivable records and Medicaid data files
• Monitor and aggressively follow up on aged trial balances
• Follow up on unpaid resource amounts over ten days
• Respond to telephone inquiries from families and billing agencies
• Processing of the Hairdresser's bill to A/P with back up and adding charges to the Resident accounts in PointClickCare ("PCC") and Yardi

Month-End Close

• Complete month-end close tasks related to Revenue & Accounts Receivable
• Run Aged Trial Balance reports for all payer sources
• Reconcile Aged Trial Balance to the General Ledger
• Manage the AR reserve and internal bad debt and collection process
• Quarterly User Fee reporting to the Comm of MA
• Quarterly State Census Reporting to the Comm of MA

Compliance & Operational Responsibilities

• Maintain strict confidentiality of financial and patient information
• Manage time efficiently and maintain professional presentation
• Adhere to all safety policies and report unusual occurrences promptly
• Ensure accurate submission of time records for payroll purposes
• Maintain organized and efficient filing systems for receivable records
• Support regulatory reporting and audits

Education/Experience/Licensure/Certification:

• A bachelor's degree in accounting or finance is required.
• Previous experience in PointClickCare and Yardi required.
• Several years of progressively responsible accounting experience, including managerial or supervisory roles.
• Experience with computerized ERP systems
• Working knowledge of Medicaid, Medicare, and insurance billing processes
• Understanding of General Ledger entries and account reconciliation
• Strong organizational and problem-solving skills
• Proficiency in computer systems and billing software
• Ability to manage multiple deadlines and follow through on outstanding accounts
• Dependable and professional
• Strong communication skills
• Ability to work independently and collaboratively
• Maintains confidentiality of resident/patient and corporate financial information

Why You'll Love working for Us:

• Innovative Culture: We are a group of smart, forward-thinking and compassionate pros dedicated to enhancing the lives of our residents through service excellence, creative and meaningful programs and continuous innovation.
• HEART: We recognize Humor, Empathy, Autonomy, Respect and Trust as core values that guide our work.
• Growth Opportunities: We promote and foster career development and continuous learning.
• Work-Life Balance: We value autonomy, flexibility and a family-friendly supportive workplace.
• Competitive Comp and Benefits: We offer a competitive compensation package, bonus, health insurance, 401K with match, paid time off, and more. Inspir believes in rewarding top talent and dedication, depending upon years of experience and commitment to the company. Inspir strives for transparency, reviewing pay periodically, to be the industry leader in recruiting talent like you!