Job Description

Position Summary

The Vice President of Revenue Cycle is responsible for the strategic oversight and hands-on execution of the end-to-end revenue cycle across the organization’s Skilled Nursing Facility (SNF) network. This role provides direct operational leadership for billing, collections, accounts receivable, payer compliance, and audit readiness, with a strong emphasis on facility-level performance, cash flow optimization, and team development.

The Vice President partners closely with facility administrators, clinical leadership, and corporate leadership to maximize reimbursement, reduce days in accounts receivable, and ensure compliance with Medicare, Medi-Cal, and Managed Care payer requirements in a highly regulated post-acute environment.

Core Expertise & Focus Areas

Skilled Nursing Facility Revenue Cycle Optimization

Healthcare Finance & Revenue Cycle Leadership

Billing & Coding Compliance (Medicare, Medi-Cal, Managed Care)

Claims Management, Denial Prevention, and Appeals

Accounts Receivable & Cash Flow Improvement

Regulatory Compliance & Audit Readiness

Team Development, Mentorship, and Performance Management

Duties and Responsibilities

Revenue Cycle Leadership & Regional Operations

• Oversee all aspects of the revenue cycle across the SNF portfolio, including patient intake, billing, collections, and accounts receivable.
• Provide hands-on executive leadership with direct accountability for facility-level revenue cycle performance.
• Act as the primary escalation point for complex billing issues, unresolved AR, and payer disputes.

Cash Flow & Performance Management

• Develop and implement strategies to improve revenue cycle efficiency, reduce days in accounts receivable, and optimize cash flow.
• Review and analyze facility-level cash collections, aging reports, and payer performance trends.
• Identify revenue shortfalls and opportunities; implement corrective action plans to improve revenue recognition and collections.
• Provide regular reporting and actionable insights to senior leadership.

Claims, Denials & Payer Compliance

• Ensure accurate, timely, and compliant claim submission to Medicare, Medi-Cal, and commercial payers.
• Implement best practices for claims management, denial prevention, and appeals.
• Lead resolution of payer underpayments, disputes, and recoupments.

Systems, Controls & Audit Readiness

• Ensure accounts receivable and billing systems are fully functional and aligned with field operations by partnering with the Information Systems team and external vendors.
• Serve as the primary liaison and subject-matter expert for billing audits, internal audits, and Additional Documentation Requests (ADRs).
• Develop, enforce, and maintain revenue cycle policies, procedures, and internal controls.
• Conduct regular audits and reviews to ensure compliance with regulatory and payer requirements.

Facility Engagement & Continuous Improvement

• Work closely with facility administrators and business office managers to improve billing accuracy, timeliness, and accountability.
• Conduct regular facility-level performance reviews, identifying root causes and driving corrective actions.
• Standardize workflows and best practices across facilities while accommodating operational realities of a regional platform.

Team Leadership & Development

• Lead, mentor, and develop revenue cycle teams, including billing, coding, and collections staff.
• Evaluate team performance and implement strategies for continuous improvement and professional growth.
• Support recruiting, interviewing, hiring, and onboarding of business office and revenue cycle personnel.
• Foster a culture of accountability, compliance, and operational excellence.

Industry Awareness & Role Evolution

• Stay current on industry trends, regulatory updates, and best practices impacting SNF reimbursement and revenue cycle operations.
• Adapt strategies and responsibilities as business needs evolve.
• Perform other related duties as assigned by senior management.

Knowledge, Skills, Abilities & Qualifications

• Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field preferred.
• Minimum of 7–10 years of progressive revenue cycle management experience, with demonstrated leadership success.
• Extensive knowledge of SNF revenue cycle operations, healthcare reimbursement, and billing practices.
• Strong understanding of healthcare reimbursement, billing, and accounting principles.
• Proven ability to manage labor and operational budgets and track financial performance.
• Ability to operate effectively in a fast-paced, highly regulated environment.
• Strong organizational skills, attention to detail, and analytical capabilities.
• Excellent verbal and written communication skills, with the ability to engage effectively across all levels.
• Demonstrated ability to maintain confidentiality, exercise sound judgment, and make compliant, practical decisions.
• Commitment to the mission and values of Beecan, including person-centered care delivered with dignity, compassion, integrity, teamwork, innovation, and safety.

Additional Disclaimer

The duties and responsibilities outlined above are intended to describe the general nature and scope of this position and are not all-inclusive. Management reserves the right to assign or reassign duties and responsibilities at any time based on business needs.

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