AR Billing Supervisor

Position Summary

The AR Supervisor is a detail-oriented, results-driven leader responsible for overseeing the accounts receivable, Medicaid billing, managed care billing, collections, and revenue cycle functions across a multi-state portfolio of senior living communities. This position is accountable for ensuring the accurate and timely billing, reimbursement, collection, and reconciliation of resident accounts while maintaining compliance with federal, state, Medicaid, and managed care regulations.

The AR Supervisor provides operational oversight and subject matter expertise for Medicaid and waiver-based programs in multiple states, including eligibility verification, authorizations, level-of-care requirements, payer-specific billing requirements, claim submission, reimbursement tracking, denial management, and audit readiness. This role serves as a key resource to Business Office Managers, Executive Directors, Market Leaders, and Revenue Cycle leadership regarding Medicaid revenue cycle performance and regulatory compliance.

The AR Supervisor collaborates closely with Cash and Census Supervisor, Cash Posting and Census Resources, Medicaid/Managed Care Resources, and operational leadership to establish best practices, improve reimbursement outcomes, reduce aging, and maintain world-class accounts receivable and Medicaid billing operations across multiple communities and states.

Essential Functions and Responsibilities

Revenue Cycle and Accounts Receivable Oversight

• Ensure the CAPLICO Core Values are adhered to at all times.
• Ensure compliance with Resident Rights, HIPAA, and all applicable federal and state regulations.
• Ensure all accounting and revenue cycle procedures are followed in accordance with company policies and regulatory requirements.
• Manage and oversee the full-cycle accounts receivable process for assigned communities.
• Audit accounts receivable functions and billing practices to ensure accuracy, compliance, and timely reimbursement.
• Analyze accounts receivable trends, collection performance, aging reports, and reimbursement activity to identify risks and opportunities.
• Prepare and present regular AR, Medicaid, and managed care performance reports to leadership.
• Monitor key performance indicators including collections, aging, denials, authorizations, pending Medicaid applications, reimbursement timeliness, and bad debt trends.

Medicaid and Managed Care Leadership

• Oversee Medicaid billing operations across multiple states, ensuring compliance with state-specific Medicaid regulations, waiver programs, managed care organizations (MCOs), and payer requirements.
• Provide subject matter expertise related to Medicaid eligibility, authorizations, level-of-care assessments, managed care enrollment, and payer requirements.
• Monitor resident eligibility, authorizations, Medicaid pending status, and redetermination requirements to ensure uninterrupted reimbursement.
• Ensure timely and accurate submission of Medicaid, waiver, and managed care claims and supporting documentation.
• Manage and resolve claim denials, rejections, recoupments, underpayments, and reimbursement discrepancies.
• Collaborate with state Medicaid agencies, managed care organizations, case managers, and community staff to resolve eligibility and reimbursement issues.
• Monitor regulatory and reimbursement changes across all assigned states and implement process updates as needed.
• Support audit preparedness and coordinate responses for Medicaid, payer, and internal audits.
• Ensure billing practices remain compliant with state-specific assisted living, HCBS waiver, ALW, ALTCS, and other applicable Medicaid programs.

Operational Support and Training

• Serve as the primary escalation point for Business Office Managers and operations leaders regarding Medicaid, billing, collections, and reimbursement concerns.
• Assess revenue cycle processes and recommend improvements that promote efficiency, compliance, and financial performance.
• Develop, implement, and maintain standard operating procedures and best practices for Medicaid and AR functions.
• Provide coaching, mentoring, and training to AR staff, Business Office Managers, and field representatives.
• Lead educational sessions regarding Medicaid regulations, managed care processes, billing requirements, authorizations, and reimbursement trends.
• Assist locations in implementing corrective action plans related to accounts receivable performance and Medicaid compliance.
• Participate in Cluster, Regional, Market, and Revenue Cycle meetings as requested.
• Support month-end close processes, accrual reviews, revenue reconciliations, and reimbursement analysis.
• Perform other duties as assigned by Finance, President, or other key stakeholders.

Supervisory Responsibilities

• Directly supervises and provides leadership, coaching, and performance oversight for:
• Medicaid Billing and Managed Care Resource(s)
• Revenue Cycle Support Team Members as assigned
• Responsible for the overall quality, productivity, training, and compliance of team members supporting accounts receivable and Medicaid billing functions.

Minimum Education and Experience Requirements

• Bachelor's degree in Accounting, Finance, Healthcare Administration, Business Administration, or related field, or equivalent experience.
• Minimum of 5 years of healthcare revenue cycle, accounts receivable, Medicaid billing, or managed care billing experience.
• Minimum of 2 years of leadership, supervisory, or team management experience.
• Demonstrated experience managing Medicaid billing operations across multiple states.
• Strong knowledge of Medicaid waiver programs, managed care organizations, authorizations, eligibility processes, and reimbursement methodologies.
• Experience with claim submission, denial management, appeals, collections, and revenue recovery.
• Experience working within assisted living, senior living, long-term care, skilled nursing, or healthcare environments preferred.
• Experience using EMR, billing, and revenue cycle platforms.
• Strong analytical and problem-solving abilities with emphasis on accuracy, compliance, and process improvement.
• Advanced proficiency with Microsoft Excel, Outlook, Word, and PowerPoint.
• Working knowledge of state assisted living regulations and healthcare reimbursement requirements.
• Ability to conduct presentations, training programs, and operational reviews at all organizational levels.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities and deadlines across a geographically diverse portfolio.
• Ability to work effectively with a diverse group of stakeholders, including operations leadership, community staff, residents, families, state agencies, and managed care organizations.

Preferred Qualifications

• Multi-state Medicaid billing experience.
• Experience with HCBS waiver programs, Assisted Living Waiver (ALW), ALTCS, STAR+PLUS, Family Care, and other state-specific Medicaid programs.
• Certified Revenue Cycle Representative (CRCR) or similar healthcare revenue cycle certification.
• Experience supporting centralized billing operations across multiple communities or regions.

Location: Remote (AZ, TX, NV, WI) or Hybrid (UT, ID)

Why Join Us?

Something else that sets us apart from other companies is the quality of our most valuable resources – our people! We are dedicated to living out our culture as defined by our core values, “ CAPLICO ”:

• Customer Second – We prioritize and support our team so they can deliver exceptional care.

• Accountability – Own your work and outcomes.

• Passion for Learning – Grow continuously with curiosity and culture.

• Love One Another – Build authentic, respectful, and trusting relationships.

• Intelligent Risk Taking – Innovate and challenge the status quo.

• Celebrate – Recognize the small wins, they add up!

• Ownership – Be the CEO of your role.

Additional Benefits:

• True Work-Life balance – We believe in taking care of yourself before you take care of others!

• Full benefits package (medical, dental, vision, 401(k) with match)

• Paid time off, holiday pay, and professional development

• Your voice matters! - Work with other passionate and high-achieving leaders who care deeply about patient outcomes and team success.

About Pennant Services

We support over 250 home health, hospice, senior living, and home care operations across 19 states. Our Service Center model empowers local leadership while providing centralized clinical, legal, HR, IT, and compliance support to help ensure high-quality care.

The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at