Manager – Revenue and Disbursements

Outstanding opportunity to lead a critical, cross-functional support function for a major not-for-profit senior living provider located in St. Louis, MO.  Reporting to the Chief Financial Officer, this position regularly interacts with regional and community Executive Directors, departmental heads, and various influencers in the clinical and operational areas.

This position manages and oversees all processes related to the billing and collection of Accounts Receivable (A/R) and the receipt and processing of all vendor invoices and ensuring vendor payments are made timely and accurately.   This position will assess, monitor, and manage the performance of the Accounts Receivable Team and third-party claims service provider to proactively complete all required AR tasks before month-end, identify efficiency issues, and propose solutions that will successfully bring closure to open items in a prompt and thorough manner.

Bonuses are awarded based on achievement of revenue collection metrics, optimization of vendor discounts, timeliness, accuracy, and management feedback.

The successful individual in this role must exercise collaborative behavior, focus on continuous improvement, demonstrate independent judgment, and discretion on a regular basis.

Essential Duties and Responsibilities:

The Manager, Revenue and Disbursements:

  • Oversees the month end closing process for resident and third-party billing and ensures that the team completes all required tasks before closing accounts receivable for the month.
  • Ensure monthly billing statements are accurate and provided timely to residents.
  • Continuously review and implement improvements to accounts receivable processes.
  • Maintains and develops accounts receivable policies and procedures for corporate office and communities.
  • Works with Medicaid billing staff to ensure that all Medicaid claims are billed timely, and any issues are resolved promptly.
  • Oversees staff who generate the monthly private pay billing for all residents,
  • Administers the contract for the outsourced medical claims billing (Medicare/Medicaid/Managed Care/Coinsurance), and
  • Works with each of the community Billing Office Managers (BOM) to ensure the accurate and timely billing for all revenue-producing services, the minimization of all accounts receivable bad debt expense, and to ensure that all revenue cycle goals are met.
  • Provides expertise and oversight of all billing and payment functions along with all other activities of the Accounts Receivable and Accounts Payable functions.
  • Ensures that the corporate billing function is accurate and timely, cash is collected, and recording cash postings/deposits is accurate.
  • Ensures that all workflow processes are standardized and in compliance with all internal and external regulations (including proper handling of HIPAA-sensitive information) to improve cash collections, reduce accounts receivable, and minimize bad debt expense.
  • Works with BOMs to coordinate the payment and processing of all vendor invoices.
  • Conducts weekly meetings with staff, billing office managers, or any other third-party billing contractors to review accounts receivables, medical insurance claims, private pay statements, hospice, or any other receivables aging reports to maintain a target days outstanding of 90 days or less.
  • Conducts monthly Triple Check meetings with the community BOM and clinical staff to identify A/R follow-up issues and process improvement areas.
  • Remains current on all CMS Medicare and State Medicaid regulations and policies, as well as any other federal and state regulations related to healthcare, long-term care, and insurance.
  • Oversees the hiring, training, education, and coaching of AR and AP staff, the administration of any third-party billing/collection contracts, and coordinate all external collection efforts (e.g., turned over to legal firms).
  • At least quarterly, performs joint contract performance review with outsourced contractor and CFO to evaluate billing, invoicing, and collection performance, identify continuous process improvement opportunities,
  • Works cooperatively with operational leadership and various business functions to solve payment issues and implementing solutions. Accountable for the prompt escalation and submission of all uncollectible accounts to third-party collections firm after consultation with, and approval by, the CFO.
  • Writes policies and procedures for billing office managers and departmental liaisons as needed.
  • Maintains a high level of both written and oral communication with internal departments, as well as with outside client contacts insurances and vendors.
  • Ensures timely completion of monthly reports that provide the key indicators for the department.
  • Reviews performance against key metrics and indicators monthly with the CFO.
  • Manages Accounts Payable Processors and Check Auditor staff.
  • Monitors distribution of workload within A/P and performs employee evaluations.
  • Supervises input and processing of invoices, check requests and expense reports and verifies Controller review and approval.
  • Reviews payroll, end of the year 1099 report, audit reports and documentation filing to maintain proper audit trails.
  • Resolves and processes patient refund requests. Monitors lost discounts and reports problems to Chief Financial Officer.
  • Inputs purchase journal corrections and stop payments and reissues checks.
  • Works closely with Billing Office Managers to resolve any problems. Keeps all parties informed and updated on problem resolution and informs supervisor if issue cannot be resolved in a timely manner.
  • Maintains all patient insurance refund payments support attachments with checks.
  • Assists the communities and the Financial Planning and Analysis group with special projects or requested analysis to help management make appropriate decisions.
  • Works with IT on A/R system maintenance and to resolve A/R systems issues.
  • Leads initiatives to develop new approaches to streamline existing processes, reorganize work, implement new technologies, and improve resource utilization, with a focus on best process efficiency methods.
  • Performs other projects and related duties as assigned by management.


  • Associate degree (AA) or equivalent from a two-year college or technical school, or 5-7 years related experience and/or training, or equivalent combination of education and experience.
  • Computer skills required: Accounting Software (Intacct) and Billing Software (PointClickCare, NetSmart Vision, MatrixCare) or equivalent accounts receivable billing and payables software; Billing Portals (E-Solutions, Availity, Remedy Solutions); Microsoft Office Environment (Excel, Word, PowerPoint, Teams); Electronic Mail Software (Outlook).


  • Technical Skills – Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
  • Interpersonal Skills – Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others’ ideas and tries new things.
  • Teamwork – Balances team and individual responsibilities; Exhibits objectivity and openness to others’ views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone’s efforts to succeed.
  • Communication – Works well across the organization to keep executive management and all operational leadership informed of outstanding accounts receivable, potential uncollectible accounts, and notifies executive and operational leadership immediately of any potential or proposed write-offs.
  • Managing People – Includes staff in planning, decision-making, facilitating and process improvement; Takes responsibility for subordinates’ activities; Engages staff; Provides regular performance feedback; Develops subordinates’ skills and encourages growth; Solicits and applies customer feedback (internal and external); Fosters quality focus in others; Improves processes, products, and services.; Continually works to improve supervisory skills.
  • Quality Management – Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
  • Diversity – Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; educates others on the value of diversity; promotes a harassment-free environment; Builds a diverse workforce.
  • Ethics – Treats people with respect; Keeps commitments; inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
  • Motivation – Sets and achieves challenging goals; Demonstrates persistence and overcomes obstacles; Measures self against standard of excellence; Takes calculated risks to accomplish goals.
  • Quality – Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.

Physical Demands and Work Environment:

  • Occasionally/Frequently/Continually required to stand
  • Frequently required to sit
  • Frequently required to utilize hand and finger dexterity
  • Continually required to talk or hear
  • While performing the duties of this job, the noise level in the work environment is usually moderate
  • The employee must occasionally lift and /or move up to 25 pounds

Application For Employment

Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resource Department.

Application For Employment

Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resource Department.

Applicatant Statement

Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resource Department.

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