Managed Care Billing Analyst / Accounts Receivable

Full-time

Description

Community Eldercare Services (CES) is a family-owned, multi-generational, faith-based organization dedicated to enriching the lives of those we serve. Our commitment extends beyond providing exceptional resident care—we strive to meet individual needs, nurture well-being, and inspire purposeful living for our residents, families, and team members.

The Managed Care Billing Analyst / Accounts Receivable will play an important role in supporting the financial operations of our facilities. This position provides centralized billing support, ensures accurate and timely claims processing, assists with accounts receivable functions, and provides technical support to facility Business Office Managers.

The Managed Care Billing Analyst / Accounts Receivable will be responsible for Medicare Advantage billing, claims management, cash posting, account reconciliation, aging review, and other key billing and accounts receivable functions. This position will also assist with financial reviews, audits, and other processes to help ensure accurate and efficient revenue cycle operations.

Responsibilities

• Manage Medicare Advantage billing for Part A and Part B.
• Track Medicare Advantage claims by facility and monitor aging.
• Research, correct, and resubmit claims as needed to ensure timely payment.
• Research balances for payer and private accounts.
• Process cash posting and maintain accurate financial records.
• Prepare and reconcile daily, weekly, and monthly cash receipts and deposit reports for assigned facilities.
• Assist with end-of-month balancing and closing processes.
• Review and process resident statements.
• Conduct monthly accounts receivable aging reviews.
• Process insurance crossover claims.
• Complete hospice billing.
• Gather and provide requested information for audits.
• Review weekly admission reports to verify census line setup for billing.
• Provide technical support to facility Business Office Managers as needed.
• Assist with financial review of referrals when needed.
• Perform other duties as assigned and participate in additional training as required.

Requirements

Requirements

• High school diploma or equivalent required.
• Associate’s degree in a related field preferred.
• 1–3 years of related experience, or an equivalent combination of education and experience.
• Previous experience billing Medicare, Medicaid, and commercial insurance required.
• Experience with Medicare Advantage billing preferred.
• Experience in a healthcare or long-term care setting preferred.
• Strong written and verbal communication skills.
• Excellent organizational and time-management skills.
• Ability to multitask while maintaining accuracy and attention to detail.
• Strong analytical, research, and problem-solving skills.
• Experience with PointClickCare, Microsoft Word, Excel, Waystar, and Outlook preferred.