Revenue Cycle Manager

About the Company

Total Care Therapy (TCT) is a therapist-owned and operated company specializing in Physical, Occupational, and Speech Therapy services in assisted and independent living communities. Our mission is to empower individuals to regain their independence through compassionate, high-quality care. We foster a collaborative culture that values innovation, professional growth, and exceptional patient outcomes.

About the Role

The Revenue Cycle Manager is responsible for overseeing all aspects of the revenue cycle, ensuring efficient billing operations, timely reimbursement, and compliance with payer and regulatory requirements. This individual will collaborate closely with clinical and administrative teams to optimize workflows, resolve billing issues, and improve overall revenue cycle performance.

Responsibilities

• Oversee the full revenue cycle, including patient registration, insurance verification, prior authorizations, charge capture, coding accuracy, claim submission, payment posting, accounts receivable, and collections.
• Ensure accurate and timely claim submission while monitoring billing workflows to maximize reimbursement.
• Review and resolve claim edits, denials, payment discrepancies, and outstanding accounts.
• Manage insurance appeals and follow up on unpaid or underpaid claims.
• Ensure compliance with Medicare, commercial insurance, HIPAA, and all applicable federal and state regulations.
• Stay current on payer guidelines and reimbursement changes affecting outpatient therapy services.
• Work closely with therapists and administrative staff to ensure accurate documentation and charge entry.
• Analyze revenue cycle trends and identify opportunities to improve processes and operational efficiency.
• Prepare regular financial and operational reports for leadership.
• Supervise and support billing, authorization, and front-end revenue cycle team members.
• Train staff on billing procedures, documentation requirements, and best practices.
• Foster strong communication and collaboration between clinical and administrative teams.
• Assist with additional projects and responsibilities as assigned.

Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a medical billing certification required.
• Minimum of five years of revenue cycle management experience in a healthcare setting.
• Experience with outpatient rehabilitation or physical therapy billing strongly preferred.
• Strong knowledge of medical billing, coding, insurance verification, prior authorizations, claims management, and accounts receivable.
• Working knowledge of Medicare, Medicaid, commercial insurance, and payer reimbursement guidelines.
• Experience leading and developing teams.
• Excellent analytical, organizational, problem-solving, and communication skills.
• Proficiency with electronic medical records (EMR), practice management software, and Microsoft Office.

Benefits

• Competitive compensation
• Health, dental, and vision insurance
• Paid time off and paid holidays
• 401(k) with company match
• Opportunities for professional growth and development
• Supportive, collaborative team environment
• Therapist-owned company committed to providing exceptional patient care

This job description is intended to describe the general nature of the work performed. Additional duties and responsibilities may be assigned based on business needs.