Accounts Receivable Specialist

Job Description

Job Description

Description:

Accounts Receivable Specialist

Neighborhood LTC Pharmacy, Inc. (NRx)

We are hiring an Accounts Receivable Specialist to own day-to-day AR operations across our pharmacy and payment systems: posting payments, reconciling insurance, managing statements and aging, and following up on past-due accounts. The role also carries a reporting component: turning that transactional activity into aging, DSO, payor-mix, and collection/denial reporting. It's a strong fit for someone meticulous with reconciliations and comfortable in Excel, who takes pride in receivables that are clean, current, and audit-ready.

Company: Neighborhood LTC Pharmacy, Inc. (NRx)

Department: Finance: Accounts Receivable

Reports to: Finance Manager

Works closely with: Accounts Payable/Bookkeeper, and pharmacy operations across all locations

Location: On-site

Status: Full-time / Hourly

Compensation: $50K - $60K

• Post incoming patient and payor payments and reconcile them to the pharmacy system; keep the pharmacy system and payment platforms in sync.

• Respond to customer and facility inquiries regarding balances, statements, and payment status.

• Perform daily insurance reconciliation and produce daily payment reconciliation reports.

• Set up and maintain new-patient payment enrollments submitted.

• Verify and process medical-expense and refund requests (patient and payor overpayments).

• Process, submit, and email monthly patient statements.

• Prepare and analyze patient and third-party (insurance) aging reports.

• Follow up on past-due accounts via collections calls and emails; document activity.

• Perform post-verification review of posted payments for accuracy.

• Code money-in transactions and close the AR sub-ledger each period.

• Support month-end close by ensuring AR activity is complete, tied out, and reconciled to the GL.

• Resolve and escalate denied or underpaid claims with payors.

• Track denial and collection performance and surface recurring issues.

• Produce monthly AR metrics packages for finance leadership: aging, DSO, collection rate, denial rate, and payor mix.

• Build ad hoc reporting on demand —payor-performance views and cash-forecasting inputs.

• Support external audit: AR confirmations, aging tie-outs, and allowance-methodology review.

• Assist with cash-flow forecasting and working-capital analysis across locations.

• Support budget vs. actual and variance analysis for receivables and related revenue metrics.

• Help evaluate and roll out AR process and system improvements, including new tooling and workflow changes.

Required

• Associate's or Bachelor's degree in Accounting, Finance, or a related field, or equivalent relevant experience.

• 2+ years in accounts receivable, billing, or a comparable accounting role.

• Solid grasp of the AR lifecycle: cash application, aging, collections, reconciliations, and period close.

• Proficiency in Excel (lookups, pivot tables, clean formula-driven worksheets).

• High accuracy, strong reconciliation discipline, and comfort handling confidential patient/payment data.

• Clear written and verbal communication for internal teams, customers, and payors.

Preferred

• Experience in pharmacy, healthcare, or LTC/specialty billing environments.

• Familiarity with insurance/third-party reconciliation and payor denial/dispute workflows.

• Exposure to QuickBooks Online and multi-location/multi-entity accounting.

• Analytical exposure: DSO analysis, payor-mix reporting, or cash forecasting.

• Awareness of HIPAA/PHI handling requirements when transmitting patient and payment data.

• Detail-oriented and audit-minded — builds traceable, reconcilable work.

• Organized under recurring daily/monthly deadlines.

• Analytical mindset: turns transactional data into decision-useful reporting.

• Collaborative across finance, operations, and multiple pharmacy locations.

• Discreet and trustworthy with sensitive financial and patient information.