Accounts Receivable Specialist

Position Overview The Accounts Receivable Specialist is responsible for accurate and timely billing, payment posting, and follow-up on accounts receivable for Skilled Nursing Facilities (SNF), Senior Housing communities, and other ancillary services. This role ensures claims and statements are processed in compliance with Medicare, Medicaid, Managed Care, and Private Pay requirements. The Specialist works closely with the Revenue Cycle Manager, facility teams, and payers to support optimal cash flow and minimize outstanding balances. Roles and Responsibilities Manages accounts receivable functions across multiple facilities and collaborates with on-site and centralized teams to resolve discrepancies, standardize procedures, and support financial reporting for all facilities. Serves as a financial contact for operational leadership, ensuring consistent billing accuracy, payer compliance, and timely cash collection across all assigned facilities. Performs and oversees billing and collection functions for all payer types within the assigned division, ensuring monthly billing deadlines, collection goals, and compliance standards are met while minimizing bad debt by preparing, reviewing, and submitting accurate claims for SNF and senior housing services to Medicare, Medicaid, Managed Care, and Private Pay payers. Verifies accuracy of census and charge data prior to billing submission. Corrects and resubmits rejected or denied claims in a timely manner. Maintains knowledge of current payer requirements, billing rules, and authorization processes. Monitors and follows up on unpaid or underpaid claims to ensure timely collections. Contacts payers, residents, or responsible parties to resolve payment issues and discrepancies. Documents all collection activity and maintains detailed records in billing systems. Reconciles payments and adjustments to ensure accurate A/R balances. Ensures adjustments, write-offs, and refunds are posted to the appropriate accounts. Ensures deposits and cash postings reconcile with bank and general ledger accounts. Identifies and resolves payment posting discrepancies. Assists with month-end close activities, including A/R reconciliations and reporting. Provides status updates on outstanding accounts and collection activity to management. Supports preparation of aging reports and denial trend analyses. Maintains compliance with HIPAA and company confidentiality policies. Follows all payer and regulatory guidelines to ensure clean claims and accurate reimbursement. Supports audit requests and provides documentation as needed. Other duties as assigned. Qualifications Education: High School / GED Experience: 5-8 years Licenses and Certifications Associate’s degree preferred Working knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes and associated reimbursement methodologies. Proficiency with electronic billing systems and EHR platforms (e.g., PointClickCare, MatrixCare, or similar). Strong attention to detail, organization, and accuracy. Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50 lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. Location US-KY-Louisville (Louisville, KY) Benefits Competitive salaries and weekly pay 401(k) Company Match Mental Health Support Program Student Loan Repayment and Tuition Reimbursement Health, vision, dental & life insurance kick in on the first of the month after your start date First‑time homebuyers’ program HSA/FSA And so much more! Equal Opportunity Employment Trilogy Health Services is an equal opportunity employer committed to diversity and inclusion. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT. #J-18808-Ljbffr