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About the Role

Oversee day-to-day billing, collections, cash posting, and resident account operations for the San Francisco Campus for Jewish Living (SFCJL). Lead Patient Financial Services (PFS) staff, ensure accurate and timely claims submission, correct payment posting, and active management of accounts receivable. Serve as a key financial resource for residents and families, collaborating with various departments to ensure complete billing information, strong revenue cycle performance, and compliance.

Responsibilities

Oversee the timely and accurate generation and submission of claims to Medicare, Medi-Cal, and managed care payers.
Maintain a clean claim rate above 95% and ensure claims are submitted within five (5) days of the billing cycle.
Participate in the monthly Triple Check process with Nursing, MDS, and Case Management.
Ensure payer-specific billing requirements are followed and resolve missing or inconsistent billing information.
Oversee the posting of Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB) payments.
Identify underpayments, overpayments, and rejected payments and escalate significant payer issues.
Collaborate with Accounting to reconcile cash receipts to bank activity and the general ledger.
Review remittance advice for denied, rejected, or delayed payments and ensure corrections and resubmissions.
File and track payer appeals, including Medicare redeterminations and Medi-Cal Treatment Authorization Request (TAR) denials.
Monitor and report denials by root cause and identify recurring issues.
Work toward maintaining a denial rate below 5%.
Review accounts receivable aging reports weekly and prioritize collection activity.
Ensure appropriate payer follow-up occurs on all outstanding claims older than 30 days.
Maintain clear biller assignments and review portfolios to identify unresolved balances.
Work toward maintaining days in accounts receivable below 45 days and resolving 98% of collectible balances within 90 days.
Provide detailed aged accounts receivable and collectability assessments.
Issue monthly private-pay statements and serve as a primary point of contact for billing and account questions.
Establish payment plans and apply the organization’s charitable care policy.
Manage the resident trust fund in accordance with applicable federal and state requirements.
Oversee petty cash and on-site payment collections.
Partner with Admissions to verify insurance eligibility and coverage.
Confirm authorizations, payer information, financial classifications, and billing types are accurately established.
Prepare monthly business office reports for the Chief Financial Officer.
Serve as the Patient Financial Services representative on the Revenue Cycle Team.
Support PointClickCare optimization initiatives.
Supervise, schedule, train, and develop billing and collections staff.
Establish work procedures and hold staff accountable for performance goals.
Maintain current business office procedures and ensure staff receive appropriate training.
Promote accountability, accuracy, customer service, and effective collaboration.
Ensure billing, collection, and resident account activities comply with applicable requirements.
Maintain current knowledge of reimbursement and regulatory changes.
Perform other duties as assigned.

Requirements

Associate degree in Business, Accounting, Healthcare Administration, or a related field, or equivalent relevant work experience.
Minimum of three (3) years of healthcare billing and collections experience.
At least two (2) years of experience supervising business office staff.
Working knowledge of Medicare, Medi-Cal, and managed care billing requirements for skilled nursing or long-term care and acute geriatric psychiatric care.
Experience managing accounts receivable and collection activities.
Proficiency with billing software and electronic health record systems.
Strong understanding of healthcare billing, claims submission, reimbursement, collections, and revenue cycle processes.
Strong customer service skills with the ability to effectively communicate with residents, families, payers, and internal stakeholders.
Ability to manage multiple priorities, deadlines, and operational responsibilities simultaneously.
Strong organizational, analytical, problem-solving, and communication skills.
Ability to maintain confidentiality and appropriately handle sensitive financial and resident information.
Experience with PointClickCare (PCC) and Inovalon.
Experience in a nonprofit, geriatric, senior living, skilled nursing, or related healthcare environment.
Experience managing a resident trust fund.
Revenue cycle certification, such as Certified Revenue Cycle Representative (CRCR).

Skills

Billing
Collections
Cash Posting
Resident Account Operations
Claims Submission
Revenue Cycle Management
Payer Relations
Financial Reporting
Staff Supervision
Customer Service
Problem-Solving
Communication
Confidentiality
PointClickCare (PCC)
Inovalon
Medicare Billing
Medi-Cal Billing
Managed Care Billing
HIPAA Compliance

Location

San Francisco, CA

Work Type

Full-Time
Exempt
Business Hours
Monday – Friday

Experience Level

3+ years healthcare billing and collections
2+ years supervisory experience

Education Level

Associate degree in Business, Accounting, Healthcare Administration, or related field, or equivalent experience
Bachelor's degree in Business, Accounting, Finance, Healthcare Administration, or related field (preferred)

Salary/Compensations

$159,361 – $176,135 annually

Benefits

Medical coverage
Dental coverage
Vision coverage
403(b) Retirement Plan
Paid Time Off (PTO)
Tuition Reimbursement
Commuter Benefits
Weekday Shuttle Service to and from Glen Park BART Station

About the Company

The San Francisco Campus for Jewish Living (SFCJL) is the leading senior services organization in Northern California, offering a continuum of care including assisted living, memory care, long-term skilled nursing, short-term rehabilitation, and an acute geriatric psychiatric unit.
Founded in 1871 and formerly known as the Jewish Home, SFCJL supports over 2,500 older adults annually through innovative programs rooted in Jewish values.
SFCJL fosters an inclusive culture with team members of diverse faiths and backgrounds working together.
It is a mission-driven nonprofit organization committed to providing meaningful work that positively impacts older adults.
The organization offers a supportive, team-oriented environment with opportunities for professional growth and development.

Equal Opportunity

The San Francisco Campus for Jewish Living is committed to fostering a diverse, equitable, and inclusive workplace.
We provide equal employment opportunities to all qualified individuals without regard to race, color, religion, gender, age, national origin, marital status, sexual orientation, gender identity, veteran status, genetic information, disability, or any other characteristic protected by applicable law.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider qualified applicants with arrest and conviction records for employment.