Accounts Receivable Manager for Nursing Home Business Office

Overview: We seek a detail-oriented and experienced Accounts Receivable professional to manage the full cycle of patient billing and collections for our skilled nursing facility. The ideal candidate will be dedicated to ensuring the' accuracy, timeliness, and efficiency of our revenue cycle processes, focusing specifically on accounts receivable management.

Key Responsibilities:

• Billing & Claims Management: Oversee and execute all patient billing functions, ensuring accuracy and compliance with payer requirements (Medicare, Medicaid, Managed Care, Private Pay). Ensure timely submission of claims and invoices.
• Accounts Receivable & Collections: Actively manage the facility's accounts receivable aging, implementing effective collection strategies for all payer types. Consistently follow up on outstanding balances.
• Payer Verification & Setup: Collaborate with admissions and meet with residents/families to gather accurate insurance/payer information and ensure correct input into the Point Click Care (PCC) system.
• Medicaid Process Management: Proactively manage and track Medicaid Pending applications, coordinating with residents, families, and relevant agencies to expedite approval and secure facility coverage.
• Payment Posting & Reconciliation: Ensure accurate and timely posting of all payments, adjustments, and denials. Reconciled cash receipts and prepared bank deposits related to patient accounts.
• Census Reconciliation for Billing: Review daily census data and reconcile with nursing/admissions records to ensure accurate charge capture and billing.
• Month-End Close: Manage AR-related month-end closing procedures, including final reviews, statement generation, and reporting.
• Payer & Billing Team Liaison: As the primary contact for AR inquiries; interacts effectively with third-party payers and the central billing team (if applicable) to resolve issues and ensure prompt payments.
• Compliance & Reporting: Ensure all AR activities comply with facility policies and regulatory requirements. Monitor and report on key AR metrics (e.g., aging, DSO, collection rates).

Experience & Qualifications:

• Proven experience in healthcare Accounts Receivable, preferably within a skilled nursing or long-term care environment.
• Strong working knowledge of Medicare, Medicaid, Managed Care, and private pay billing and collection practices.
• Proficiency with Electronic Health Record (EHR) systems, specifically Point Click Care (PCC) is highly preferred.
• Excellent understanding of healthcare billing regulations and compliance.
• Strong analytical skills with the ability to identify and resolve billing discrepancies and collection issues.
• Exceptional organizational skills and attention to detail.
• Effective communication and interpersonal skills for interacting with residents, families, payers, and internal teams.
• Demonstrated ability to manage multiple priorities and meet deadlines.