Accounts Receivable Specialist

Accounts Receivable Specialist

The Accounts Receivable Specialist is responsible for managing the organization's billing, payment application, and revenue assurance processes to ensure timely and accurate financial transactions. This position requires strong attention to detail, effective communication, and adherence to compliance standards while supporting internal teams and maintaining positive customer relationships.

Billing & Claims Processing

• Download billing reports from Electronic Health Record and create spreadsheets for billing and claim submission.
• Process other billing (spreadsheets, MRS authorizations, Camp, Rents).
• Electronic transmission (or paper submission if required) of claims to third-party payers within the 60-day rule.
• Update rates on billing items and verify G/L account distribution.
• Track authorizations for services for third-party billing.

Payment Application & Account Reconciliation

• Enter ACH and check deposits into business software and apply payments promptly.
• Download ACH remittance advice (Sigma, HW, OTTO, etc.).
• Reconcile A/R clearing account for customer refunds or overpayments on House and Arbour.

Invoice Management & Revenue Assurance

• Review aging reports to identify unpaid invoices.
• Review monthly recurring invoices for accuracy.
• Obtain revenue by resolving invoice disputes and billing discrepancies.
• Evaluate accuracy and completeness of claim submission information using revenue tracking spreadsheets.

Customer & Internal Communication

• Maintain customer relations by phone or email.
• Interface with Finance Manager and other management staff regarding billing information.
• Interface with program Managers to meet authorization requirements.
• Coordinate process improvement systems to gather data

Data Integrity & Compliance

• Keep residential rent and client information spreadsheet updated.
• Ensure integrity and confidentiality of all patient and client financial data.

Education Requirements

• Associate degree in business administration or accounting is preferred; can be substituted with related experience.

Work Experience Requirements

• Analytical and problem-solving skills, the ability to understand complex reimbursement structures and the ability to apply contractual governmental regulations to billing processes.
• Experience with Windows based software, Excel spreadsheets and other office software.
• Preferred experience with submitting electronic claims and/or accounting for property rents.
• Be self-directed and demonstrate the ability to work independently to meet deadlines.
• Ability to communicate clearly and concisely, verbally and in writing.
• Ability to work respectfully and courteously with a wide variety of individuals, including individuals with disabilities.

Travel

Must be willing and able to travel up to 10% for meetings, trainings and conferences. Total travel expected to be less than 10%. Company vehicle is not supplied; use of personal vehicle is required.

Work Environment

This employee usually works in an office environment but may be required to perform job duties outside of the typical office setting. Moderate noise (i.e. business office with computers, phone, printers, and light foot traffic). Ability to work in a confined area. This position works in close proximity to people. While the majority of working time is spent indoors in a residential environment or office, employees in this position may work outdoors in all seasons for short periods of time, e.g. assisting a resident into a vehicle, taking a resident on an outing, snow removal, etc.

Physical Demands of the Job

Primarily sedentary work: while performing the duties of this job, the employee is regularly required to, stand, walk, sit, talk, hear, and use hands and fingers to operate a computer, telephone, keyboard, etc. May be required to reach, stoop, or kneel to perform miscellaneous duties. Occasional light lifting up to 10 lbs may be expected. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures, transcribing, viewing a computer terminal, extensive reading, and various visual inspection requirements.

EEO Statement

Pioneer Resources is an equal opportunity and affirmative action employer committed to diversifying its workforce.

It is Pioneer Resources' policy to provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender identity or expression, national origin, ancestry, age, disability, legally protected medical condition, genetic information, marital status, sexual orientation, protected veteran status, military status, citizenship status or any other status that is protected by law. Pioneer Resources also does not discriminate against applicants or employees because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.

Company Statement

All employees are required to uphold the values of Pioneer Resources, Inc.: Integrity, Stewardship, Innovation, Excellence, and Respect and conduct themselves in a manner demonstrating LEAD ( Listen, Empathy, Acknowledge and Dignity ). Further, staff are required to comply with the policies, procedures, and safety program(s) of Pioneer Resources. All employees are required to uphold standards of CARF and practice LEAN initiatives and principles. Employees are required to follow all state and federal laws and regulations, including but not limited to those related to recipient rights, confidentiality, and the Health Insurance Portability and Accountability Act (HIPAA).

Pioneer Resources, Inc.