Revenue Cycle Compliance
Tutera Senior Living & Health Care
Are you an Revenue Cycle Compliance seeking an exciting new career opportunity? Look no further! Tutera Senior Living & Health Care is seeking a dedicated Revenue Cycle Compliance to join our team! If you are dedicated and compassionate, WE WANT YOU!
What Will You Do in This Role?
The Revenue Cycle Compliance serves as the primary lead in ensuring regulatory, operational, and billing compliance across multiple Skilled Nursing and Senior Living communities. This role plays a critical part in maintaining the integrity and efficiency of revenue cycle processes through oversight of credentialing, payer enrollment, and financial systems setup. The specialist will be the point person for managing provider enrollment (including PECOS and IMPACT), configuring and auditing background setup in PointClickCare (PCC), and leading clearinghouse enrollment for SNF and Senior Living billing platforms. This position requires a proactive, detail-oriented individual with a strong understanding of industry standards and compliance expectations.
Key Responsibilities:
- Serve as the primary compliance lead for SNF and Senior Living billing configuration in PointClickCare (PCC), including payer setup, rate tables, and claim workflows.
- Own and manage the full lifecycle of payer enrollment and credentialing, including PECOS, IMPACT, and commercial insurance plans.
- Coordinate and oversee clearinghouse enrollment and maintenance, ensuring alignment with billing platforms and payer requirements.
- Monitor and ensure timely completion of all credentialing and revalidation submissions, including provider updates and facility changes.
- Maintain centralized documentation for all active credentials, applications, and enrollment statuses.
- Review and resolve billing setup issues that impact claim generation, submission, or payment.
- Guide and support revenue teams and facility staff in compliance procedures, payer setup, and billing requirements.
- Oversee and implement updates in PCC that impact SNF/AL revenue cycle compliance, including regulatory changes or system upgrades.
- Ensure timely handling and routing of revenue-related correspondence and mail.
- Provide compliance training or guidance to billing teams and facility contacts as needed.
Do You Have What It Takes?
- A fire and passion for working with seniors
- A flexible, fun, and energetic personality
- Bachelor's degree in Healthcare Administrator, Finance, Business, or related field preferred
- REQUIRED Minimum 5 years of experience in SNF revenue cycle operations, with oversight responsibilities.
- Advanced knowledge of PointClickCare (PCC) billing configuration and background setup.
- Demonstrated expertise in SNF billing requirements, Medicare/Medicaid billing compliance, and clearinghouse processes.
- Experience with PECOS, IMPACT, and provider credentialing/enrollment workflows strongly preferred.
- Strong organizational skills, attention to detail, and the ability to manage multiple concurrent compliance initiatives.
- Ability to work collaboratively across departments, with excellent communication and follow-through skills.
- Strong analytical skills and attention to detail required
- Professional image in both appearance and behavior
- Excellent written and oral communication skills
Why is Tutera THE Employer of Choice?
- Tutera Senior Living & Health Care is guided by one single purpose: To live the YOUNITE philosophy in every decision, every day. Based on genuine respect, YOUNITE is how we get to know residents and team members on a personal level. By asking about our employees’ and residents’ unique needs and preferences, we actively listen and then deliver. Do you want to work for a company where you are the driving force behind every decision made?
- Tutera offers stability; our family-owned company was founded in 1985!
- Tutera offers a competitive starting wage and amazing benefits! We take care of you so you can be a rockstar at work and at home!
- Tutera Senior Living & Health Care is dedicated to growing and developing our Tutera rockstars. Through Tutera University, every employee has the opportunity to learn new skills and become the best health care rockstar they can be!
Apply today and let us show you how we are inspired by you.
Equal Opportunity Employer. The wage and benefit information provided in this listing is subject to change. Benefits eligibility criteria must be met to enroll in available benefits.
